Health Information Management

Tip: Take note of inpatient-only list revisions

APCs Insider, January 13, 2012

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CMS removed 10 codes from the inpatient-only list as part of the 2012 OPPS Final Rule. For CY 2012, CMS removed the following CPT® and HCPCS codes from the inpatient-only list:

  • 0184T, Excision of rectal tumor, transanal endoscopic microsurgical approach (i.e., TEMS), including muscularis propria (i.e., full thickness)
  • 20930, Allograft, morselized, or placement of osteopromotive material, for spine surgery only (List separately in addition to code for primary procedure)
  • 21346, Open treatment of nasomaxillary complex fracture (LeFort II type); with wiring and/or local fixation
  • 22551, Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2
  • 22552, Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2, each additional interspace (List separately in addition to code for separate procedure)
  • 22554, Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); cervical below C2
  • 35045, Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudo-aneurysm, and associated occlusive disease, radial or ulnar artery
  •  43281, Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh
  • 43770, Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (e.g., gastric band and subcutaneous port components)
  • 54650, Orchiopexy, abdominal approach, for intraabdominal testis (e.g., Fowler-Stephens)

The tip is adapted from “CMS finalizes numerousprovider-friendly OPPS changes for CY 2012” in the January issue of Briefings on APCs.



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