Ive heard that there are new codes to report the placement of an artificial disc. What are the codes and what are their corresponding Relative-value Units (RVUs)?
The codes for disc arthroplasty are in a separate section of CPT, entitled Category III codes, used to identify emerging technology, services, and procedures for clinical efficacy, utilization and outcomes. Because of this, many payers view these codes as representing experimental/investigational procedures and are reluctant to reimburse for the codes. There are no Relative-Value Units (RVUs) assigned for Category III codes, meaning that payment for the codes have not been established. It will be up to the discretion of the payer (including Medicare) to determine if and what amount they are willing to pay the surgeon for the procedure. Use of Category III codes requires the surgeon to submit a paper claim along with an operative report describing the procedure in order to justify the surgeon’s fee.
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