AHA Coding Clinic® for HCPCS - 2019 Quarter 2; For your information
Changes to the HCPCS Level II application coding process for 2019
The Centers for Medicare and Medicaid Services (CMS) is in the process of adopting changes to the HCPCS coding application process based on feedback from stakeholders. These changes are proposed to facilitate the adoption of new technologies while balancing the burden on payers and providers and considers program needs. The information contained in this article can be found on the CMS website at: https://www.cms.gov/Medicare/Coding/MedHCPCSGenInfo/HCPCSCODINGPROCESS.html. Level II of the HCPCS is a standardized coding system that is used primarily to identify products, supplies, and services not included in the CPT code set jurisdiction, such as ambulance services...
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Article Overview
This CMS-focused article explains proposed and implemented changes to the HCPCS Level II application process for the 2019 cycle. It is relevant to coders, billing professionals, manufacturers, and other stakeholders who follow HCPCS policy and code-set maintenance. The article also describes the general categories of HCPCS revision requests and the program context behind the changes, without serving as a coding reference.
Why This Topic Matters
Changes to HCPCS application procedures can affect how new products or services are considered for code creation, revision, or discontinuation. Understanding the process helps stakeholders track policy updates, prepare submissions, and follow CMS guidance.
Article Sections
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HCPCS Level II background and CMS website references
Introduces the HCPCS Level II code set and its role in identifying certain products, supplies, and services. Also references CMS resources related to the coding application process.
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2019 HCPCS coding process changes
Summarizes the main process updates CMS is making for the 2019 cycle. The section focuses on application handling, transparency, participation, and access to prior materials.
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Types of HCPCS coding revisions that may be requested
Outlines the broad categories of requests that can be submitted through the HCPCS revision process. It covers the general circumstances under which requests may be considered and the relationship between code assignment and coverage.
What You Will Learn
- How CMS is changing the HCPCS Level II application process for 2019
- What broad administrative improvements are being emphasized in the HCPCS process
- Which general categories of HCPCS revision requests may be submitted
- How the article frames HCPCS Level II within the broader coding system context
Who Should Read This
- Medical coders
- Billing and reimbursement professionals
- Compliance staff
- Manufacturers and product applicants
- Healthcare stakeholders following CMS coding policy
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