Health Information Management

Q&A: CMS updates pass-through device list

APCs Insider, March 27, 2015

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Q: Did CMS grant pass-through status for any new devices in April? 
 
A: Yes, CMS granted pass-through status to one new item beginning on April 1 and issued a new HCPCS code for the device:
 
  • C2623, catheter, transluminal angioplasty, drug-coated, non-laser
 
Section 1833 of the Social Security Act requires CMS to create a new device category for new medical devices that are not described by any existing or previously existing category. Under Section 1833 (t)(5)(B) of the act, this category of device will be eligible for pass-through payment for at least two years. CMS will apply the device offset to the balloon angioplasty codes assigned to APCs 0083, 0229, and 0319 when C2623 is reported, since C2623 receives pass-through payment. 
 
More Information about this code can be found in Transmittal 3217.
 
Editor’s note: Denise Williams, RN, CPC-H, seniorvice president of revenue integrity services at Health Revenue Assurance Associates, Inc., in Plantation, Florida, answered this question.



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