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In This Issue
President's Message:
Busy Year Ahead
Minneapolis 'Get Your Rear in Gear' Event Raises $200,000
Society Extends CBS HealthWatch™ Campaign

Jagelman, Monahan Awards Honor Advocacy, Awareness Efforts

Dr. David Beck Elected ASCRS President
Presidential Address: Emotional Intelligence Critical Part of Professionalism

Dr. Patricia Roberts Honored with Mentor Award

National Media Award Winners

International Scholar Report:
Prof. James O’Riordan

Socioeconomic Update

International Scholar Report:
Dr. Martin Hübner

Society Thanks Corporate Supporters

DC&R Enjoys Another Successful Year

Vancouver to Host 2011 Meeting

Committee Chairs
Society Welcomes New Members
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Annual Meeting Information
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ASCRS Website
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ASCRS Research Foundation
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Socioeconomic Committee reports new/revised CPT codes

By Guy Orangio, MD, FACS, FASCRS, SEC Chair

Dr. Guy Orangio

Dr. Guy Orangio

Effective January 1, 2010, the Category III CPT code 0170T was converted to a Category I CPT code.

Therefore, delete:
0170T  Repair of anal fistula with plug (e.g., porcine SIS)

and add:
46707  Repair of anorectal fistula with plug (e.g., porcine small intestine submucosa [SIS])

Also effective January 1, 2010, significant editorial revisions to the section of hemorrhoid codes in CPT have been made.  The changes are based on a yearlong review by the ASCRS Socioeconomic Committee to revise the codes to reflect current terminology and practice.

In February 2010, the CPT Editorial Panel accepted the ASCRS proposal for a new technology Category III code to report ligation of hemorrhoidal vascular bundle(s) utilizing ultrasound guidance.  The new tracking code will be published on July 1, 2010 on the AMA website.  However, it can take the Centers for Medicare & Medicaid Services (CMS) up to six months to recognize the tracking code.

The Committee is currently drafting a proposal for a new technology tracking CPT code for anoscopy with delivery of thermal energy to the muscle of the anal canal for fecal incontinence.  More information will be provided at a later date, if accepted by the CPT Editorial Panel.

Regarding the TEMS Category III tracking code 0184T Excision of rectal tumor, transanal endoscopic microsurgical approach (i.e., TEMS), the Committee continues to advocate using the tracking code for TEMS transanal excision of lesion.  Additionally, the Committee determined that 0184T cannot be converted to a Category I code until U.S. peer-reviewed studies are published. The committee urges members to publish their studies.

Regarding continued membership requests for a code for high-resolution anoscopy, the Committee determined that published U.S. peer-reviewed literature on efficacy is necessary before pursuing a CPT code. The committee urges members to publish their studies.

Medicare 5-Year-Review of Physician Work
As required by statute, the CMS has initiated the fourth five-year review of physician work relative value units (work RVUs) in the Medicare physician fee schedule. Unlike the previous three reviews, which included many colon and rectal procedures, this round does not have any codes requiring ASCRS participation.