PET procedure reimbursement may take a hit under the 2003 Hospital Outpatient Prospective Payment System (HOPPS) rates suggested by the Centers for Medicare and Medicaid Services (CMS).
Published Friday in the Federal Register, the preliminary rule sets a payment rate of $870.11 for PET procedures (CPT codes G0030-G0047), down from $1,020.40 under the 2002 rates. FDG doses of 4-40 mCi/ml (CPT code C1775) are scheduled for reimbursement at a rate of $475.
The CMS will accept public comments on the rule until October 7. Written comments (1 original and 2 copies) should be sent to:
Centers for Medicare and Medicaid ServicesDepartment of Health and Human Services
Attention: CMS-1206-P
PO Box 8018
Baltimore, MD 21244-8018
AuntMinnie.com staff writers
August 12, 2002
Related Reading
CMS proposes 3.5% hike in 2003 outpatient payments, August 7, 2002
Hospitals say Medicare rate hike falls short, May 10, 2002
CMS panel dashes hopes for PET Alzheimer’s payments, April 22, 2002
CMS expands image-guided breast biopsy coverage, April 16, 2002
New HOPPS rates bring PET reimbursement hike, March 4, 2002
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