Health Information Management

Q&A: Which new HCPCS codes are effective July 1?

APCs Insider, June 12, 2015

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Q: You previously wrote about new code Q5101 for Zarxio®. Are there any additional HCPCS codes already released for use beginning July 1?
 
A: Yes, CMS released three additional HCPCS codes that are effective July 1, 2015, under the OPPS.
 
Q9977, compounded drug, not otherwise classified, is being added with status indicator N (no additional payment, payment included in line items with APCs for incidental service).
 
Q9976, injection, ferric pyrophosphate citrate solution, 0.1 mg of iron, is being added with status indicator E (services not paid, non-allowed item or service).
 
Q9978, netupitant 300 mg and palonesetron 0.5mg, oral, is being added with status indicator G (additional payment for drug/biological pass-through).
 
For more information, see transmittals 3254 and 3264.
 
Editor’s note: Denise Williams, RN, CPC-H, seniorvice president of revenue integrity services at Health Revenue Assurance Associates, Inc., in Fort Lauderdale, Florida, answered this question.

 



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