Medicare Physician Fee Schedule Final Rule Summary
On Nov. 1, 2019, the Centers for Medicare & Medicaid Services (CMS) released the Calendar Year
(CY) Medicare Physician Fee Schedule (MPFS) Final Rule. According to CMS, in CY 2020, overall
payments to neurosurgery will not change. Below is a summary of key payment provisions, noting
whether CMS agreed with the AANS/CNS comments submitted on Sept. 13, 2019. The CY 2020
provisions are final, but CMS will accept comments through Dec. 31, 2019, on the evaluation and
management (E/M) office/outpatient visit code issues scheduled for implementation in CY 2021. More
details are provided in a CMS factsheet and press release and below in the following sections:
- Evaluation and Management Office/Outpatient Visit Valuation and Global Surgical Codes
- CMS Valuation of Specific Codes
- Malpractice (MP) RVUs
- Practice Expense (PE) Issues
- Impact Tables
- Quality Payment Program: Merit-Based Incentive Payment System (MIPS)
- For More Information
Evaluation and Management Office/Outpatient Visit Valuation and Global Surgical Codes
CMS accepted the structure and AMA/Specialty Society Relative Value Scale (RVS) Update
Committee (RUC) values for evaluation and management (E/M) office/outpatient visits. The new
values, which go into effect in 2021, are as follows:
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