Remember July 1, 2017
99024 – CMS Requires Reporting Post Op Visits within Global Periods
Beginning July 1, 2017 the Centers for Medicare and Medicaid Services (CMS) requires practitioners in the following 9 states to report post-operative visits provided during the global surgical period for specified procedures. The specific states effected are:
- New Jersey
- North Dakota
- Rhode Island
What CPT Codes Trigger Reporting:
The 2017 Physician Fee Schedule Final Rule requires some practitioners to report on post-operative visits furnished during global periods using CPT code 99024. The Final Rule specifies that reporting will be required only for post-operative visits related to procedure codes reported annually by more than 100 practitioners and that are either reported more than 10,000 times or have allowed charges in excess of $10 million annually. The Final Rule further specifies that CMS will use CY 2014 claims data to determine the specific codes for which reporting is required. On the list for pain management physicians are the following:
Epidural Lysis (62264)
Spinal Cord Stimulators (63650-64581)
All Destruction Codes (64612-64640)
A complete list of the codes that must be reported on can be can be downloaded in a zip file from the CMS web site below.
Are You Exempt?
Practices with fewer than 10 practitioners are exempt from required reporting, but are encouraged by CMS to report if feasible.