Multiple Procedure Payment Reduction (MPPR) on the Technical Component (TC) of Diagnostic Cardiovascular Procedures

Medicare is expanding the MPPR policy by applying MPPRs to the TC of diagnostic cardiovascular procedures. The MPPRs on diagnostic cardiovascular procedures apply when multiple services are furnished to the same patient on the same day. The MPPRs apply to TC-only services, and to the TC of global services.  For cardiovascular services, full payment is made for the TC service with the highest payment under the MPFS. Payment is made at 75 percent for subsequent TC services furnished by the same physician (or by multiple physicians in the same group practice, i.e., same Group National Provider Identifier (NPI)) to the same patient on the same day.  The MPPRs do not apply to professional component (PC) services.