tci Outpatient Facility Coding Alert - 2016 Issue 10

HCPCS Update: Rejoice Over New HCPCS Code for Abdominal Ultrasound

Plus: New drugs codes for hemophilia, asthma, arrhythmia and cancer Get ready to learn more new C-codes for your outpatient services as the HCPCS update goes into effect. Remember, CMS approved C-code coverage under the Hospital Outpatient Prospective Payment System (HOPPS) effective October 1, 2016. Background: “C-codes generally mean reimbursement for a drug or procedure and often apply to new technology items or services,” says Sarah Goodman, MBA, CHCAF, CPC-H, CCP, FCS, president of the consulting firm SLG, Inc., in Raleigh, N.C. The new codes include OPPS pass-through drug codes and a radiology procedure code. Most...

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