CMS proposes 2020 rate for total knee arthroplasty

CMS proposed a payment rate of $8,639.97 for total knee arthroplasty in its 2020 outpatient and ASC prospective payment system proposed rule.

The proposed rule, which came out in late July, would add total knee arthroplasty (CPT code 27447) to the ASC-payable list along with knee mosaicplasty and three coronary intervention procedures.

The proposed rate for knee mosaicplasty, CPT code 29867, is $2,790.88.

CMS is accepting comments until Sept. 27 on whether it should impose any limitations on TKA in ASCs.

Click here to view proposed ASC payment rates for 2020, as of July 2019. The rates are listed in Addendum AA.


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