Letters

Neurosurgery Sends Comments to CMS Regarding FY 2019 IPPS Rule

  • Reimbursement and Practice Management

Subject: Fiscal Year (FY) 2019 Medicare Hospital Inpatient Prospective Payment System
(IPPS) and Long Term Acute Care Hospital (LTCH) Prospective Payment System
Proposed Rule, CMS-1694-P

Dear Ms. Verma,

On behalf of more than 4,000 practicing neurosurgeons in the United States, the American Association of
Neurological Surgeons (AANS) and Congress of Neurological Surgeons (CNS) appreciate the
opportunity to comment on the above-referenced CMS hospital inpatient prospective payment system
proposed rule.

SUMMARY OF COMMENTS

PAYMENT PROVISIONS

Operating Room (O.R.) and Non-O.R. Issues

  • Percutaneous Endoscopic Excision of Brain and Cerebral Ventricles
    • The AANS and CNS support the proposal by CMS to change the designation of 22 ICD-10-PSC codes for Percutaneous Endoscopic Excision of Brain and Cerebral Ventricles from non-O.R. designation to O.R. designation.


FY 2019 Applications for New Technology Add-On Payments

  • Sentinel® Cerebral Protection System
    • The AANS and CNS support the request from Claret Medical, Inc. for new technology add-on payment for the Sentinel® Cerebral Protection System, as cerebral protection devices provide a significant new clinical benefit by reducing the risk of embolic shower to the brain during interventional cardiovascular procedures

Read full letter here