The Final Rule on Price Transparency (CMS-1717-F2) establishes requirements for hospitals to make available information on the price of health care services to help define the value for health care consumers. 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. Hospitals may use Current Procedural Terminology (CPT®) consumer-friendly descriptors to comply with the final rule’s requirement of a plain language description of services. Here is an example of a long descriptor and a consumer-friendly descriptor for a CPT code, in this case code 27217:
CPT consumer friendly descriptors are included as part of the standard CPT license. The descriptors are in the package of files licensees receive that contain the CPT codes. The AMA is committed to improving these descriptions on an ongoing basis to further support this effort.
The Hospital Price Transparency Rule, similar to the recent ruling on information blocking, is part of a larger effort to ensure access to important information for patients and physicians alike. For additional information on CPT licensing please see our web page: CPT licensing. Have questions? Contact your AMA account manager or email us at [email protected].