Health Information Management

Tip: CMS removes procedures from inpatient-only list in 2015 OPPS final rule

APCs Insider, January 30, 2015

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CMS removed two add-on procedure codes from the inpatient-only list in the 2015 OPPS final rule after determining they could be safely performed in an outpatient setting. Those CPT® codes are:
  • 63043, laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; each additional cervical interspace
  • 63044, laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; each additional lumbar interspace
 These codes have been assigned status indicator N (no additional payment, payment included in line items with APCs for incidental service).
 
This tip is adapted from “CMS updates physician certification requirements for inpatient services" in the January issue of Briefings on APCs.



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