AHA Coding Clinic® for HCPCS - 2010 Quarter 4
Reporting of Implantable Devices and Biologicals-Part II
At our facility, surgeons are performing traditional surgical discectomies in order to repair a spinal disc herniation. This is typically being performed by making an incision into the disc annulus fibrosus so that the protruding nucleus pulposus can be removed. Following removal of the protruding nucleus pulposus, the incision site is permanently closed using Xclose Tissue Repair System- an anular implant to avoid subsequent disc rupture and re-herniation. The implant our facility is using is comprised of several soft tissue T-anchors and synthetic polyethylene terephthalate implants. What HCPCS code should our facility report to capture the use of this anular implant device? ...
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Article Overview
This article is a follow-up discussion of hospital reporting for implantable devices and biologicals in the HCPCS context. It explains the scope of additional examples and clarifications issued by the Central Office on HCPCS, with emphasis on reviewing device and procedure edit resources and understanding when device-related items are or are not separately reportable. The content is aimed at hospital coders, outpatient prospective payment system users, and others responsible for claims data accuracy and device reporting review.
Why This Topic Matters
Accurate reporting of implantable devices and biologicals affects claims data quality and hospital outpatient coding consistency. The article helps readers understand the kind of HCPCS guidance available for device reporting and where related edit resources are referenced.
Article Sections
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Introduction and reporting context
Introduces the follow-up guidance and explains that the article provides additional examples and clarification related to hospital reporting of implantable devices and biologicals. It also references review resources used in outpatient claims reporting.
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Example: spinal discectomy with anular implant
Presents a hospital coding question involving device use in connection with a spinal procedure. The section shows the type of reporting issue addressed for a specific implant-related scenario.
What You Will Learn
- How the article frames hospital reporting questions for implantable devices and biologicals
- What kinds of device-reporting clarification are included in the follow-up examples
- How related outpatient device edit resources are referenced in the guidance
- How the article handles situations where a device-related item may not be separately reportable
Who Should Read This
- Hospital outpatient coders
- HCPCS coding professionals
- Claims data and reimbursement staff
- Outpatient prospective payment system users
- Coding compliance personnel
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