CMS Releases July 2009 I/OCE v10.2
- By admin aapc
- In CMS
- June 12, 2009
- Comments Off on CMS Releases July 2009 I/OCE v10.2
The Centers for Medicare & Medicaid Services (CMS) released the July 2009 Integrated Outpatient Code Editor (I/OCE) Specifications, version 10.2. This quarter’s update hosts a number of noteworthy changes that go into effect July 1.
Transmittal 1739, CR 6480, issued May 15, provides background information and a summary of the following changes.
| Ambulatory Payment Classifications (APCs) added to the I/OCE: | |||
| APC | APC Description | Status Indicator | |
| 01268 | Xyntha, inj | K | |
| 01269 | Alloskin skin sub | K | |
| 01270 | Alloderm skin sub | K | |
| 09250 | Artiss fibrin sealant | G | |
| 09251 | Inj, C1 esterase inhibitor | G | |
| 09252 | Injection, plerixafor | G | |
| 09253 | Injection, temozolomide | G | |
| 09360 | SurgiMend, neonatal | G | |
| 09361 | NeuroMend nerve wrap | G | |
| 09362 | Implnt,bone void filler-strip | G | |
| 09363 | Integra Meshed Bil Wound Mat | G | |
| 09364 | Porcine implant, Permacol | G | |
| APC(s) description changes: | |||
| APC | Old Description | New Description | |
| 09358 | SurgiMend, 0.5cm2 | SurgiMend, fetal | |
| 09359 | Implant, bone void filler | Implant, bone void filler-putty | |
| New HCPCS/CPT® code(s) added to the IOCE: | |||
| HCPCS | Code Description | SI | APC |
| 0199T | Physiologic tremor record | S | 00215 |
| 0200T | Perq sacral augmt unilat inj | T | 00049 |
| 0201T | Perq sacral augmt bilat inj | T | 00050 |
| 0202T | Post vert arthrplst 1 lumbar | C | 0000 |
| 90670 | Pneumococcal vacc, 13 val im | E | 0000 |
| C9250 | Artiss fibrin sealant | G | 09250 |
| C9251 | Inj, C1 esterase inhibitor | G | 09251 |
| C9252 | Injection, plerixafor | G | 09252 |
| HCPCS | Code Description | SI | APC |
| C9253 | Injection, temozolomide | G | 09253 |
| C9360 | SurgiMend, neonatal | G | 09360 |
| C9361 | NeuroMend nerve wrap | G | 09361 |
| C9362 | Implnt,bon void filler-strip | G | 09362 |
| C9363 | Integra Meshed Bil Wound Mat | G | 09363 |
| C9364 | Porcine implant, Permacol | G | 09364 |
| Q2023 | Xyntha, inj | K | 01268 |
| Q4115 | Alloskin skin sub | K | 01269 |
| Q4116 | Alloderm skin sub | K | 01270 |
| Changed code descriptions: | |||
| HCPCS | Old Description | New Description | |
| C9358 | SurgiMend, 0.5cm2 | SurgiMend, fetal | |
| C9359 | Implant, bone void filler | Implant, bon void filler-putty | |
| Code(s) with an APC and/or SI and/or edit change, effective Jan. 1: | |||
| HCPCS | Code Description | New APC | |
| 99251 | Inpatient consultation | C | |
| 99252 | Inpatient consultation | C | |
| 99253 | Inpatient consultation | C | |
| 99254 | Inpatient consultation | C | |
| 99255 | Inpatient consultation | C | |
| Code(s) with an APC and/or SI and/or edit change, effective April 1: | |||
| HCPCS | Code Description | New APC | New SI |
| K0740 | Repair/svc oxygen equipment | E | 9 |
| Additional valid modifiers, effective Jan.1: | |||
| Modifier | Activation Date | ||
| PA | 0 | ||
| PB | 0 | ||
| PC | 0 | ||
| Additional valid modifiers, effective April 1: | |||
| Modifier | Activation Date | ||
| PI | 0 | ||
| PS | 0 | ||
| Invalid modifiers, effective April 1: | |||
| Modifier | Activation Date | ||
| K8 | 0 | ||
Version 15.1 of Correct Coding Initiative (CCI) edits is included in the July 2009 I/OCE.
These I/OCE instructions and specifications will be used under the Outpatient Prospective Payment System (OPPS) and non-OPPS for hospital outpatient departments, community mental health centers, and for all non-OPPS providers, and for limited services when provided in a home health agency not under the Home Health Prospective Payment System or to a hospice patient for the treatment of a non-terminal illness. A Recurring Updated Notification (RUN) attached to Transmittal 1739 applies to Pub. 100-04; Medicare Claims Processing Manual; chapter 4; section 40.1.
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I am trying to find out what procedure code is use when you need to go to the hospital for outpatient procedure and only use the facilities, such as treatment room, anesthesia, surgical dressings, supplies etc.
Thank you,
Patti