How Anthem Letter Triggered CPT Review

Orthopedics This Week published an article, “Anthem Lobbying Hard to Slash TKA, THA Pay,” which provides in-depth insight on the previously reported CMS call for review of seven potentially misvalued CPT codes. The article explains that the call for review was triggered by a letter from Anthem, which “Put simply…wants CMS to cut reimbursements for these seven codes, then slash and burn through the RVUs for specialist codes across the entire PFS.” Orthopedics This Week interviewed AAOS RUC advisor William Creevy, MD for the piece, which you can read here. Viewing full article requires Orthopedics This Week subscription – free 90-day subscription available.