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Leslie-Mazwi TM, Bello JA, Tu R, Nicola GN, Donovan WD, Barr RM, Hirsch JA. Current Procedural Terminology: History, Structure, and Relationship to Valuation for the Neuroradiologist. AJNR Am J Neuroradiol 2016; 37:1972-1976. [PMID: 27418473 DOI: 10.3174/ajnr.a4863] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2016] [Accepted: 05/09/2016] [Indexed: 11/07/2022]
Abstract
The year 1965 was critical for US health care policy. In that year, Medicare was created as part of the Social Security Act under President Lyndon B. Johnson after several earlier attempts by Presidents Franklin Roosevelt and Harry Truman. In 1966, the American Medical Association first published a set of standard terms and descriptors to document medical procedures, known as Current Procedural Terminology, or CPT. Fifty years later, though providers have certainly heard the term "CPT code," most would benefit from an enhanced understanding of the historical basis, current structure, and relationship to valuation of Current Procedural Terminology. This article will highlight this evolution, particularly as it relates to neuroradiology.
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Affiliation(s)
- T M Leslie-Mazwi
- From the Neuroendovascular Program (T.M.L.-M., J.A.H.), Massachusetts General Hospital, Boston, Massachusetts
| | - J A Bello
- Montefiore Medical Center (J.A.B.), Albert Einstein College of Medicine, Bronx, New York
| | - R Tu
- Progressive Radiology (R.T.), The George Washington University, Falls Church, Virginia
| | - G N Nicola
- Hackensack University Medical Center (G.N.N.), Hackensack, New Jersey
| | - W D Donovan
- Norwich Diagnostic Imaging Associates (W.D.D.), Norwich, Connecticut
| | - R M Barr
- Mecklenburg Radiology Associates P.A. (R.M.B.), Charlotte, North Carolina
| | - J A Hirsch
- From the Neuroendovascular Program (T.M.L.-M., J.A.H.), Massachusetts General Hospital, Boston, Massachusetts
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Hirsch JA, Harvey HB, Barr RM, Donovan WD, Duszak R, Nicola GN, Schaefer PW, Manchikanti L. Sustainable Growth Rate Repealed, MACRA Revealed: Historical Context and Analysis of Recent Changes in Medicare Physician Payment Methodologies. AJNR Am J Neuroradiol 2015; 37:210-4. [PMID: 26585253 DOI: 10.3174/ajnr.a4522] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Affiliation(s)
- J A Hirsch
- From the Department of Radiology (J.A.H., H.B.H., P.W.S.), Massachusetts General Hospital, Boston, Massachusetts Harvard Medical School (J.A.H., H.B.H., P.W.S.), Boston, Massachusetts
| | - H B Harvey
- From the Department of Radiology (J.A.H., H.B.H., P.W.S.), Massachusetts General Hospital, Boston, Massachusetts Harvard Medical School (J.A.H., H.B.H., P.W.S.), Boston, Massachusetts
| | - R M Barr
- Mecklenburg Radiology Associates P.A. (R.M.B.), Charlotte, North Carolina
| | - W D Donovan
- Norwich Diagnostic Imaging Associates (W.D.D.), Norwich, Connecticut
| | - R Duszak
- Department of Radiology and Imaging Sciences (R.D.), Emory University, Atlanta, Georgia Harvey L. Neiman Health Policy Institute (R.D.), Reston, Virginia
| | - G N Nicola
- Hackensack University Medical Center (G.N.N.), Hackensack, New Jersey
| | - P W Schaefer
- From the Department of Radiology (J.A.H., H.B.H., P.W.S.), Massachusetts General Hospital, Boston, Massachusetts Harvard Medical School (J.A.H., H.B.H., P.W.S.), Boston, Massachusetts
| | - L Manchikanti
- Pain Management Center of Paducah (L.M.), Paducah, Kentucky Department of Anesthesiology and Perioperative Medicine (L.M.), University of Louisville, Louisville, Kentucky
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Hirsch JA, Donovan WD, Barr RM, Nicola GN, Rosman DA, Schaefer PW, Manchikanti L. The Independent Payment Advisory Board. AJNR Am J Neuroradiol 2013; 35:1066-9. [PMID: 24136648 DOI: 10.3174/ajnr.a3736] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Affiliation(s)
- J A Hirsch
- From the Department of Radiology (J.A.H., D.A.R., P.W.S.), Massachusetts General Hospital, 55 Fruit St, Gray Bldg., 2nd Floor, Boston, Massachusetts
| | - W D Donovan
- Norwich Diagnostic Imaging Associates (W.D.D.), Norwich, Connecticut
| | - R M Barr
- Mecklenburg Radiology Associates (R.M.B.), Charlotte, North Carolina
| | - G N Nicola
- Hackensack University Medical Center (G.N.N.), Hackensack, New Jersey
