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Updates for HCPCS II code set are effective January 1

APCs Weekly Monitor, January 2, 2009

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Q. Can you provide any insights on the 2009 HCPCS Level II codes for hospitals?

A.  We can’t give all the HCPCS II codes here. The list below shows some important ones to remember. Before applying HCPCS II codes, be sure to:

• Check through your CDM to ensure APC revenue integrity.
• Remember to order your 2009 Level II HCPCS manuals
• Download CMS information on the HCPCS II code set changes
• View an article on the HCPCS II updates from Briefings on APCs

New related HCPCS II updates for 2009

• G0416: Saturation biopsy sampling prostate 1-20 specimens
• G0417: Saturation biopsy sampling prostate 21-40 specimens
• G0418: Saturation biopsy sampling prostate 41-60 specimens
• G0419: Saturation biopsy sampling prostate >60 specimens
• Q4100: Skin substitute, not otherwise specified
• Q4101: Skin substitute, Apligraf, per sq. cm.
• Q4102: Skin substitute, Oasis Wound Matrix, per sq. cm.
• Q4103: Skin substitute, Oasis Burn Matrix, per sq. cm.
• Q4104: Skin substitute, Integra Bilayer Matrix Wound Dressing, per sq. cm.
• Q4105: Skin substitute, Integra Dermal Regeneration Template, per sq. cm.
• Q4106: Skin substitute, Dermagraft, per sq. cm.
• Q4107: Skin substitute, Graftjacket, per sq. cm.
• Q4108: Skin substitute, Integra Matrix, per sq. cm
• Q4109: Skin substitute, Tissuemend, per sq. cm.
• Q4110: Skin substitute, Primatrix, per sq. cm.
• Q4111: Skin substitute, Gammagraft, per sq. cm.
• Q4112: Allograft, Cymetra, injectable, 1cc
• Q4113: Allograft, Graftjacket Express, injectable 1cc
• Q4114: Allograft, Integra Flowable Wound Matrix, injectable 1cc

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