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AUA Comments to CMS 2025 Proposed Medicare Physician Fee Schedule Proposed Rule
On July 10, the Centers for Medicare & Medicaid Services (CMS) released the Medicare Physician Fee Schedule (MPFS) proposed rule for CY 2025 [CMS-1807-P]. This rule updates payment policies and payment rates for Part B services furnished under the MPFS, as well as makes changes to the Quality Payment Program (QPP). The AUA submitted comments on the proposed rule on September 5th.
Related: View the AUA’s Summary on the proposed rule for the CY 2025 Medicare Physician Fee Schedule
AUA’s comment letter specifically addresses the following:
- CY 2025 Conversion Factor Update
- Valuation of Specific Services
- Development of Strategies for Updates to the Practice Expense Data Collection and Methodology
- Supply Pack Pricing Update
- Strategies for Improving Global Surgery Payment Accuracy
- Payment for Telehealth Services
- Non-Chemotherapeutic Complex Drug Administration
- Quality Payment Program Proposed Revisions
The AUA placed particular emphasis on CMS’ proposed valuation of urology-specific codes for Intra-Abdominal Tumor Excision or Destruction (CPT codes 4X015-4X019), MRI-Monitored Transurethral Ultrasound Ablation of Prostate (CPT codes 5X006-5X008), Telemedicine Evaluation and Management (E/M) Services (CPT codes 9X075-9X079 and 9X080-9X091), and Bladder Neck and Prostate Procedures (CPT codes 5XX05 and 5XX06), thanking the agency for accepting 90% of the Relative Value Scale Update Committee’s (RUC) recommended work, Practice Expense (PE), and relative value units (RVUs). AUA members actively participated in the RUC survey processes used to support the values recommended for these codes, and the AUA urges the agency to finalize these values.
The AUA also urged CMS to mitigate destabilizing cuts in payment, as urologists and other physicians continue to absorb the increasing costs of running a practice, including salaries for clinical staff, supplies, and equipment, about the downward pressure on the conversion factor. The AUA previously met with CMS on August 16 to examine the proposed conversion factor, supply pack pricing, global surgical package values, and other proposed policies.