2017 Proposed Physician Fee Schedule (CMS-1654-P) Payment Rates for Medicare Physician Services - Neurology. Descriptor RVUs 2017

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Laura Cummings
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1 Proposed Physician Fee Schedule (CMS-1654-P) Payment CF = $ change 2016 to Auditor evoke potent, compre 3.80 $ % TC Auditor evoke potent, compre 3.04 $ % Auditor evoke potent, compre 0.76 $ % Multiple sleep latency test $ % TC Multiple sleep latency test $ % Multiple sleep latency test 1.67 $ % Sleep study, unattended 4.75 $ % TC Sleep study, unattended 3.02 $ % Sleep study, unattended 1.73 $ % Sleep study, attended $ % TC Sleep study, attended $ % Sleep study, attended 1.78 $ % Polysomnography, $ % TC Polysomnography, $ % Polysomnography, $ % Polysomnography, 4 or more $ % TC Polysomnography, 4 or more $ % Polysomnography, 4 or more 3.46 $ % Polysomnography w/cpap $ % TC Polysomnography w/cpap $ % Polysomnography w/cpap 3.60 $ % EEG, minutes 9.06 $ % TC EEG, minutes 7.42 $ % EEG, minutes 1.64 $ % EEG, over 1 hour $ % TC EEG, over 1 hour 8.97 $ % EEG, over 1 hour 2.49 $ % EEG, awake and drowsy $ % TC EEG, awake and drowsy 8.49 $ % EEG, awake and drowsy 1.65 $ % EEG, awake and asleep $ % TC EEG, awake and asleep 9.99 $ % EEG, awake and asleep 1.65 $ % EEG, coma or sleep only $ % TC EEG, coma or sleep only 8.87 $ % EEG, coma or sleep only 1.65 $ % EEG, cerebral death only 1.12 $ % EEG, all night recording $ % TC EEG, all night recording $ % EEG, all night recording 1.62 $ % Surgery electrocorticogram $1, % TC Surgery electrocorticogram $1, % Surgery electrocorticogram 9.60 $ % Hospital Insert electrodes for EEG 2.61 $ % Office Insert electrodes for EEG 6.15 $ % Muscle test, one limb 3.44 $ % TC Muscle test, one limb 1.97 $ % Muscle test, one limb 1.47 $ % Muscle test, 2 limbs 4.90 $ %

2 Proposed Physician Fee Schedule (CMS-1654-P) CF = $ TC Muscle test, 2 limbs 2.53 $ % Muscle test, 2 limbs 2.37 $ % Muscle test, 3 limbs 6.15 $ % TC Muscle test, 3 limbs 3.29 $ % Muscle test, 3 limbs 2.86 $ % Muscle test, 4 limbs 6.91 $ % TC Muscle test, 4 limbs 3.85 $ % Muscle test, 4 limbs 3.06 $ % Muscle test, larynx 4.14 $ % TC Muscle test, larynx 1.73 $ % Muscle test, larynx 2.41 $ % Muscle test, hemidiaphragm 3.82 $ % TC Muscle test, hemidiaphragm 1.89 $ % Muscle test, hemidiaphragm 1.93 $ % Muscle test cran nerv unilat 2.73 $ % TC Muscle test cran nerv unilat 1.53 $ % Muscle test cran nerv unilat 1.20 $ % Muscle test cran nerve bilat 3.79 $ % TC Muscle test cran nerve bilat 1.98 $ % Muscle test cran nerve bilat 1.81 $ % Muscle test, thor paraspinal 2.57 $ % TC Muscle test, thor paraspinal 2.00 $ % Muscle test, thor paraspinal 0.57 $ % Muscle test, nonparaspinal 2.60 $ % TC Muscle test, nonparaspinal 2.03 $ % Muscle test, nonparaspinal 0.57 $ % Muscle test, one fiber 5.57 $ % TC Muscle test, one fiber 1.17 $ % Muscle test, one fiber 4.40 $ % Guide nerv destr, elec stim 2.05 $ % TC Guide nerv destr, elec stim 1.48 $ % Guide nerv destr, elec stim 0.57 $ % Guide nerv destr, needle emg 2.07 $ % TC Guide nerv destr, needle emg 1.50 $ % Guide nerv destr, needle emg 0.57 $ % Limb exercise test 3.30 $ % TC Limb exercise test 1.62 $ % Limb exercise test 1.68 $ % Motor&/sens 1-2 nrv cndj tst 2.74 $ % TC Motor&/sens 1-2 nrv cndj tst 1.22 $ % Motor&/sens 1-2 nrv cndj tst 1.52 $ % Motor&/sens 3-4 nrv cndj tst 3.53 $ % TC Motor&/sens 3-4 nrv cndj tst 1.61 $ % Motor&/sens 3-4 nrv cndj tst 1.92 $ % Motor&/sens 5-6 nrv cndj tst 4.21 $ % TC Motor&/sens 5-6 nrv cndj tst 1.91 $ % Motor&/sens 5-6 nrv cndj tst 2.30 $ % Motor&sens 7-8 nrv cndj test 5.57 $ % TC Motor&sens 7-8 nrv cndj test 2.50 $ %

