2006 proposed fee schedule - American Society of Clinical Oncology

Family
TABLE 32--Impact of Multiple Procedure Reduction for
Diagnostic Imaging by Family of Imaging Services
Description of Family of Imaging
Procedures
2004
Medicare
Allowed
Charges
($ in
millions)
333
Percentage
Impact
01
Ultrasound (Chest/Abdomen/Pelvis -
Non-Obstetrical
$138 -6.8%
02 CT and CTA (Chest/Thorax/Abd/Pelvis) $563 -18.9%
03
CT and CTA
(Head/Brain/Orbit/Maxillofacial/Neck)
$97 -2.6%
04 MRI and MRA (Chest/Abd/Pelvis) $105 -4.7%
05 MRI and MRA (Head/Brain/Neck) $532 -6.2%
06 MRI and MRA (spine) $540 -4.3%
07 CT (spine) $24 -4.1%
08 MRI and MRA (lower extremities) $166 -3.2%
09 CT and CTA (lower extremities) $5 -2.0%
10
MR and MRI (upper extremities and
joints)
$107 -2.7%
11 CT and CTA (upper extremities) $2 -1.3%
Total for all procedures subject to
multiple imaging reductions
$2,276 -8.3%
Using the same data, we also summarized the dollar
value of the reductions by specialty. Specialty-specific
percentage impacts were calculated by comparing each
specialty’s 2004 allowed charges for all Medicare allowed
services to the reduced allowed charges that would have
occurred had this proposal been in effect. As expected, the
most significant impacts occur among radiologists, who would
experience a -2.1 percent impact. Diagnostic testing
facilities experience a -2.9 percent impact. Most other
specialties experience a 0.2 percent payment increase as a
result of the budget neutrality adjustment. (Because this
multiple procedure reduction adjustment would otherwise