Health Information Management

Tip: Note proposed new packaging categories

APCs Insider, September 20, 2013

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As part of the 2014 OPPS Proposed Rule, CMS proposes packaging the following seven new categories of supporting items and services:

  • Drugs, biologicals, and radiopharmaceuticals that function as supplies when used in a diagnostic test or procedure
  • Drugs and biologicals that function as supplies or devices when used in a surgical procedure
  • Clinical diagnostic laboratory tests (except molecular pathology) when provided on the same date of service as another service
  • Procedures described by add-on codes
  • Ancillary services (currently assigned status ­indicator "X"); proposal to reassign all services to ­status indicator Q1
  • Diagnostic tests on the bypass list
  • Device removal procedures

New Addendum P on the CMS website lists all of the codes involved in CMS' new packaging proposals (approximately 2,149 codes).

The changes are only proposed at this point. CMS is considering comments it received on the proposal and will issue the final OPPS rule in November.

This tip is adapted from “CMS proposes additional packaging plans for 2014” in the September issue ofBriefings on APCs



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