Decreases in Radiation Oncology Medicare Reimbursement Over Time: Analysis by Billing Code.

ABSTRACT:

Purpose

Radiation oncology (RO) has seen declines in Medicare reimbursement (MCR). However, there are no recent studies analyzing the contributions of specific billing codes to overall RO reimbursement. We compared total MCR for specific Healthcare Common Procedure Coding System (HCPCS) codes in 2019 with MCR for those codes in 2010 and 2015, corrected for inflation, to see how the same basket of RO services in 2019 would have been reimbursed in 2010 and 2015 (adjusted MCR).

Methods and materials

The Centers for Medicare & Medicaid Services Physician/Supplier Procedure Summary database was used to obtain MCR data for RO HCPCS codes in 2010, 2015, and 2019. For each code, the total allowed charge was divided by the number of submitted claims to calculate the average MCR per c

SUBMITTER: Hogan J 

PROVIDER: S-EPMC10077845 | biostudies-literature | 2022 Sep

REPOSITORIES: biostudies-literature