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CMS Provider Call on April 25, 2017 – Required Data Reporting for Post-Operative Care

Background:  The CY 2017 Medicare Physician Fee Schedule (PFS) final rule adopted a data reporting requirement for practitioners furnishing specified global procedures in Florida, Kentucky, Louisiana, Nevada, New Jersey, North Dakota, Ohio, Oregon, and Rhode Island. CMS will use reported data, along with other data to establish payment rates under the PFS.  Additional background information is also available in the February 2017 edition of the ASA Monitor.

This requirement is not applicable to anesthesia care but does apply to certain specific services with a 10 or 90 day global period.  That list of services includes the following:

62264 -  Percutaneous lysis of epidural adhesions using solution injection (eg, hypertonic saline, enzyme) or mechanical means (eg, catheter) including radiologic localization (includes contrast when administered), multiple adhesiolysis sessions; 1 day

63650 - Percutaneous implantation of neurostimulator electrode array, epidural

63685 - Insertion or replacement of spinal neurostimulator pulse generator or receiver, direct or inductive coupling

64555 - Percutaneous implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve)

64633 - Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, single facet joint

64635 - Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint

The call will take place Tuesday, April 25 from 1:30 to 3 pm ET.

To register or for more information, see https://www.cms.gov/Outreach-and-Education/Outreach/NPC/National-Provider-Calls-and-Events-Items/2017-04-25-Global-Surgery.html?DLPage=1&DLEntries=10&DLSort=0&DLSortDir=descending

 

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