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AHA Coding Clinic® for HCPCS - 2009 Issue 1; FOR your INFORMATION

Reporting biologicals used as implantable devices

When reporting biologicals where the HCPCS code describes a product that is solely surgically implanted or inserted, hospitals are to report the appropriate HCPCS code for the product whether the HCPCS code is identified as having pass-through status or not. However, when using biologicals as implantable devices during surgical procedures (including as a scaffold or an alternative to human or nonhuman connective tissue or mesh used in a graft) where the HCPCS code describes a product that may be either surgically implanted or inserted or otherwise applied in the care of a patient, hospitals should not separately report the...

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