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What’s in Store for Radiology in the 2023 Medicare Proposed Rule?

August 5, 2022

CMS declined to include CT colonography coverage in the MPFS, while it expanded coverage for traditional colonoscopy. The MPFS regulates the Medicare fee schedule payment provisions as well as the Quality Payment Program (QPP).

MPFS Payment Provisions

If the overall payment adjustment in the proposed rule remains unchanged by Congressional intervention, radiology will suffer cuts across the board. The overall change to the fee schedule conversion factor is a reduction of 4.4% (from $34.6062 to $33.0775 per relative value unit or RVU) with the following specific effects, according to CMS estimates:

  • Radiology: 3% decrease
  • Interventional radiology: 4% decrease
  • Nuclear medicine: 3% decrease
  • Radiation oncology and radiation therapy centers: 1% decrease

Source: https://www.auntminnie.com/index.aspx?sec=sup&sub=imc&pag=dis&ItemID=136479

Radiology

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