3 Proposed Physician Fee Schedule (CMS-1654-P) CF = $ Motor&sens 7-8 nrv cndj test 3.07 $ % Motor&sen 9-10 nrv cndj test 6.61 $ % TC Motor&sen 9-10 nrv cndj test 2.79 $ % Motor&sen 9-10 nrv cndj test 3.82 $ % Motor&sen nrv cnd test 7.33 $ % TC Motor&sen nrv cnd test 2.79 $ % Motor&sen nrv cnd test 4.54 $ % Motor&sens 13/> nrv cnd test 8.42 $ % TC Motor&sens 13/> nrv cnd test 3.05 $ % Motor&sens 13/> nrv cnd test 5.37 $ % Autonomic nerv function test 2.40 $ % TC Autonomic nerv function test 1.11 $ % Autonomic nerv function test 1.29 $ % Autonomic nerv function test 2.81 $ % TC Autonomic nerv function test 1.43 $ % Autonomic nerv function test 1.38 $ % Autonomic nerv function test 3.98 $ % TC Autonomic nerv function test 2.68 $ % Autonomic nerv function test 1.30 $ % Somatosensory testing 3.91 $ % TC Somatosensory testing 3.11 $ % Somatosensory testing 0.80 $ % Somatosensory testing 3.80 $ % TC Somatosensory testing 3.01 $ % Somatosensory testing 0.79 $ % Somatosensory testing 3.90 $ % TC Somatosensory testing 3.11 $ % Somatosensory testing 0.79 $ % C motor evoked, uppr limbs 5.99 $ % TC C motor evoked, uppr limbs 3.71 $ % C motor evoked, uppr limbs 2.28 $ % C motor evoked, lwr limbs 6.18 $ % TC C motor evoked, lwr limbs 3.88 $ % C motor evoked, lwr limbs 2.30 $ % Visual evoked potential test 3.62 $ % TC Visual evoked potential test 3.09 $ % Visual evoked potential test 0.53 $ % Blink reflex test 2.16 $ % TC Blink reflex test 1.25 $ % Blink reflex test 0.91 $ % Neuromuscular junction test 2.31 $ % TC Neuromuscular junction test 1.32 $ % Neuromuscular junction test 0.99 $ % Somatosensory testing 9.60 $ % TC Somatosensory testing 8.29 $ % Somatosensory testing 1.31 $ % C motor evoked upr&lwr limbs $ % TC C motor evoked upr&lwr limbs $ % C motor evoked upr&lwr limbs 3.42 $ %

