Health Information Management

Q&A: Did CMS change the inpatient-only list?

APCs Insider, January 24, 2014

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Q: Did CMS make any changes to the inpatient-only list for 2014?
 
A:  Yes. CMS did not propose any changes, but commenters did.  Based on the review of the codes by CMS medical directors, the following CPT® codes were added to the inpatient-only list:
 
  • 44206, laparoscopy, surgical; colectomy, partial, with end colostomy and closure of distal segment (Hartmann-type procedure)
  • 44207, laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis)
  • 44208, laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) with colostomy
  • 44213, laparoscopy, surgical, mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure)
 
These are listed in Table 45 in the OPPS final rule
 
Editor’s note: Andrea Clark, RHIA, CCS, CPCH, chairman, CEO, and founder of Health Revenue Assurance Associates, Inc., in Plantation, Fla., answered this question.



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