Three applications for New Technology Ambulatory Payment Classifications (APC) for medical 3D printing services were recently submitted by American College of Radiology® (ACR®) Economics Coding & Nomenclature Committee member Frank Rybicki, MD, PhD, FACR in coordination with ACR Economics staff.
Under the Hospital Outpatient Prospective Payment System (HOPPS), new and emerging technologies can apply for reimbursement under a New Technology APC until the Centers for Medicare and Medicaid Services (CMS) is able to collect enough claims data, generally 2 to 3 years, when it can then be placed into an appropriate clinical APC.
The applications were submitted with supporting documentation for three distinct levels of medical 3D printing: basic, intermediate, and complex. Medical 3D printing services are performed for various clinical indications and utilize substantial hospital resources which warrants separate payment. CMS will review the submissions to determine whether they meet the criteria to receive reimbursement under the HOPPS for 2025.
For more information, contact Kimberly Greck, ACR Senior Economic Policy Analyst.