Health Information Management

Q/A: Can we use an L code to satisfy neurostimulator device edit?

APCs Insider, April 26, 2013

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Q: We are using a neurostimulator device that is reportable with HCPCS L8685, but the OCE edits require a C code. Can we use the C code to satisfy the device edit?

A: Beginning April 1, you can use the L code under the OPPS. In transmittal 2667, CMS documents that the status indicator for this code has changed from E (not recognized under OPPS) to N (packaged item/service) and this HCPCS code has been added to the device to procedure/procedure to device edit list.
 
CMS changed the status indicator for several codes and added them to the procedure to device/device to procedure edit list.



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