Abdominal Radiology

, Volume 44, Issue 3, pp 1152–1154 | Cite as

Caveat regarding CMS Merit-based Incentive Payment Systems incidental adrenal nodule measure

  • Joseph Holman
  • Roberto Salvatori
  • Elliot K. Fishman
  • Pamela T. JohnsonEmail author


Current Medicare MIP measures encourage radiologists not to recommend follow-up for ≤ 1 cm adrenal nodules. However, a radiologist may be the first to discover a small, subclinical pheochromocytoma. As such, recognition of the enhancement pattern of pheochromocytoma is important to ensure detection and properly guide management, which begins with clinical and laboratory assessment for elevated catecholamines.


Merit-based Incentive Payment Systems (MIPS) Incidental adrenal nodule Pheochromocytoma Computed tomography (CT) 


Compliance with ethical standards

Conflict of interest

Joseph Holman and Roberto Salvatori have nothing to disclosures. Elliot K. Fishman received grant funding from GE Healthcare and Siemens and Founder and stockholder of HipGraphics. Pamela T. Johnson is a Consultant to Oliver Wyman.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Joseph Holman
    • 1
  • Roberto Salvatori
    • 2
  • Elliot K. Fishman
    • 1
  • Pamela T. Johnson
    • 1
    Email author
  1. 1.Department of RadiologyJohns Hopkins HospitalBaltimoreUSA
  2. 2.Department of EndocrinologyJohns Hopkins HospitalBaltimoreUSA

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