Multiple Procedure Payment Reduction (MPPR) on the Technical Component (TC) of Certain Diagnostic Imaging Procedures
Section 3134 of the Affordable Care Act 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
step in implementing this provision, Medicare is making a change to the MPPR on the TC of certain
diagnostic imaging procedures. Specifically, we are consolidating the existing eleven families of codes into
a single family. This policy is discussed in the CY 2011 physician fee schedule proposed rule published on
July 13, 2010. This advanced notice is provided so contractors can begin making the necessary systems
changes for the policy to go in effect January 1, 2011.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: July 30, 2010
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.