Radiology Question for the Week of October 17, 2016

Question:

I was asked to find the Medicare Physician Fee Schedule (MPFS) reimbursement rate for CPT code 78492. However, the MPFS does not list a fee for the technical component or for global billing. Does this mean that a physician’s office or imaging center may only bill the professional component?

Answer:

No, it means that Medicare has never established relative value units (RVUs) for the global and technical components. Each contractor determines these fees. Your Medicare Administrative Contractor (MAC) should have the fee published on its website under carrier-priced codes.

Disclaimer: Every reasonable effort was made to ensure the accuracy of this information at the time it was published. However, due to the nature of industry changes over time we cannot guarantee its validity after the year it was published.