AHA Coding Clinic® for HCPCS - 2013 Quarter 3; For Your Information
CMS implementing six Category III CPT codes
On July 1, 2013, CMS implemented in the OPPS six Category III CPT codes that the American Medical Association (AMA) released in January 2013. Four of the Category III CPT codes released are separately payable under the hospital OPPS. The released Category III CPT codes are as follows: HCPCS Long descriptor 0329T Monitoring of intraocular pressure for 24 hours or longer, unilateral or bilateral, with interpretation and report 0330T * Tear film imaging, unilateral or bilateral, with interpretation and report 0331T * Myocardial sympathetic innervation imaging, planar qualitative and quantitative assessment 0332T * Myocardial sympathetic innervation imaging, planar qualitative...
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Article Overview
This article summarizes a CMS OPPS update tied to AMA-released Category III CPT codes. It is relevant for hospital outpatient coding, billing, and reimbursement teams tracking new procedural code additions and payment status under OPPS. The article provides a concise list of the codes discussed and identifies which codes are separately payable.
Why This Topic Matters
Updates of this kind affect hospital outpatient coding workflows, charge capture, and payment determination. Readers need to know which new Category III CPT codes were implemented and which ones CMS identified as separately payable under OPPS.
What You Will Learn
- Which new Category III CPT codes CMS implemented under OPPS
- Which of the implemented codes were separately payable
- The general outpatient payment context for the update
- How the article frames the AMA release timing and CMS implementation date
Who Should Read This
- Hospital outpatient coders
- OPPS billing staff
- Revenue cycle professionals
- Coding auditors
- Compliance teams
- Health information management professionals
Codes Discussed
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