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Semin intervent Radiol 2023; 40(05): 437-440
DOI: 10.1055/s-0043-1775841
DOI: 10.1055/s-0043-1775841
Review Article
How Medical Services Get Valued
Abstract
The mechanisms for Medicare payment to physicians are complicated and, in fee for service Medicare, the value of a procedure code explicitly determines the payment to the physician and the out-of-pocket cost to the beneficiary. These codes are created and then valued for payment through a complex but reproducible and transparent process that allows for physician and specialty society input. This article describes the process and its implications for interventional radiology.
Keywords
relative value unit - CPT - procedure code - interventional radiology - Medicare - RUC - CMSPublication History
Article published online:
02 November 2023
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