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Payment reduction for Computed Tomography (CT) diagnostic imaging services

Physician Practice Insider, December 1, 2015

On November 6, CMS published Transmittal 3402, replacing a prior confidential transmittal on payment reductions for CT services not meeting quality requirements. Effective January 1, 2016, a payment reduction of 5% applies to CT services furnished using equipment that is inconsistent with the CT equipment standard and for which payment is made under the physician fee schedule. Modifier -CT was adopted to indicate these services. The payment reduction increases to 15% in 2017 and subsequent years.

Effective date: January 1, 2016

Implementation date: January 4, 2016

View Transmittal R3402CP.

View MLN Matters article MM9250.

This article was originally published on the Medicare Compliance Watch website.

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