Calendar Year (CY) changes to 2011 HCPCS and CPT codes for Certain Drugs, Biologicals, and Radiopharmaceuticals

For calendar year 2011 many HCPCS and CPT code descriptors for drugs, biologicals, and radiopharmaceuticals, were changed. Additionally, several temporary HCPCS C codes were deleted as of December 31, 2010, and replaced with permanent HCPCS C codes. Therefore, hospitals should pay close attention to ensure accurate billing for units of services consistent with the dosages contained in the long descriptors of the active CY 2011 HCPCS and CPT codes. Listing of the CY 2011 HCPCS and CPT Code Changes for Certain Drugs, Biologicals, and Radiopharmaceuticals CY 2010 HCPCS/CPT Code CY 2010 Long Descriptor CY 2010 HCPCS/CPT Code CY 2010...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article summarizes calendar year 2011 coding changes for certain drugs, biologicals, and radiopharmaceuticals across HCPCS and CPT. It is intended for hospital coders, billing staff, and reimbursement professionals who need to understand which code descriptors changed, which temporary HCPCS C codes were replaced, and how the active 2011 code set is organized at a high level.

Why This Topic Matters

These updates affect charge capture, billing accuracy, and code maintenance for drug and biological products reported in hospital settings. Understanding the scope of the 2011 revisions helps organizations align coding files and review affected product categories without relying on outdated descriptors.

Article Sections

  1. Listing of the CY 2011 HCPCS and CPT Code Changes for Certain Drugs, Biologicals, and Radiopharmaceuticals

    Presents a structured listing of code updates for selected drugs, biologicals, radiopharmaceuticals, vaccines, skin substitutes, and related products. The section organizes calendar year 2010 and 2011 code references to show the scope of the annual update.

What You Will Learn

  • Which categories of drugs, biologicals, and radiopharmaceuticals were included in the 2011 update
  • How the article organizes code changes across HCPCS and CPT
  • What types of HCPCS code transitions were highlighted for the year
  • Which product groupings were affected by descriptor updates and code maintenance
  • How the article frames the relevance of the 2011 active code set for billing review

Who Should Read This

  • Hospital coders
  • Outpatient billing staff
  • Revenue cycle professionals
  • Coding compliance teams
  • Reimbursement specialists

Codes Discussed


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