AHA Coding Clinic® for HCPCS - 2012 Quarter 2; For Your Information
Types of Requests
Temporary or Permanent code be added: When there is not a distinct code that describes a product, a code may be requested If the FDA allows the product to be marketed in the United States and If the product is not a drug, the product has been on the market for at least 3 months; if the product is a drug, there is no requirement to submit marketing data; and The product represents 3 percent or more of the outpatient use for that type of product in the national market. If a request for a new code is approved...
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Article Overview
This article explains the broad types of requests that can be submitted through the HCPCS review process, including requests to add a new code, revise the language of an existing code, or delete a code. It also describes the role of CMS, the ongoing nature of the review process, and the general setting in which temporary HCPCS codes may be used. The content is relevant to coding professionals, product manufacturers, and others who need to understand how HCPCS request types are organized.
Why This Topic Matters
Understanding the request categories helps readers determine which type of HCPCS submission may fit a product or coding concern and how CMS manages the review process at a high level.
What You Will Learn
- The major categories of HCPCS requests and what they are meant to address.
- How temporary HCPCS codes fit within the broader CMS review process.
- What general organizations and policy framework are associated with HCPCS revisions.
- The kinds of submission topics that may be addressed through the HCPCS review cycle.
Who Should Read This
- Medical coders
- Coding managers
- Product manufacturers
- Healthcare compliance staff
- Payer and reimbursement staff
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