70 Members of Congress Sign CPT Code Letter to CMS
In a bi-partisan effort, 70 members of Congress signed a letter addressed to the administrator of the Centers for Medicare and Medicaid Services (CMS) outlining their concerns regarding the reduction in reimbursement for long-term EEG and Video EEG professional and technical service codes.
The letter was submitted after a successful visit to Congress by neurodiagnostic industry leaders, including Lifelines Neuro Founder and Chief Customer Officer, Simon Griffin, as well as over 1,000 public comments submitted to CMS. "Explaining the impact of taking care aware from patients with epilepsy and other disorders was very meaningful - the people we talked to in D.C. were concerned and very responsive," says Griffin. "The lower reimbursement means thousands of people in rural areas without access to epilepsy centers may not have access to in-home video EEG monitoring."
The letter was submitted Sept. 27, and while no action has been announced yet by CMS, it is still beneficial to contact your U.S. House of Representatives or your U.S. Senator to express your support for review of these CPT code changes. Tell them to call CMS and ask them to reconsider this ruling that will limit patient access to EEG services. Lawmakers can influence CMS after the period of public comment is closed. For contact information, please see the links below:
While it is unlikely the CPT code structure will change, the final rule will be published in November, which may result in revised reimbursement values, a delayed implementation while the topic is reconsidered, or no changes at all.