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- CAP and over 50 Physician Groups Urge Lawmakers to Mitigate Cuts in 2024 Medicare Physician Fee Schedule
The CAP and more than 50 physician and health care groups urged House and Senate leadership to mitigate the 3.4% conversion factor cut published in the final 2024 Medicare Physician Fee Schedule.
In a November 3 letter to lawmakers, the groups said the inclusion of the G2211 code is creating across-the-board cuts to all physicians and other providers under the fee schedule. The CMS said code G2211 reflects the time, intensity, and practice expense required to build longitudinal relationships with patients and address most of their health care needs with consistency and continuity over long periods of time. However, the CAP has contended that the implementation of G2211 essentially allows duplicative billing as the work of G2211 is already described and accounted for within the existing CPT code set for evaluation and management services. In October, the CAP and 46 health care organizations sent a letter to Congress asking them to halt the implementation of the G2211 code.
The CAP successfully lobbied Congress to delay payment for G2211 in 2021 when the CMS initially attempted to established payment for the code. The CAP will continue its advocacy efforts to protect the value of pathology services.