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Submit your comments on the Medicare Hospital OPPS proposed rule

 

 

Submit comments by Friday, Sept. 17 to fight for Medicare reimbursement for CCTA


Proposed 2022 Medicare payment continues to undervalue CCTA — for a total drop of 30% since 2017.


On July 19, the Centers for Medicare and Medicaid Services (CMS) released the proposed payment rule for the 2022 Medicare Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center Payment System.

Although the proposed payment for cardiac CT slightly increases for 2022, Medicare reimbursement for CCTA has fallen by 30% since 2017 despite its value and effectiveness.

 

A snapshot of technical component reimbursement amounts for CCTA codes:

Healthcare Common Procedure Coding System (HCPCS) CPT Descriptor  2017 Final Payment Rate 2021 Final Payment Rate 2022 Proposed Payment Rate One Year Percent Change  Percent Change since 2017
 75571 CT heart w/o contrast for evaluation of coronary calcium  $59.84  $80.90  $83.01  2.6%  38%
 75572 CT heart w/ contrast for evaluation of cardiac structure and morphology  $264.90  $178.55  $183.30  2.5%  -30.8%
 75573 CT heart w/contrast for evaluation of cardiac structure and morphology in the setting of congenital heart disease
  $264.90  $178.55  $183.30  2.5%  -30.8%
 75574 CT angiography, heart, for coronary arteries (and bypass grafts, when present  $264.90  $178.55  $183.30  2.5%  -30.8%



SCCT is strongly urging all members to submit comments to CMS to illustrate the dramatic and detrimental effect that the failure to appropriately reimburse CCTA has on patient care.

Deadline: September 17, 11:59 pm ET



DOWNLOAD THE TEMPLATE COMMENT LETTER

 

VIEW A SAMPLE COMMENT LETTER

 

How to submit comments to CMS

 

Learn more about 2022 Medicare OPPS Proposed Rule 

 

Member comments:

To help you prepare comments, SCCT has created a template with a suggested format, a sample letter and a list of potential talking points.

Please use the template to address aspects most important to you. Your unique experience and perspective, along with sound justification to support your position, is extremely valuable in a CMS comment letter. According to CMS: “A single, well-supported comment may carry more weight than a thousand form letters.”

You need not comment on all the points addressed in the template — SCCT’s talking points are merely prompts and are not to be used as actual comments. Also, please make sure to delete the gray parts of the template letter which are suggestions/instructions on items on which you may consider commenting; these are not to be used as actual comments.

 

Thank you for helping us improve patient outcomes through the appropriate use of CCTA!