AHA Coding Clinic® for HCPCS - 2007 Quarter 1; FOR your INFORMATION
A new €œspecial€ category for packaged services
CMS has created a new category of packaged codes, referred to as “special” packaged codes. These codes are being utilized in outpatient hospital settings when the hospital provides no other separately payable services under the OPPS on a claim for the same date of service. Additional information regarding the usage of “special” packaged codes can be found in Transmittal 1139. A listing of the “special” packaged codes that will be utilized in the new category for packaged codes created by CMS for calendar year (CY) 2007 can be found in Table 5 on page 14. Table...
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Article Overview
This short CMS-focused article describes a change to packaged services under the outpatient prospective payment system and points readers to a transmittal for additional guidance. It also presents the CY 2007 list of HCPCS codes placed into the new packaged category, making the page useful for hospital outpatient coders, billing teams, and revenue cycle staff who track OPPS packaging updates.
Why This Topic Matters
The article helps readers recognize a CMS packaging change that affects outpatient hospital claim processing and determine whether the CY 2007 packaged-service list is relevant to their coding and billing workflow.
What You Will Learn
- What CMS changed in the outpatient hospital packaged-services framework
- Where to find additional CMS guidance related to the packaged category
- Which HCPCS codes are listed for the CY 2007 packaged-service category
- How the update fits into outpatient hospital billing under OPPS
Who Should Read This
- Outpatient hospital coders
- Hospital billing staff
- Revenue cycle teams
- Compliance staff
- Charge description master specialists
Codes Discussed
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