AHA Coding Clinic® for HCPCS - 2006 Issue 3

Reporting of C-codes by Medicare non-OPPS providers

Effective October 1, 2006, C-codes may be used to bill services payable under Medicare payment systems other than Medicare’s Hospital Outpatient Prospective Payment System (OPPS). HCPCS C-codes are unique, temporary codes used to describe certain implantable medical devices, radiopharmaceuticals, drugs and biologicals, certain drug administration services, certain magnetic resonance imaging (MRI) and magnetic resonance angiography (MRA) procedures and new technology services. C-codes were initially created by the Centers for Medicare & Medicaid Services (CMS) to permit implementation of the Balanced Budget Refinement Act of 1999 (BBRA). These codes were initially created to identify services qualifying for “pass-through&rdquo...

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