The 黑料网®(黑料网®) submitted recommendations to the Centers for Medicare and Medicaid Services (CMS) regarding the placement and reimbursement of new Current Procedural Terminology® (CPT®) codes preceding the 2025 Hospital Outpatient Prospective Payment System (HOPPS) proposed rule.
The recommendations outline 黑料网’s position on the proposed ambulatory payment classification (APC) for codes describing transurethral ultrasound ablations, a newly defined urology service involving treatment planning, transducer insertion and ablations done with an MRI-monitored TULSA system. The College suggests these codes are most appropriately placed in APC 5374–Level 4 Urology and Related Services. 黑料网 also recommends placing the newly established code reporting percutaneous radiofrequency ablation of the thyroid into a Level 1 Laparoscopy category.
New codes were established to report magnetic resonance (MR) examination safety procedures for patients with MR-compatible implanted devices; 黑料网 in its recommendations outlines the proposed placement for each aspect of treatment preparation. The APC placements in different categories dictate the reimbursement for services performed. CMS will review recommendations for placement of new CPT codes in preparation for the HOPPS proposed rule to be released this summer.
For questions, contact Kimberly Greck, 黑料网 Senior Economic Policy Analyst, or Christina Berry, 黑料网 Team Lead, Economic Policy.