December 1, 2017

CMS Issues 2018 Final Physician Fee Schedule

On November 2, 2017, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that updates payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician Fee Schedule (PFS) on or after January 1, 2018. The PFS pays for services furnished by physicians and other practitioners in all sites of service. These services include but are not limited to visits, surgical procedures, diagnostic tests, therapy services, and specified preventive services. As part of the final rule, CMS issues final values for new codes and codes deemed misvalued. Please see the spine code spreadsheet for a comprehensive comparison of RVUs and reimbursements of spine procedures from the 2017 final rule to the 2018 final rule. Some […]
November 30, 2017

ISASS Policy & Advocacy News – November 2017

News and noteworthy information for November 2017: ISASS Advocacy NCCI Edits – Cage & Instrumentation Coding CMS Issues 2018 Final Physician Fee Schedule CMS Issues 2018 Final Hospital Outpatient and ASC Rule CMS Issues 2018 Final Quality Payment Program Rule Quality Payment Program – Act NOW to Avoid Losing 4% of your Medicare Reimbursements   ISASS Advocacy Chair of the ISASS Coding & Reimbursement Task Force and winner of the 2017 ISASS Distinguished Service Award, Morgan Lorio, MD highlights the Society’s advocacy work over the past year. “ISASS’ advocacy action takes many forms across multiple forums, but at the most basic level, our number one goal is to support spine surgeons and spine patients,” Lorio said. “We do this through […]
November 21, 2017

Morgan Lorio, MD Highlights ISASS’ Advocacy Work

FOR IMMEDIATE RELEASE   Contact: Kristy Radcliffe Phone: +1 (630) 375-1432 Email: Kristy@isass.org   Morgan Lorio, MD Highlights ISASS’ Advocacy Work Aurora, Ill. – November 21, 2017 – Chair of the ISASS Coding & Reimbursement Task Force and winner of the 2017 ISASS Distinguished Service Award, Morgan Lorio, MD highlights the Society’s advocacy work over the past year. “ISASS’ advocacy action takes many forms across multiple forums, but at the most basic level, our number one goal is to support spine surgeons and spine patients,” Lorio said. “We do this through education—educating our members on the most pressing issues facing our practice, educating regulators on the impact of regulations on the surgeon/patient relationship, and educating payers with the most up-to-date […]
November 21, 2017

A Closer Look at Biomechanical Cage & Device Coding

A Closer Look at Biomechanical Cage & Device Coding Effective January 1, 2017, CPT® code 22851 was deleted from the CPT code set and replaced by three new codes to report insertion of biomechanical devices: CPT Code 22853 – Insertion of interbody biomechanical device(s) (eg, synthetic cage, mesh) with integral anterior instrumentation for device anchoring (eg, screws, flanges), when performed, to intervertebral disc space in conjunction with interbody arthrodesis, each interspace (List separately in addition to code for primary procedure) CPT Code 22854 – Insertion of intervertebral biomechanical device(s) (eg, synthetic cage, mesh) with integral anterior instrumentation for device anchoring (eg, screws, flanges), when performed, to vertebral corpectomy(ies) (vertebral body resection, partial or complete) defect, in conjunction with interbody arthrodesis, […]