ACR Urges HHS to Promote Annual Lung Cancer Screenings
In a recent comment letter, the College presented updated data that highlights the life-saving potential of lung cancer screening.
Read moreThe Centers for Medicare and Medicaid Services (CMS) releases updates every quarter to the Hospital Outpatient Prospective Payment System (HOPPS) that outline changes in policies and relevant billing instructions for hospitals. In the January update, the new Healthcare Common Procedure Coding System (HCPCS) code C8001 was established to describe the 3D anatomical segmentation imaging intended as software for preoperative surgical planning, and as software for the intraoperative display of the aforementioned multi-dimensional digital images.
CMS in the April update revised the APC (Ambulatory Payment Classification) category, which determines the payment rate, from APC 5521 (Level 1 Imaging without Contrast) with payment rate of $88.05 to APC 5721 (Level 1 Diagnostic Tests and Related Services) with payment rate of $156.46. This code is separately paid within the HOPPS but is not reimbursable under the Medicare Physician Fee Schedule, as C-codes are only used by CMS within the HOPPS for tracking the costs of new and evolving services and devices.
The American College of Radiology® (ACR®) staff will monitor any additional changes contained within the 2026 HOPPS Proposed Rule, to be released in July.
If you have questions, contact Kimberly Greck, ACR Senior Economic Policy Analyst.
ACR Urges HHS to Promote Annual Lung Cancer Screenings
In a recent comment letter, the College presented updated data that highlights the life-saving potential of lung cancer screening.
Read moreFDA Approves Alternative Standard Breast Density Reporting
The Alternative Standard will allow the physician to provide an overall assessment of breast density with singular phrasing in reports of unilateral mammograms.
Read moreState-Radiology Bills Report Card
An update on radiology-specific state legislation that ACR is tracking. This report focuses on scope of practice.
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