New HCPCS Codes for Drugs and Biologicals

CMS has created two new HCPCS codes for the reporting of Grafix ® , a tissue matrix. There are two forms of Grafix ® , Grafix Prime ® , and Grafix Core ® The new HCPCS codes for the Grafix tissue matrices became effective July 1, 2012 and are listed on the next page. HCPCS Code Long Descriptor C9368 Grafix core, per square centimeter C9369 Grafix prime, per square centimeter ...

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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 explains a CMS coding update for a tissue matrix product and identifies the new HCPCS reporting codes associated with its two product forms. It is relevant to coders, billing staff, and reimbursement professionals who track HCPCS changes for drugs and biologicals and need to stay current with effective dates and code additions.

Why This Topic Matters

Even small HCPCS updates can affect charge capture, claims processing, and code set maintenance. This article helps readers identify that a CMS change occurred, understand the general subject matter, and locate the related code information without relying on the premium text.

What You Will Learn

  • The article’s general focus on a CMS HCPCS update for a tissue matrix product.
  • That the update includes effective-date information.
  • That the content is aimed at reporting changes for drugs and biologicals.
  • How the article is organized around newly added HCPCS reporting information.

Who Should Read This

  • Medical coders
  • Billing staff
  • Reimbursement specialists
  • Compliance teams
  • Healthcare administrators

Codes Discussed


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The AHA Coding Clinic for HCPCS includes:

  • The official publication for Level I HCPCS (CPT-4 codes) for hospital providers
  • Also specific Level II HCPCS codes for hospitals, physicians and other health professionals
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  • Fully searchable through Find-A-Code's Comprehensive Search
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  • Code Information page link back to related articles
  • View all the articles associated with any code, right from the code page!
Access to this feature is available in the following products:
  • AHA's Coding Clinic® - HCPCS +Archives

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