American College Of Surgeons - Inspiring Quality: Highest Standards, Better Outcomes

CMS Releases List of Global Codes for Postoperative Visit Reporting

The Centers for Medicare & Medicaid Services (CMS) recently released a list of 293 10-day and 90-day global codes that some health care practitioners will be required to report when billing for postoperative visits. Starting July 1, a health care practitioner who is in a practice with 10 or more other practitioners and located in one of nine CMS-designated states will be required to report American Medical Association Current Procedure Terminology (CPT) code 99024 for each postoperative visit furnished within the global period. CPT code 99024 is for Post-operative follow-up visit, normally included in the surgical package, to indicate that an evaluation and management service was performed during a post-operative period for a reason(s) related to the original procedure. The nine CMS-designated states are Florida, Kentucky, Louisiana, Nevada, New Jersey, North Dakota, Ohio, Oregon, and Rhode Island.

Practitioners will be required to report on 293 global codes listed on the CMS website as opposed to all 10- and 90-day global codes. CMS has determined that these codes are furnished by more than 100 practitioners per year and are either furnished more than 10,000 times or have allowed charges of more than $10 million annually. The agency estimates that the codes describe approximately 87 percent of all furnished 10- and 90-day global services and about 77 percent of all Medicare expenditures for 10- and 90-day global services under the physician fee schedule.

Surgeons who have difficulty complying with this policy or who have questions should contact the American College of Surgeons (ACS) Division of Advocacy and Health Policy at regulatory@facs.org. More information is available on the ACS website and the CMS website.

Bill Introduced to Facilitate Military/Civilian Trauma Care Partnerships

The American College of Surgeons (ACS)-supported Mission Zero Act was reintroduced February 6 in the 115th Congress by members of the U.S. House of Representatives Committee on Energy and Commerce Health Subcommittee—Reps. Michael Burgess, MD (R-TX), Chairman; Gene Green (D-TX), Ranking Member; Kathy Castor (D-FL); and Richard Hudson (R-NC). The Mission Zero Act would provide $40 million in grant funding through the Department of Health and Human Services to facilitate partnerships between military trauma care teams/providers and high-volume civilian Level I trauma facilities.

These partnerships would allow military trauma care teams and providers to gain exposure to critically injured patients and increase readiness for deployment. Not only will this collaboration result in improved readiness among military providers, it will allow for a smooth transition of lessons learned from the military to the civilian setting and may assist in alleviating staffing demands at civilian trauma centers.

For more information on the Mission Zero Act or trauma policy, contact Justin Rosen, ACS Congressional Lobbyist, at jrosen@facs.org.

QPP News: ACS Video Explains Basics of MIPS

In a new American College of Surgeons (ACS) video, Patrick V. Bailey, MD, MLS, FACS, Medical Director for Advocacy, ACS Division of Advocacy and Health Policy, provides an overview of the Merit-based Incentive Payment System (MIPS), one of the pathways for physicians to receive payment under the Medicare Quality Payment Program (QPP). The Centers for Medicare & Medicaid Services (CMS) is implementing major changes in how it pays surgeons through the QPP, which moves Medicare physician payment from a system based on volume to one based on value. By default, most Fellows initially are using MIPS to participate in the QPP. In addition to the video, other resources to help surgeons protect their Medicare payments are available via the College’s QPP Resource Center. For more information, e-mail the College at quality@facs.org