Health Information Management

Tip: Note new HCPCS codes and effective dates

APCs Insider, May 3, 2013

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CMS added HCPCS code G0459 (inpatient telehealth pharmacologic management, including prescription) to the I/OCE effective January 1 as part of the April update to the I/OCE. Code G0459 is subject to edit 62 (code not recognized by OPPS; alternate code for same service may be available) and has a status indicator B (codes that are not recognized by OPPS when submitted on an outpatient hospital Part B bill type).

Effective April 1, CMS added the following HCPCS codes to the I/OCE:
  • C9130, injection, IVIG Bivigam
  • C9297, omacetazine mepesuccinate
  • C9298, injection, ocriplasmin
  • C9734, focused ultrasound ablation/therapeutic intervention, other than uterine leiomyomata, with or without magnetic resonance (MR) guidance
  •  C9735, anoscopy; with directed submucosal injection(s), any substance
  • Q0507, miscellaneous supply or accessory for use with an external ventricular assist device
  • Q0508, miscellaneous supply or accessory for use with an implanted ventricular assist device
  • Q0509, miscellaneous supply or accessory for use with any implanted ventricular assist device for which payment was not made under Medicare Part A
The tip is adapted from “CMS corrects edit 84, deletes modifiers” in the April Briefings on APCs.



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