Reimbursement and coding uncertainty
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Inspire Medical Systems Q4 Earnings Call Highlights
Yahoo Finance· 2026-02-12 01:39
Long term: Pursue a new Category I CPT code. Herbert said the timeline would likely place a new code into effect around January 1, 2028 following review by the AMA CPT panel and then a Relative Value Scale Update Committee (RUC) process.Short term (2026–2027): Work with MACs, commercial payers, and physician societies to minimize the actual professional fee reduction and drive consistency nationally. Herbert argued there is “strong justification” for a smaller reduction given the higher surgical skill and c ...