AMA CPT and RUC 2017-10-12T13:50:13+00:00

AMA CPT® and RUC

The AMA/Specialty Society RVS Update Committee (RUC)

The AMA/Specialty Society RVS Update Committee (RUC) is a unique, multi-specialty committee dedicated to describing the resources required to provide physician services. These recommendations are based on data collected from surveys of practicing physicians regarding the physician work involved in performing CPT codes. The Centers for Medicare & Medicaid Services (CMS) considers this input when developing Relative Value Units (RVUs).

For a better understanding of the AMA/Specialty Society RVS Update Committee process, the American Academy of Sleep Medicine suggests you watch the video, Understanding the RUC Survey Instrument: Physician Services, and download the PowerPoint presentation, Understanding the RUC Survey Instrument. Prepared by the AMA, they describe the survey process and provide general information on the standard RUC survey instrument.

For more information on the RUC process, please contact the AASM Health Policy Department at coding@aasm.org or 630-737-9700.

The AMA Current Procedural Terminology (CPT®) Process

The CPT Editorial Panel is responsible for maintaining the CPT code set. The panel is authorized by the AMA Board of Trustees to revise, update, or modify CPT codes, descriptors, rules and guidelines. In order to do this, the panel maintains an open process and convenes meetings three times per year to solicit the direct input of practicing physicians, medical device manufacturers, developers of the latest diagnostic tests and advisors from over 100 societies representing physicians and other qualified health care professionals. Medical specialty societies, individual physicians, hospitals, third-party payers and other interested parties may submit applications for changes to CPT for consideration by the editorial panel.

The panel is composed of 17 members. Of these, 11 are physicians nominated by the national medical specialty societies and approved by the AMA Board of Trustees. One of the 11 is reserved for expertise in performance measurement. One physician is nominated from each of the following: the Blue Cross and Blue Shield Association, America’s Health Insurance Plans, the American Hospital Association and CMS. The remaining two seats on the CPT Editorial Panel are reserved for members of the CPT Health Care Professionals Advisory Committee.

Supporting the CPT Editorial Panel in its work is a larger body of CPT advisors, the CPT Advisory Committee. The members of this committee are primarily physicians nominated by the national medical specialty societies represented in the AMA House of Delegates. Currently, the advisory committee is limited to national medical specialty societies seated in the AMA House of Delegates and to the AMA Health Care Professionals Advisory Committee (HCPAC), organizations representing limited-license practitioners and other allied health professionals. Additionally, a group of individuals, the Performance Measures Advisory Group (PMAG), who represent various organizations concerned with performance measures, also provides expertise.