Content in this section will include the coding article written by Emily Hill, recommendations, guidelines, or any other updates that may have a direct impact on the way pain clinicians practice.

Upcoming RUC Survey

In the next few weeks we will be contacting a random selection of members to participate in an important AMA/Specialty Society Relative Value Scale Update Committee (RUC) survey of physician work for codes 64633-64636 which describe destruction of facet joints. The Medicare payment schedule is based on physician work, practice expense and professional liability insurance. Our specialty needs your help to assure relative values will be accurately and fairly presented to the Centers for Medicare and Medicaid.  

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RUC

Reforming Pain Management Education for the Next Generation of Physicians

The University of Oklahoma College of Medicine's Family Medicine Center created a peer-reviewed, structured curriculum that focuses on improving patient outcomes. 

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The 'Data-Driven Physician' Is On the Rise: Stanford Medicine Report

According to the survey, almost half of all physicians surveyed and 73 percent of medical students are pursuing additional training to prepare for health tech innovations. That training is reportedly clustered in the rea...
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Pain Management Codes Posted

The Coding and Reimbursement Committee has updated the coding information available on the AAPM website. New charts have been posted that include information concerning Medicare's 2020 Relative Value Units (RVUs) for codes commonly reported by Pain Medicine Physicians. The title page provides links to CMS web pages that provide additional information and outlines the basis for the 2020 reimbursement rates.

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Treatments for Acute Pain: A Systematic Review

 The Evidence-based Practice Center (EPC) Program at the Agency for Healthcare Research and Quality (AHRQ) has posted a new research protocol, Treatments for Acute Pain . Full story.

Be Prepared for New and Revised CPT Codes for Somatic Nerve Injections and Destruction

CPT 2020 makes significant changes to the family of codes for Somatic Nerve Injections (CPT 64400-64489). This includes code additions, deletions and revisions to existing codes and the introductory guidelines. New codes are also added to report destruction of the genicular nerves and radiofrequency ablation of the sacroiliac joint.

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Get Ready for 2020: AAPM’s Coding Webinar on Wednesday, December 11 at 2 pm CT

Don't miss out on valuable coding and reimbursement information needed for success in 2020. AAPM is hosting a webinar on Wednesday, December 11 at 2PM CT that will discuss new and revised CPT codes effective January 1, 2020, and Medicare initiatives important to your practice.  

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Medicare Beneficiary Identifiers (MBI) Required January 1, 2020

Starting January 1, 2020, you MUST submit claims using MBIs regardless of the date the service was performed. Claims submitted without the MBI will be rejected and not processed by Medicare. MBIs replace the Social Security Number (SSN)-based Health Insurance Claim Numbers (HICNs). MBIs are 11-characters in length and are made up only of numbers and uppercase letters (no special characters).

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CMS Issues Final Rule for Physician Fee Schedule for 2020

The Centers for Medicare & Medicaid Services (CMS) issued its Final Rule for 2020 that that includes proposals to update payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician Fee Schedule (PFS). As proposed, the 2020 PFS conversion factor is $36.09 which is $0.05 above the 2019 conversion factor. The conversion factor is multiplied by the total adjusted Relative Value Units (RVUs) to achieve a payment amount for the services included in the Medicare Physician Fee Schedule.

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Medicare Contractor Proposes Changes to Coverage Policy for Percutaneous Vertebral Augmentation (PVA)

  The Medicare Administrative Contractor, National Government Services, Inc.(NGS), released a future Local Coverage Determination for PVA Osteoporotic Vertebral Compression Fractures effective December 1, 2019. The ...
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