AHA Coding Clinic® for HCPCS - 2006 Quarter 4
New HCPCS and new category III CPT codes
New HCPCS J codes New HCPCS J codes have been created for calendar year (CY) 2007 to replace four (4) HCPCS codes, C9227 , Injection, micafungin sodium, per 1 mg, C9228 , Injection, tigecycline, per 1 mg, C9229 , Injection, ibandronate sodium, per 1 mg, and C9230 , Injection, abatacept, per 10 mg, created by the Centers for Medicare & Medicaid Services (CMS). HCPCS C-codes are temporary national codes. The general policy is to utilize permanent HCPCS J-codes, if appropriate, rather than the C-codes for the reporting of drugs under the outpatient prospective payment system (OPPS). Therefore, the four C-codes listed above will...
Subscribe or sign in to view the full article.
Article Overview
This article summarizes new HCPCS and Category III CPT code updates associated with CMS publication and calendar-year implementation. It is relevant to coders, billing staff, and reimbursement professionals who need to track code-set changes for outpatient, hospital, and ambulatory settings. The discussion covers replacement of temporary HCPCS codes, new HCPCS G-code reporting for hemodialysis access services, and the addition of new Category III CPT codes released for implementation in 2006 and 2007.
Why This Topic Matters
Code-set updates affect how services are reported and monitored across outpatient and hospital settings. Staying current helps avoid use of outdated temporary codes and supports accurate tracking of newly available procedures and technologies.
Article Sections
-
New HCPCS J codes
Introduces new HCPCS J-code updates and the general context for replacing temporary HCPCS codes in the outpatient setting. Includes calendar-year timing and CMS-related reporting context.
-
New HCPCS G-codes
Summarizes newly created HCPCS G-codes for hemodialysis access-related services and the affected outpatient reporting environment. Also notes the relationship to existing procedural code categories.
-
New Category III CPT codes
Presents newly released Category III CPT codes and their implementation timeframe. Covers the broad clinical areas addressed by the new temporary procedure codes.
What You Will Learn
- How the article groups newly released HCPCS and Category III CPT updates
- Which CMS-related code changes are highlighted for the 2007 calendar year
- What types of outpatient and procedural reporting areas are affected by the updates
- How the article frames the transition from temporary to permanent coding categories
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle professionals
- Hospital outpatient departments
- Ambulatory surgery centers
- Reimbursement analysts
Codes Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com