Health Information Management

Q&A: Which new HCPCS codes are effective July 1?

APCs Insider, June 12, 2015

Want to receive articles like this one in your inbox? Subscribe to APCs Insider!


Q: You previously wrote about new code Q5101 for Zarxio®. Are there any additional HCPCS codes already released for use beginning July 1?
A: Yes, CMS released three additional HCPCS codes that are effective July 1, 2015, under the OPPS.
Q9977, compounded drug, not otherwise classified, is being added with status indicator N (no additional payment, payment included in line items with APCs for incidental service).
Q9976, injection, ferric pyrophosphate citrate solution, 0.1 mg of iron, is being added with status indicator E (services not paid, non-allowed item or service).
Q9978, netupitant 300 mg and palonesetron 0.5mg, oral, is being added with status indicator G (additional payment for drug/biological pass-through).
For more information, see transmittals 3254 and 3264.
Editor’s note: Denise Williams, RN, CPC-H, seniorvice president of revenue integrity services at Health Revenue Assurance Associates, Inc., in Fort Lauderdale, Florida, answered this question.


Want to receive articles like this one in your inbox? Subscribe to APCs Insider!

    Briefings on APCs
  • Briefings on APCs

    Worried about the complexities of the new rules under OPPS and APCs? Briefings on APCs helps you understand the new rules...

  • HIM Briefings

    Guiding Health Information Management professionals through the continuously changing field of medical records and toward a...

  • Briefings on Coding Compliance Strategies

    Submitting improper Medicare documentation can lead to denial of fees, payback, fines, and increased diligence from payers...

  • Briefings on HIPAA

    How can you minimize the impact of HIPAA? Subscribe to Briefings on HIPAA, your health information management resource for...

  • APCs Insider

    This HTML-based e-mail newsletter provides weekly tips and advice on the new ambulatory payment classifications regulations...

Most Popular