2006 proposed fee schedule - American Society of Clinical Oncology

consider applying the policy to other diagnostic tests in
the future.
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Under the PFS, diagnostic imaging procedures are priced
in the following three ways:
● The professional component (PC) represents the
physician work, that is, the interpretation.
● The TC represents practice expense, that is,
clinical staff, supplies, and equipment.
● The global service represents both PC and TC.
Generally, diagnostic imaging procedures even those
performed on contiguous body parts are paid at 100 percent
for each procedure. For example, the TC payment is
approximately $978 for a magnetic resonance imaging (MRI) of
the abdomen (without and with dye), and $529 for an MRI of
the pelvis (with dye) (CPT codes 74183 and 72196,
respectively), even when both procedures are performed in a
single session.
Under the resource-based PE methodology, specific PE
inputs of clinical labor, supplies and equipment are used to
calculate PE RVUs for each individual service. We do not
believe these same inputs are needed to perform subsequent
procedures. When multiple images are acquired in a single
session, most of the clinical labor activities and most
supplies are not performed or furnished twice.