Health Information Management

Pay-per-view: October I/OCE, OPPS updates include minor changes

APCs Insider, November 9, 2012

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CMS made two manual corrections as part of the OPPS update for October 2012 and included a number of small changes to both OPPS and the I/OCE.

One of the manual corrections appears to be aimed at removing a barrier to payment for bariatric surgery in hospital outpatient departments. Although CPT code 43770 (laparoscopic placement of adjustable gastric band) was removed from the inpatient-only list effective January 1, a notation in the Claims Processing Manual stated that the procedure was only payable on type of bill 11X, an inpatient type of bill. CMS corrected this to indicate that the procedure is also payable on 13X (­outpatient hospital) and 85X (critical access hospital outpatient) types of bills.
Continue reading “October I/OCE, OPPS updates include minor changes” on HCPro’s website. Subscribers to Briefings on APCs have free access to this article in the October issue.

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