The American College of Radiology® (ACR®) released a detailed summary of the Centers for Medicare and Medicaid Services (CMS) 2022 Medicare Hospital Outpatient Prospective Payment System (HOPPS) and Ambulatory Surgical Center (ASC). The ACR supports several modifications the rule includes related to placement of Current Procedural Terminology (CPT®) codes within the Ambulatory Payment Classifications (APCs). Modifications include the reassignment of CPT code 71271 to the second-tier Imaging without Contrast APC (5522), with a reimbursement rate of $111.19. In addition, CMS will increase the Medicare reimbursement rate for lung cancer screening services performed in the hospital outpatient setting by 37%. CMS also made changes to the Radiation Oncology Model
The final rule, released Nov. 2, also finalized updates to the Radiation Oncology (RO) model.