CMS Breast Reconstruction Town Hall

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Breast reconstruction

https://www.cms.gov/files/document/hcpcs-public-meeting-agenda-non-drug-and-non-biological-items-and-services-june-1-2023-updated-05/09.pdf

Zoom Meeting, for remote participation Thursday, June 1, 2023 9:00 am – 5:00 pm, eastern time (ET)

8:45 am, ET:
• Zoom meeting login: https://cms.zoomgov.com/webinar/register/WN_r_Xpc62cSt-p9CdWjBYhhA
• Additional information regarding participation in the public meeting will be sent to participants after they register to attend the meeting.

9:00 am, ET:
• Welcome
• Background and purpose of meeting • Meeting format and ground rules

Send an Email prior to the meeting: HCPCS@cms.hhs.gov

CMS Preliminary HCPCS Coding Recommendation

CMS seeks written feedback and/or input during the public meeting from interested parties. We raise the following questions for consideration:

  1. Should CMS extend the scheduled end date of December 31, 2024, for HCPCS codes S2066-S2068? If so, for how long?
  2. Should CMS retain HCPCS codes S2066-S2068 and not end their availability on December 31, 2024? In particular, we seek input from private payers about whether they would continue to use S2066-S2068 in lieu of other codes, such as CPT®
    code 19364.
  3. Are any parties approaching the CPT® Editorial Panel to seek revisions or refinements to the CPT® code set? Are any parties approaching another body, such as the AMA/Specialty Society RVS Update Committee (RUC)? If so, how long may be necessary for this process to occur and be allowed for any subsequent transition period, if any revisions are made by the CPT® Editorial Panel or other entity? In other words, if revisions or refinements are sought, how long would it be beneficial for codes S2066-S2068 to remain effective?

If you prefer a template please cut and paste below:

Title: Please restore the S Codes for breast reconstruction

Dear Administrator Brooks-Lasure,

I am writing in support of efforts to preserve access to modern breast reconstruction through insurance in communities.

[Share your personal story]

I need access to breast reconstruction in my community, through insurance. I ask that CMS restore the S Codes for breast reconstruction and cancel the sunsetting of these codes, without qualification or reservation.

Best Regards, Your name here