The Centers for Medicare and Medicaid Services (CMS) issued the final Hospital Outpatient Prospective Payment System (OPPS) rule for 2017. Under the final rule, there is an increase in the technical component payment for each of the cardiovascular CT CPT codes as compared to 2016 levels, in contrast to significant cuts to other cardiovascular imaging modalities.
Technical Component Payment for Cardiovascular CT Services
The figures below represent the average national technical component payment and the current Ambulatory Payment Classification (APC) Group assignment for each of the cardiovascular CT CPT codes.
Final Rule 2017OPPS
CPT 75571 = APC 5521 = $59.84
CPT 75572 = APC 5571 = $264.90
CPT 75573 = APC 5571 = $264.90
CPT 75574 = APC 5571 = $264.90
For comparison purposes:
Final Rule 2016 OPPS
CPT 75571 = APC 5731 = $12.70
CPT 75572 = APC 5571 = $236.86
CPT 75573 = APC 5571 = $236.86
CPT 75574 = APC 5571 = $236.86
SCCT will continue to review the rule for policy changes of importance to the imaging community. In the meantime, we encourage you to review the following CMS Summary and Fact Sheet
for information on overarching policy changes.
Dr. Ahmad Slim, SCCT Advocacy Chair, notes that the proposed increases in technical component payment are the direct result of SCCT members working together to ensure appropriate coding and cost capturing for cardiovascular CT services. We need to keep up this positive work! For the latest updates, please visit the SCCT Advocacy Announcements webpage.