State Legislative Bills Report
As most state legislatures end their 2025 sessions and look to 2026, ACR staff is looking at how some radiology-specific bills they tracked fared this year.
Read moreThe American College of Radiology® (ACR®) submitted recommendations to the Centers for Medicare and Medicaid Services (CMS) March 1 regarding the placement and reimbursement of new Current Procedural Terminology® (CPT®) codes for the 2024 Hospital Outpatient Prospective Payment System (HOPPS).
The comment letter outlines the proposed ambulatory payment classification (APC) for percutaneous sacroiliac joint arthrodesis without the use of a transfixation device (2X000), a minimally invasive fixation procedure with placement of an intra-articular implant such as bone allografts. The College also provided an APC recommendation for analysis derived from augmentative software from a coronary computed tomography (CT) angiography data set for non-invasive fractional flow reserve (FFR, 7X005). Non-invasive FFRCT calculates the severity of coronary artery disease in symptomatic patients and is used to enhance physician decision making pertaining to treatment planning — either medical therapy or revascularization. The APC placements in different categories dictate the reimbursement for services performed. The College has suggested placement of these codes into the same APCs as their predecessor Category III codes.
For questions, contact Kimberly Greck, ACR Senior Economic Policy Analyst, or Christina Berry, ACR Team Lead, Economic Policy.
State Legislative Bills Report
As most state legislatures end their 2025 sessions and look to 2026, ACR staff is looking at how some radiology-specific bills they tracked fared this year.
Read moreMedicare Payment Increase in Final Budget Reconciliation Bill
The bill includes a 2.5% increase to the Medicare Physician Fee Schedule for calendar year 2026.
Read moreCMS Announces Prior Authorization Test Model
WiSer is a six-year program that will begin in six states on January 1, 2026. It will introduce prior authorization using AI technology for a select number of services, including some IR procedures.
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