The Relative Value Scale Update Committee (RUC) is an extension of the American Medical Association (AMA) and national medical specialty societies and serves as an expert panel in developing recommendations to the Centers for Medicare and Medicaid Services (CMS). The RUC committee is composed of 31 members, 21 of whom are appointed by major medical societies to represent the views and concerns of both patients and providers within that specialty providing balance to the recommendations.
RUC provides consulting services in regards to the relative value of physician services under the Medicare Physician Fee Schedule(MPFS). The recommendations that are provided by the RUC in conjunction with the CPT Editorial Panel are reviewed by the Centers for Medicare and Medicaid Services (CMS), which then determines appropriate adjustments to the Medicare Relative Values (RVS) in its annual updates. These updates are meant to reflect both changes in medical practice as well as coding, which has downstream implications on physician reimbursement not only by Medicare but also private insurance which often bases its reimbursements on CMS. The number of completed surveys is taken into consideration in determining the strength of the assessment and recommendations of the RUC. As such, it is of utmost importance to have physician involvement in the RUC survey.