Understanding the CPT® Editorial Panel Process: Opportunities and Challenges

May 20, 2015

McDermott+Consulting

Given the complexity and evolving nature of the CPT® Editorial Panel process, thorough research and deliberation is critical when submitting an application for a new or revised CPT® code.

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The CPT® Editorial Panel met in San Francisco, California, on May 14 and 15, 2015. As published by the American Medical Association (AMA), the agenda for the meeting included proposals to create new CPT® codes and revise or delete existing codes. Entities interested in the outcomes of CPT® Editorial Panel meetings that typically attend the meetings include physicians representing their medical specialty societies, representatives from industry, and public and private payers.

The May meeting was the final meeting for CPT® Chair Peter Hollmann, M.D. As posted on the McDermott + Consulting website, the AMA recently announced the appointment of Kenneth P. Brin, M.D., Ph.D., as the new chair of the CPT® Editorial Panel. Dr. Brin, the current vice chair of the CPT® Editorial Panel, is a cardiologist based in the Chicago area. In the same press release, the AMA also announced the appointment of Peter Smith, M.D., as chair of the AMA/Specialty Relative Value Scale Update Committee (RUC). AMA formed the RUC to act as an expert panel in developing relative value recommendations to the Centers for Medicare & Medicaid Services (CMS). CMS considers these recommendations in the annual update to the Medicare physician fee schedule. Dr. Smith is professor and chief of cardiothoracic surgery at Duke University.

Click here to read the full article.

For more information please contact Sheila Madhani at (202) 204-1459 or smadhani@mcdermottplus.com.

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