MIPS 2020—What’s New With Cost

Excerpted from MIPS—What’s New in 2020 for Ophthalmology (EyeNet, January 2020). Also see MIPS 2020: A Primer and Reference, which is being posted online ahead of print.

In 2020, the only cost measure likely to apply to ophthalmologists is an episode-based measure: Routine Cataract Surgery With Intraocular Lens (IOL) Implantation.

Ophthalmologists and optometrists are excluded from the TPCC measure in 2020. In previous years, some ophthalmologists were scored on the Total Per Capita Cost (TPCC) measure, and some eye care practices decided to bill Eye visit codes rather than E&M codes in order to avoid meeting the 20-patient case minimum for this measure. In 2020, ophthalmologists and optometrists will be excluded from this measure based on their two-digit PECOS identifier.

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