The Final Rule on Price Transparency (CMS-1717-F2) establishes requirements for hospital transparency. According to the requirements, hospitals must publicly disclose a list of their standard charges for the items and services they provide as well as a list of shoppable services in a searchable and machine-readable format. The AMA recommends that hospitals use Current Procedural Terminology (CPT®) consumer-friendly descriptors to comply with the requirement of the final rule for a plain language description of services. Here is an example of a long descriptor and a consumer-friendly descriptor for a CPT code:
27217 Long descriptor: Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns that disrupt the pelvic ring, unilateral, includes internal fixation, when performed (includes pubic symphysis and/or ipsilateral superior/inferior rami)
Consumer friendly descriptor: Open treatment of fracture and/or dislocation of pelvis, anterior
Consumer friendly descriptors are included with your CPT license. The descriptors are in the package of files you received containing the CPT codes. The AMA will improve these descriptions on an ongoing basis to further support this effort. The next set of improved descriptions will be released on Jan. 31, 2021.
The Price Transparency Rule, similar to the recent ruling on information blocking, is part of a larger effort to provide access to important information for patients and physicians alike. For additional information on licensing please see our site on CPT licensing. Have questions? Please contact your account manager or email us at [email protected].