ACR Advises Changes to Washington State PAD Report
ACR urged the WA State Health Technology Clinical Committee to not act on the draft report that would limit coverage of endovascular procedures for PAD.
Read moreThe American College of Radiology® (ACR®) expressed concern about the decision by the Centers for Medicare and Medicaid Services (CMS) to retroactively remove CPT® codes 0554T-0558T (biomechanical computed tomography (BCT) analysis) from the National Coverage Decision (NCD) 150.3 Bone Density Studies. These CPT codes describe services used for determining bone density using the FDA-cleared bone densitometer.
In its latest policy guidance, CMS non-covers biomechanical computed tomography (BCT) analysis retroactive to July 2019. The College seeks guidance from CMS on how healthcare providers should handle claims using these codes going forward. We believe that claims paid using these codes should not be adjusted unless there is concern that these services were not properly furnished.
The ACR and other specialty societies continue to engage with CMS to improve public notice and comment opportunities for coverage and policy articles. The change in coverage status for CPT codes 0554T-0558T retrospective to July 2019 proves existing processes are not adequate.
For questions on Medicare Coverage processes, contact Alicia Blakey, ACR Principal Economic Policy Analyst.
ACR Advises Changes to Washington State PAD Report
ACR urged the WA State Health Technology Clinical Committee to not act on the draft report that would limit coverage of endovascular procedures for PAD.
Read moreACR Releases Impact Tables for 2026 MPFS Proposed Rule
The tables cover specific proposed changes in reimbursement rates between 2025 and 2026 for each CPT® code.
Read moreTake Action: Contact Your US Senators to Cosponsor ROOT Act
Support the ROOT Act—Senate cosponsors needed to fix CMS issues with imaging AUC under PAMA. College member advocacy is key.
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