| | - D A Rosman
- From the Department of Radiology (J.A.H., D.A.R., P.W.S.), Massachusetts General Hospital, 55 Fruit St, Gray Bldg., 2nd Floor, Boston, Massachusetts
| | - P W Schaefer
- From the Department of Radiology (J.A.H., D.A.R., P.W.S.), Massachusetts General Hospital, 55 Fruit St, Gray Bldg., 2nd Floor, Boston, Massachusetts
| | - L Manchikanti
- Pain Management Center of Paducah (L.M.), Paducah, KentuckyUniversity of Louisville (L.M.), Louisville, Kentucky
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Hirsch JA, Donovan WD, Nicola GN, Barr RM, Schaefer PW, Silva E. Alphabet soup: our government "in-action". AJNR Am J Neuroradiol 2013; 34:1887-9. [PMID: 23811971 PMCID: PMC7965411 DOI: 10.3174/ajnr.a3672] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2013] [Accepted: 05/07/2013] [Indexed: 11/07/2022]
Affiliation(s)
- J A Hirsch
- Neurovascular Program, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts
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Abstract
We describe a crucial but little-known constituent of the Medicare payment system.
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Affiliation(s)
- W D Donovan
- Department of Diagnostic Imaging, The William W. Backus Hospital, Norwich, Connecticut, USA.
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Affiliation(s)
- P B Gusmer
- Department of Radiology, Hospital for Special Surgery, Cornell University Medical Center, New York, NY 10021, USA
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Abstract
The MR findings of a clinically severe case of serologically documented Epstein-Barr virus encephalomyelitis are presented, demonstrating hyperintensity on T2-weighted sequences throughout cervical spinal cord, the basal ganglia, and the insular cortex. It is not known whether the preferential involvement of gray matter structures in this case is a typical or unusual feature of this rare entity.
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Affiliation(s)
- W D Donovan
- Department of Radiology, New York Hospital-Cornell University Medical Center, NY 10021, USA
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Donovan WD, Brill PW, Winchester P, Giampietro PF, Davis JG, Harbison M. Congenital fusion of the fourth and fifth metacarpals associated with primary gonadal failure. Skeletal Radiol 1996; 25:269-71. [PMID: 8741065 DOI: 10.1007/s002560050077] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
Congenital fusion of the fourth and fifth metacarpals is described in a male infant and his maternal grandfather. Primary gonadal failure, which is present in the infant, has not been noted in previously, reported cases. The pedigree in this family is compatible with X-linked recessive or autosomal dominant inheritance with incomplete penetrance.
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Affiliation(s)
- W D Donovan
- Department of Radiology, New York Hospital-Cornell Medical Center, NY 10021, USA
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Affiliation(s)
- W D Donovan
- Department of Radiology, New York Hospital-Cornell University Medical Center, NY 10021, USA
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Affiliation(s)
- W D Donovan
- Department of Radiology, New York Hospital-Cornell Medical Center, New York City
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MESH Headings
- Antineoplastic Combined Chemotherapy Protocols/administration & dosage
- Brain Neoplasms/diagnostic imaging
- Brain Neoplasms/drug therapy
- Brain Neoplasms/etiology
- Child
- Child, Preschool
- Combined Modality Therapy
- Dose-Response Relationship, Radiation
- Headache/etiology
- Humans
- Injections, Spinal
- Leukemia, Myeloid, Acute/cerebrospinal fluid
- Leukemia, Myeloid, Acute/drug therapy
- Leukemia, Myeloid, Acute/radiotherapy
- Male
- Mandibular Neoplasms/diagnostic imaging
- Mandibular Neoplasms/radiotherapy
- Meningioma/diagnostic imaging
- Meningioma/drug therapy
- Meningioma/etiology
- Methotrexate/administration & dosage
- Neoplasms, Radiation-Induced/diagnosis
- Neoplasms, Radiation-Induced/therapy
- Tomography, X-Ray Computed
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Affiliation(s)
- W D Donovan
- Department of Radiology, New York Hospital--Cornell University Medical Center, NY 10021
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