AHA Coding Clinic® for HCPCS - 2022 Quarter 1; For Your Information
Update to the device offset from payment
Published in the For Your Information section of the Fourth Quarter 2021 issue of Coding Clinic for HCPCS, it was noted that HCPCS Level II code C1831 should always be reported with one of the primary Current Procedural Terminology (CPT) codes 22558 and 22586 . This information is no longer valid. Hospitals can no longer bill C1831 when performing 22558 and 22586 as these procedures have been added to the Inpatient Only List effective January 1, 2022. The most current information related to pass through devices can be found on the CMS website at: https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalOutpatientPPS/passthrough_payment ...
Subscribe or sign in to view the full article.
Article Overview
This article explains a correction to earlier Coding Clinic guidance about a HCPCS Level II pass-through device code and its relationship to specific CPT procedures. It is relevant to hospital outpatient coding, device-related billing, and readers tracking CMS payment policy updates and the Inpatient Only List. The article points to CMS as the source for the most current pass-through device information and notes an effective date tied to January 1, 2022.
Why This Topic Matters
Hospitals and coding professionals need to follow current CMS payment and billing policy to avoid using outdated guidance. This update affects how device-related claims are understood in the context of outpatient payment and procedures that moved to the Inpatient Only List.
What You Will Learn
- How a prior Coding Clinic device-related billing note was updated
- Which types of payment-policy resources are referenced for current pass-through device information
- What general timing change is associated with the updated guidance
- How the article relates to hospital outpatient coding and device offsets from payment
Who Should Read This
- Hospital outpatient coders
- Facility billing staff
- Coding compliance professionals
- Revenue cycle teams
- Healthcare reimbursement analysts
Codes Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com