AHA Coding Clinic® for HCPCS - 2013 Quarter 4; FOR YOUR INFORMATION
New HCPCS C-codes
The Center for Medicare & Medicare Services (CMS) has created a new set of HCPCS C-codes that parallel the current set of skin substitute application CPT codes to be reported for the application low-cost skin substitutes. The new HCPCS C codes listed in the table below will be effective Jan. 1, 2014. Further information on the high-cost skin substitute procedure codes can be found in Table 14 of the CY 2014 OPPS/ASC final rule that was published in the Federal Register on Dec. 10, 2013. HCPCS Code HCPCS Long descriptor C5271 Application of low cost skin substitute graft to...
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Article Overview
This article explains a new group of HCPCS C-codes introduced by CMS for low-cost skin substitute application services. It is relevant for coders, billers, and revenue cycle staff who track outpatient payment policy updates and code-set changes. The piece also places the new HCPCS codes in the context of existing CPT skin substitute application reporting and references a Medicare outpatient prospective payment system update.
Why This Topic Matters
The article matters because it identifies a new HCPCS code family and notes when it became effective, helping readers recognize a code-set update tied to Medicare outpatient billing policy.
What You Will Learn
- The purpose of the new HCPCS code family
- How the article situates the code changes within CMS outpatient payment policy
- The effective date associated with the new codes
- The general areas of service covered by the new code group
Who Should Read This
- Medical coders
- Outpatient billers
- Revenue cycle staff
- Compliance staff
- Healthcare administrators
Codes Discussed
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