AHA Coding Clinic® for HCPCS - 2004 Quarter 2; FOR your INFORMATION
New technology service APCs under the OPPS
The following services are assigned for payment in new technology service APCs under the OPPS outpatient code editor (OCE), version 5.1, effective April 1, 2004. HCPCS Effective date SI APC Short descriptor Long descriptor Payment rate Minimum unadjusted copayment C9712 * 04/01/04 S 1506 Insert pH capsule, GERD Insertion of pH capsule for measurement and monitoring of gastroesophageal reflux disease, includes data collection and interpretation $450.00 $90.00 C9713 04/01/04 S 1525 Non-contact laser vap prosta Non-contact laser vaporization of prostate, including coagulation control of intraoperative and post-operative bleeding $3,750.00 $750.00 C9714 04/01/04 S...
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Article Overview
This article summarizes a Medicare outpatient payment update focused on new technology service APCs under the OPPS. It is useful for hospital outpatient coders, billing staff, and revenue cycle teams who track quarterly OCE changes, APC assignments, and effective dates for newly recognized services. The article provides a concise payment-oriented table and a short note clarifying a reporting detail tied to one of the listed services.
Why This Topic Matters
Updates like this affect outpatient claim reporting, APC assignment review, and charge capture for services newly recognized in the OPPS OCE. Facilities need this information to align internal coding references with the applicable effective date and payment classification.
What You Will Learn
- Which outpatient services were assigned to new technology service APCs in the referenced OCE version.
- How effective-date and APC information is presented for Medicare OPPS payment updates.
- What general reporting note accompanies one of the listed services.
- intended_audiences":["Hospital outpatient coders","Outpatient billing staff","Revenue cycle managers","Medicare reimbursement specialists"],"topics":["OPPS","outpatient code editor","new technology services","APC assignment","Medicare outpatient payment updates","effective dates"],"medical_specialties":["Gastroenterology","Urology","Surgery","Radiation oncology"],"code_sets":["HCPCS Level II"],"codes":[{"code_set":"HCPCS Level II","code":"C9712"},{"code_set":"HCPCS Level II","code":"C9713"},{"code_set":"HCPCS Level II","code":"C9714"},{"code_set":"HCPCS Level II","code":"C9715"}],"code_ranges":[],"modifiers":[],"content_type":"payment update","effective_dates":["04/01/04"],"organizations_mentioned":["Medicare","OPPS","OCE"],"keywords":["new technology service APCs","outpatient code editor","version 5.1","effective April 1, 2004","payment rate","copayment"],"questions_answered":["What OPPS update is described in the article?","Which HCPCS Level II codes are listed in the new technology service APC table?","What effective date applies to the listed services?","Which general outpatient specialties are associated with the listed services?"],"access_description":"Public, non-disclosing profile for a premium Find-A-Code article about OPPS new technology service APC assignments and effective dates.","disclosure_check":{"contains_code_descriptions":false,"contains_modifier_descriptions":false,"contains_actionable_coding_instructions":false,"contains_article_conclusions":false,"contains_detailed_examples":false}}}
Who Should Read This
- Hospital outpatient coders
- Outpatient billing staff
- Revenue cycle managers
- Medicare reimbursement specialists
Codes Discussed
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