On October 30, 2015, the Center for Medicare and Medicaid Services (CMS) released the Final Rule for the 2016 Medicare Physician Payment Schedule. Within this document and addendum are updates to the relative value units (RVU), which include work RVUs, practice expense (PE) RVUs, malpractice (MP) RVUs, as well as the proposed Medicare conversion factor.
Following is a summary of some of the changes affecting reimbursement for AANEM members for the calendar year (CY) 2016.
Work RVUs for all electrodiagnostic and neuromuscular codes monitored by AANEM remained unchanged for CY 2016. For more information, see Relative Value Unit (RVU) Resources.
Non-limb needle EMG codes without nerve conduction studies (95865-95870) saw small reimbursement increases due to slightly increased PE and Malpractice RVUs. Increases ranged from 0.74% to 12.55%.
Autonomic Testing and Evoked Potential Testing saw decreases due to downward adjustments of PE and MP RVU’s. Physician work RVU’s remained the same for these codes.
The conversion factor for CY 2016 has been updated to $35.8279, which is down $0.1056 from the conversion factor of $35.9335 utilized in CY 2015.
For a complete analysis of RVU adjustments to electrodiagnostic and neuromuscular medicine specific codes in the 2016 Physician Fee Schedule as well as the effect these changes will have on reimbursement, please see Relative Value Unit (RVU) Resources.
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