Health Information Management

Tip: CMS reverses decision on device offset

APCs Insider, August 28, 2015

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Providers may want to review claims containing HCPCS code C2623 (catheter, transluminal angioplasty, drug-coated, non-laser) for possible adjustments.
CMS determined an offset would apply to the code in the April 2015 update because APCs 0083 (level I endovascular procedures), 0229 (level II endovascular procedures), and 0319 (level III endovascular procedures) already contain costs associated with the device.
After additional review, CMS determined in the July quarterly update that the offset would not apply, retroactive to April 1. Providers with claims processed from April 1 to July 1 containing C2623 should notify MACs for possible adjustment.
This tip is adapted from “CMS adds code pairs for complexity adjustment in July quarterly I/OCE update" in the August issue of Briefings on APCs.

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