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2015 Physician Fee Schedule

The AAAAI commented on a wide range of issues in the Centers for Medicare & Medicaid Services (CMS) proposed rules for the 2015 Physician Fee Schedule. The final rules were recently released and published last week in the Federal Register. To view the AAAAI letter and a breakdown of the comments submitted, along with how those issues were finalized, please click on the link below.
One disconcerting issue in the proposed rule was the inclusion of several key CPT codes in allergy included in CMS' list of “potentially misvalued specialty codes” including 95004, 95165 and 95010. The AAAAI was actively working to address this issue with the Joint Council of Allergy, Asthma & Immunology, the American College of Allergy, Asthma & Immunology, and the American Academy of Otolaryngic Allergy when the final rules were published, indicating that this review process would not be pursued at this time while CMS focuses on development and review of a series of global codes instead.
While the regulations have been presented as final at this time, the AAAAI continues to work with the American Medical Association regulatory team and with Hart Health Strategies staff to clarify specific issues with CMS on certain issues around how data from Quality Clinical Data Registries will be reported through the Value Based Modifier.

View the AAAAI letter.
View a breakdown of the comments submitted, along with how those issues were finalized.