Multiple Procedure Payment Reduction (MPPR) on Certain Diagnostic Imaging Procedures
Section 3134 of the Affordable Care Act (ACA) added section 1848(c)(2)(K) of the Social Security Act which specifies that the Secretary shall identify potentially
misvalued codes by examining multiple codes that are frequently billed in conjunction with furnishing a single service. As a further step in implementing this provision, Medicare is making a change to the multiple procedure payment reduction (MPPR) on the TC of certain diagnostic imaging procedures.
Specifically, we are applying the MPPR to professional component (PC) services as well as to TC services.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: November 04, 2011
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