AHA Coding Clinic® for HCPCS - 2004 Quarter 1; FOR your INFORMATION
Reporting medical devices with appropriate revenue codes
Hospitals should use the appropriate HCPCS code to bill implantable devices that have been granted pass-through status under the OPPS. Revenue codes, 0272, 0275, 0276, 0278, 0279, 0280, 0289, or 0624, should be utilized to bill devices eligible for pass-through payment, as designated by the payment status indicator "H". It is inappropriate for hospitals subject to OPPS to report implantable orthotic and prosthetic devices and implantable DME provided in the hospital outpatient setting with revenue codes 0274 or 0290. Facilities should report implantable orthotic and prosthetic devices and implantable durable medical equipment (DME) under another revenue code such as...
Subscribe or sign in to view the full article.
Article Overview
This article is a brief coding guidance piece for hospital outpatient billing under OPPS. It focuses on how implantable devices are categorized for reporting, the revenue code groupings referenced by the guidance, and the distinction between different types of implanted supplies and equipment in the outpatient setting. It is useful for hospital coders, billing staff, and compliance teams that need a quick check on device reporting categories and related CMS references.
Why This Topic Matters
Incorrect device reporting in the hospital outpatient setting can affect claim accuracy and compliance. This article helps readers identify the broad reporting framework and the specific billing categories referenced by the guidance.
What You Will Learn
- How the article frames reporting of implantable devices in the hospital outpatient setting
- Which general revenue code groups are referenced for device reporting
- How the guidance distinguishes between categories of implanted items and related hospital outpatient billing treatment
- What CMS-related reference is cited for additional information
Who Should Read This
- Hospital coders
- Outpatient billing staff
- Revenue cycle staff
- Compliance personnel
- Charge capture teams
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com