AMERICAN MEDICAL ASSOCIATION ENACTS REIMBURSEMENT CODES FOR 3D PRINTING SERVICES IN HEALTHCARE

3D Printing Industry | 7/17/2019 | Beau Jackson
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The American Medical Association (AMA) has accepted a proposal from the American College of Radiology (ACR) which advances the use of 3D printing in healthcare.

ACR’s Category III proposal for the Current Procedural Terminology (CPT) codes, published and maintained by AMA, are tailored towards reimbursement for the production of 3D printed anatomical models and personalized 3D printed cutting or drilling tools.

Effect - Month - Category - III - Codes

In effect since the first of this month, the four new Category III codes are said to display the impact and value of additive manufacturing services within medicine. According to Jenny Chen, founder and CEO of 3DHeals:

“In the past, many payers (i.e. insurance companies) simply exclude any reimbursement to Category III procedures/services, often limiting the wider adoption of emerging technologies.”

Trend - Side - Category - III - Code

“However, there is a trend from the payor side to cover Category III code, largely depending on the willingness among physicians to embrace the new technology.”

A collection of 3D printed anatomical models at the Anatomical Modeling Laboratory. Photo via the Mayo Clinic.

September - AMA - CPT - Editorial - Panel

In September 2018, the AMA CPT Editorial Panel accepted ACR Category III codes 055T, 0560T, 0561T, and 0562T for 3D anatomic modeling. These codes are published in the CPT document which provides a consistent system to U.S. doctors for communicating medical services performed for over five decades. CPT is accepted both in private and public medical sectors.

The new codes are classified in Category III meaning they will be archived in five years if they do not reach Category I status. These new codes are as follows:

Codes - Represent - Reimbursement - Production - Models

Codes 0559T and 0560T represent reimbursement for the production of individually prepared 3D printed models that can be made from one or more components and unique colors and materials. “These individual components of structures of anatomy include, but are not limited to, bones, arteries, veins, nerves,...
(Excerpt) Read more at: 3D Printing Industry
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