AHA Coding Clinic® for HCPCS - 2006 Issue 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...

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