CMS Five-Year Review

Fourth Five-Year Review of Work RVUs

In the 2010 physician fee schedule final rule, CMS outlined the process for its review of work values that is conducted every five years. CMS is currently initiating the fourth Five-Year Review of work RVUs with the resulting changes being effective beginning in the 2012 fee schedule. CMS solicited public comments only on services for which the currently assigned work RVUs may be inappropriate. CMS forwarded the codes identified during the public comment period, as well as codes that the agency has identified as potentially misvalued, to the AMA/Specialty Society Relative Value Update Committee (RUC). Specialty societies will begin surveying its members in the summer of 2010 to determine appropriate physician work values.

The AGA is an active participant in the five-year review process to maintain appropriate work values for GI procedures.