Health Information Management

Tip: 68 device removal procedure codes given packaged status in 2014

APCs Insider, February 28, 2014

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CMS conditionally packaged (status indicator Q) 68 device removal procedure codes, which are listed in Addendum P, in the 2014 OPPS Final Rule.
Device removal procedures are sometimes described by a code that may include repair or replacement. Other times, device removal procedures are reported with separate codes that only describe the surgical procedure to remove a device.
Device removal procedures are frequently performed with procedures to repair or replace devices, but not always.
As a result, for 2014 CMS will package all separately coded device removal procedures when performed with a separately coded device repair or replacement procedure.
Status indicator Q2 means no separate payment is made when the CPT® code occurs on the same date of service as another procedure code with status indicator T.
This tip is adapted from “CMS dramatically increases packaging in 2014 OPPS Final Rule” in the February issue of Briefings on APCs.

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