4 Proposed Physician Fee Schedule (CMS-1654-P) CF = $ Ionm in operatng room 15 min NA NA NA Ambulatory eeg monitoring 9.36 $ % TC Ambulatory eeg monitoring 7.09 $ % Ambulatory eeg monitoring 2.27 $ % EEG monitoring/videorecord 9.13 $ % EEG monitoring/computer $ % TC EEG monitoring/computer 7.26 $ % EEG monitoring/computer 4.69 $ % EEG monitoring/giving drugs $ % TC EEG monitoring/giving drugs 9.14 $ % EEG monitoring/giving drugs 3.59 $ % EEG during surgery 5.98 $ % TC EEG during surgery 4.46 $ % EEG during surgery 1.52 $ % EEG monitoring, cable/radio $1, % TC EEG monitoring, cable/radio $1, % EEG monitoring, cable/radio 5.45 $ % EEG digital analysis 8.60 $ % TC EEG digital analysis 5.61 $ % EEG digital analysis 2.99 $ % EEG monitoring/function test $ % TC EEG monitoring/function test 9.85 $ % EEG monitoring/function test 6.44 $ % Electrode stimulation, brain 8.64 $ % TC Electrode stimulation, brain 4.00 $ % Electrode stimulation, brain 4.64 $ % Electrode stim, brain add-on 7.39 $ % TC Electrode stim, brain add-on 2.45 $ % Electrode stim, brain add-on 4.94 $ % MEG, spontaneous $ % MEG, evoked, single 6.05 $ % MEG, evoked, each addïl 5.32 $ % Hospital Analyze neurostim, no prog 0.69 $ % Office Analyze neurostim, no prog 1.92 $ % Hospital Analyze neurostim, simple 1.16 $ % Office Analyze neurostim, simple 1.43 $ % Hospital Analyze neurostim complex 1.18 $ % Office Analyze neurostim complex 1.63 $ % Hospital Cranial neurostim, complex 4.69 $ % Office Cranial neurostim, complex 5.89 $ % Hospital Cranial neurostim, complex 2.66 $ % Office Cranial neurostim, complex 3.17 $ %

5 Proposed Physician Fee Schedule (CMS-1654-P) Payment Rates for Medicare Physician Services - Evaluation and Management NON-FACILITY (OFFICE) FACILITY (HOSPITAL) change change Payment CF Payment CF 2016 to 2016 to = $ = $ Office/outpatient visit, new 1.22 $ % 0.75 $ % Office/outpatient visit, new 2.10 $ % 1.42 $ % Office/outpatient visit, new 3.05 $ % 2.18 $ % Office/outpatient visit, new 4.62 $ % 3.66 $ % Office/outpatient visit, new 5.82 $ % 4.78 $ % Office/outpatient visit, est 0.56 $ % 0.26 $ % Office/outpatient visit, est 1.22 $ % 0.72 $ % Office/outpatient visit, est 2.05 $ % 1.44 $ % Office/outpatient visit, est 3.03 $ % 2.22 $ % Office/outpatient visit, est 4.08 $ % 3.15 $ % Initial hospital care NA NA NA 2.88 $ % Initial hospital care NA NA NA 3.87 $ % Initial hospital care NA NA NA 5.72 $ % Subsequent hospital care NA NA NA 1.11 $ % Subsequent hospital care NA NA NA 2.05 $ % Subsequent hospital care NA NA NA 2.94 $ % Critical care, first hour 7.73 $ % 6.31 $ % Critical care, add'l 30 min 3.47 $ % 3.17 $ % Ped critical care, initial NA NA NA $ % Ped critical care, subseq NA NA NA $ % Cmplx chron care w/o pt vsit 2.59 $92.66 New in 1.47 $52.59 New in Cmplx chron care addl 30 min 1.31 $46.87 New in 0.75 $26.83 New in Chron care mgmt srvc 20 min 1.18 $42.21 New in 0.91 $32.56 New in Trans care mgmt 14 day disch 4.59 $ % 3.12 $ % Trans care mgmt 7 day disch 6.50 $ % 4.53 $ % GPPP7 Assesm for CCM care plan 1.78 $63.68 New in 1.29 $46.15 New in

2016 Medicare Physician Fee Schedule. Final Rule Summary

2016 Medicare Physician Fee Schedule Final Rule Summary On October 30, 2015, the Centers for Medicare and Medicaid Services (CMS) released the Final Medicare Physician Fee Schedule (MPFS) for 2016. The