Q&A: Where do we find skin substitute classifications?
APCs Insider, March 6, 2015
Want to receive articles like this one in your inbox? Subscribe to APCs Insider!
Q: We use a lot of skin substitutes. Where do we find a list of the new HCPCS codes and how they are classified? We know how much we pay for them, but we are hoping there are specific guidelines for reporting with the correct procedure.
A: You can find this information in several places. One place is the quarterly OPPS and I/OCE update transmittals issued by CMS. Transmittal 3156 contains the information for the January update to the OPPS. In this transmittal, Table 5 lists the new HCPCS codes for skin substitutes along with the status indicator assigned for 2015. Table 7 in the same transmittal identifies those skin substitutes assigned to the low- and high-cost categories.
In addition, these assignments can be found in Transmittal 3153, which contains the changes to the I/OCE for 2015. Remember, you report the high-cost items with CPT® codes 15271-15278, and the low-cost items with HCPCS Level II codes C5271-C5278.
Editor’s note: Denise Williams, RN, CPC-H, seniorvice president of revenue integrity services at Health Revenue Assurance Associates, Inc., in Plantation, Florida, answered this question.
Want to receive articles like this one in your inbox? Subscribe to APCs Insider!
Related Products
Most Popular
- Articles
-
- Math can be tricky: TJC corrects ABHR storage requirement
- Air control equals infection control
- Don't forget the three checks in medication administration
- Residency coordinators’ responsibilities
- Note similarities and differences between HCPCS, CPT® codes
- The consequences of an incomplete medical record
- Practice the six rights of medication administration
- Study: Shorter shifts reduces residents’ attentional failures
- RPA Subscriber Exclusive: February issue of Residency Program Alert now available
- Implications of CMS Changes to H&P Requirements
- E-mailed
-
- OSHA HazCom updates include labeling, SDS requirements
- Air control equals infection control
- Q&A: Defining Subacute
- Q&A: Coding from pathology/radiology reports
- Q&A: Are colleges sending students to our facility for rotations business associates?
- Nursing's growing role
- Note similarities and differences between HCPCS, CPT® codes
- Fracture coding in ICD-10-CM requires greater specificity
- Five ways to safeguard your patients' valuables
- Differentiate between types of wound debridement
- Searched