Abstract
In 2020, the largest U.S. health care payer, the Centers for Medicare & Medicaid Services (CMS), established payment for artificial intelligence (AI) through two different systems in the Medicare Physician Fee Schedule (MPFS) and the Inpatient Prospective Payment System (IPPS). Within the MPFS, a new Current Procedural Terminology code was valued for an AI tool for diagnosis of diabetic retinopathy, IDx-RX. In the IPPS, Medicare established a New Technology Add-on Payment for Viz.ai software, an AI algorithm that facilitates diagnosis and treatment of large-vessel occlusion strokes. This article describes reimbursement in these two payment systems and proposes future payment pathways for AI.
Original language | English (US) |
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Article number | e210030 |
Journal | Radiology: Artificial Intelligence |
Volume | 3 |
Issue number | 3 |
DOIs | |
State | Published - 2021 |
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging
- Artificial Intelligence
- Radiological and Ultrasound Technology