Health Information Management

Pay-per-view: CMS adds code pairs for complexity adjustment in July quarterly I/OCE update

APCs Insider, August 14, 2015

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CMS continues to update payment logic for comprehensive APCs (C-APC) with additional changes in the July quarterly I/OCE update.
 
The changes include six new code pairs leading to complexity adjustments for C-APCs, says Dave Fee, MBA, content manager, applied research at 3M Health Information Systems in Murray, Utah.
 
For example, primary code 37221 (revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal stent placement[s], includes angioplasty within the same vessel, when performed) now has three new secondary procedures assigned to it that will lead to a higher-paying APC when both are reported on the same claim.
 
Continue reading "CMS adds code pairs for complexity adjustment in July quarterly I/OCE update" on HCPro’s website. Subscribers to Briefings on APCs have free access to this article in the August issue.



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