CMS NCD Updates and Coding Revisions
CMS updates NCD coding for radiology and bone density, adding new ICD‑10 and CPT codes and revising Medicare billing rules.
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ACR Releases Code-Specific Impact Tables for MPFS Final Rule
Dec. 10, 2024
The American College of Radiology® (ACR®) created impact tables that illustrate how the 2025 Medicare Physician Fee Schedule (MPFS) final rule affects specific radiology-related tests and procedures. The tables cover specific changes in reimbursement rates between 2024 and 2025 for each Current Procedural Terminology® (CPT®) code. The analysis includes spreadsheets for the 70,000 series CPT codes and the non-70,000 CPT codes billed by radiologists, interventional radiologists and/or radiation oncologists.
In the final rule, the Centers for Medicare and Medicaid Services (CMS) estimated an overall impact of the MPFS changes to radiology, nuclear medicine and radiation oncology to be 0%, while interventional radiology will realize an aggregate 2% decrease. However, these estimates are based on relative value unit changes only, and do not take into account the conversion factor. CMS finalized the 2025 conversion factor at $32.3465 compared to the 2024 conversion factor of $33.2875, a decrease of approximately 2.8%. ACR’s impact tables take this conversion factor decrease into account. Should Congress act to increase the 2025 conversion factor, ACR will regenerate the impact tables using the new conversion factor.
Questions about the MPFS final rule impacts should be directed to Katie Keysor, ACR Senior Director of Economic Policy.
In the final rule, the Centers for Medicare and Medicaid Services (CMS) estimated an overall impact of the MPFS changes to radiology, nuclear medicine and radiation oncology to be 0%, while interventional radiology will realize an aggregate 2% decrease. However, these estimates are based on relative value unit changes only, and do not take into account the conversion factor. CMS finalized the 2025 conversion factor at $32.3465 compared to the 2024 conversion factor of $33.2875, a decrease of approximately 2.8%. ACR’s impact tables take this conversion factor decrease into account. Should Congress act to increase the 2025 conversion factor, ACR will regenerate the impact tables using the new conversion factor.
Questions about the MPFS final rule impacts should be directed to Katie Keysor, ACR Senior Director of Economic Policy.
