Medicare Social Security
Number Removal Initiative
As part of the Medicare Access and CHIP Reauthorization Act of
2015, the Centers for Medicare and
Medicaid Services (CMS) is required
to remove patient Social Security
Number based health insurance
claim numbers from beneficiary
Medicare cards under the Social
Security Number Removal Initiative
(SSNRI). New Medicare Beneficiary
Identifier (MBI) will be used for all
Medicare transactions. This change
is being undertaken to increase the
security of private health care and
financial information. Beginning in
April 2018, all Medicare beneficiaries
will receive new cards with the MBI.
The transition will be complete by the
end of 2019. Details on the transition
can be found at https://www.cms.
While CMS and its contractors
will conduct extensive testing during the transition period to ensure
smooth claims and administrative processing, this is a significant
change that represents another
administrative burden for physician
practices. Updating electronic health
records and other patient records
and administrative systems will be a
costly and time-intensive process.
Therefore, NASS and the Alliance
of Specialty Medicine are opposing
this change as it will cause significant confusion among Medicare
beneficiaries and providers as well
as payers, potentially leading to disruptions in care and payments.
For additional information, contact Allison Waxler, NASS Director of
Regulatory Affairs, at (630) 230-3683
Allison Waxler, MS
Image guided procedures should also
include the following:
n Review of pertinent history and
n Indications for procedure (medical
n Appropriate patient positioning for
n Sterile field preparation.
n Local anesthesia when utilized
(type and amount).
n Anatomic needle placement (in-
clude type, size, gauge and loca-
n Imaging type (fluoroscopy or CT),
imaging findings and impression.
n Confirmation of target localization
with contrast, if applicable, includ-
ing type, volume and concentration
of contrast and any normal or ab-
normal contrast patterns.
n Any fluid or specimens collected.
n Description of complications and,
if none, stated as such.
n Patient status.
The specific CPT codes for spine CT,
MRI, epidurography, myelography
and fluoroscopic guidance can be
found in the 2017 NASS Common
Coding Scenarios book and AMA
publication, 2017 Professional Edition
CP T coding.
JA Stone: Relationships Outside the One-Year Requirement: Benvenue Medical
(07/2012, Research Support: Staff
and/or Materials, Coding Committee,
Direct or indirect remuneration: royalties, stock ownership, private invest-
ments, consulting, speaking and/or teaching arrangements, trips/travel. Posi-
tion held in a company: board of directors, scientific advisory board, other
office. Support from sponsors: endowments, research–investigator salary,
research–staff and/or materials, grants, fellowship support. Other
Degree of support:
Level A. $100 to $1000 Level F. $100,001 to $500,000
Level B. $1,001 to $10,000 Level G. $500,001 to $1M
Level C. $10,001 to $25,000 Level H. $1,000,001 to $2.5M
Level D. $25,001 to $50,000 Level I. greater than $2.5M
Level E. $50,001 to $100,000
NASS, Alliance of Specialty Medicine Oppose Change
n Regulatory Policy
Socioeconomics & Politics | Regulatory n