Oct. 2, 2024
The Centers for Medicare and Medicaid Services (CMS) recently identified a revenue code issue that caused certain claims for diagnostic radiology procedures of the heart (code 75580, Noninvasive estimate of coronary fractional flow reserve (FFR) derived from augmentative software analysis of the data set from a coronary computed tomography angiography, with interpretation and report by a physician or other qualified health care professional), to incorrectly return to provider.

The issue is now corrected. Claims incorrectly returned with 2024 dates of service may be resubmitted for payment. For more information, see 2024-09-26-MLNC | CMS.

If you have questions, contact Maria Tran, American College of Radiology® Director, Economic Policy.

Related ACR News

  • Favorable Decision for ACR Members in “TMA III” NSA Case

    Fifth Circuit ruling on No Surprises Act QPA calculations supports fair physician reimbursement and stronger insurer accountability.

    Read more
  • RAPID Pathway for Device Coverage

    RAPID pathway could streamline Medicare coverage decisions for eligible breakthrough devices through earlier review alignment.

    Read more
  • Detailed Summary of FY2027 IPPS Final Rule

    CMS finalized FY 2027 hospital payment updates, including a 2.3% increase, new technology payments and AI-related policy changes.

    Read more