The Proposed Rule issued by the Centers for Medicare and Medicaid Services (CMS) for payments under the 2026 Physician Fee Schedule (PFS) contains an increase from the current 2025 rate. There will be two different fee schedules determined by a provider’s participation status in Alternative Payment Models (APM). The Conversion Factor (CF) in the 2026 Proposed Rule is $33.5875 (up 3.83%) for Qualified Professionals (QP) or $33.4209 (up 3.32%) for non-QP’s, compared with the $32.3465 currently in use.
Categories:
radiology reimbursement,
medicare reimbursement,
interventional radiology,
MPFS,
diagnostic radiology
The 2025 update to the Current Procedural Terminology[i] (CPT)® has 270 new codes, 38 revised codes, and 112 deleted codes. In addition, the ICD-10-CM[ii] update has over 300 revisions, additions and deletions. Although relatively few of these changes will impact radiology practices, it’s essential to know what they are and adjust your practice systems accordingly.
Categories:
interventional radiology,
CPT codes,
diagnostic radiology,
E&M,
evaluation and management
Click here to read our 2025 code changes update article.
The annual update to the Current Procedural Terminology[1] (CPT)® for 2024 has 230 new codes, 70 revised codes, and 49 deleted codes. In addition, there are 395 new diagnosis codes contained in the ICD-10-CM[2] update, about one-third of them describing new ways to capture accidents and injuries. Although relatively few of these changes will impact radiology practices, it’s essential to know what they are and adjust your practice systems accordingly.
Categories:
radiology coding,
icd-10,
interventional radiology,
IR coding,
CPT codes,
diagnostic radiology
Click here to read our 2025 code changes update article.
While only a few of the 225 new codes, 93 revised codes, and 75 deleted codes in Current Procedural Terminology[i] (CPT)® for 2023 will impact radiology practices, it’s essential to know what they are and adjust your practice systems accordingly.
Categories:
radiology coding,
interventional radiology,
IR coding,
CPT codes,
diagnostic radiology,
evaluation and management
Click here to read our 2025 code changes update article.
The big news in Current Procedural Terminology[i] (CPT)® revisions for 2021 is the overhaul of the Evaluation and Management (E&M) section, reducing documentation requirements, and introducing new rules for determining the level of coding. These changes will affect interventional radiologists and radiation oncologists more than they will the day-to-day work of diagnostic radiologists. First, we will review the other non-E&M code changes affecting diagnostic and interventional radiology for 2021.
Categories:
radiology coding,
interventional radiology,
IR coding,
CPT codes,
radiology,
diagnostic radiology
Our review of the proposed 2019 Medicare Physician Fee Schedule (MPFS) showed that 201 Professional Component (PC) codes and 213 Global codes were to be decreased by at least 1% in the Diagnostic Radiology 70000-series of CPT codes. In the final MPFS, only 46 PC codes were reduced by 1% or more, but 280 global codes were reduced by at least 1%. The number of codes expected to increase in payment did not change as dramatically, but in both PC and Global billing fewer codes were increased than we expected. Here are the details:
Categories:
radiology reimbursement,
interventional radiology,
MPFS,
radiology,
diagnostic radiology
A recent study aimed at calculating follow-up recommendations in radiology reports and comparing the efficacy of various methods to identify patients in need of follow-up suggests the usefulness of technologies that can take action on those recommendations. The study that was conducted by Dr. Emmanuel Carrodeguas and his colleagues, published on December 29, 2018 in the Journal of the American College of Radiology and reported by AuntMinnie.com, concludes in part that “Automatic identification of follow-up recommendations could have wide implications for establishing and timely performance of collaboratively developed follow-up care plans for actionable findings in radiology reports to improve quality and experience of care for patients.”
Categories:
interventional radiology,
clinical analytics,
IVC filters,
diagnostic radiology,
follow-ups
Click here to read our 2024 code changes update article.
Each year there are revisions of Current Procedural Terminology[i] (CPT)® that will impact the way radiology practices code their procedures and, ultimately, how they are reimbursed for those procedures. The majority of CPT code changes in radiology for 2019 are for Interventional Radiology procedures. Those that pertain to diagnostic radiology are in ultrasound, MRI, and nuclear medicine. We’ll cover the diagnostic codes first, and then go into detail on the interventional coding changes.
Categories:
medicare,
medicare reimbursement,
interventional radiology,
MPFS,
CPT codes,
radiology,
diagnostic radiology
