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February 14, 2018

Select States and Territories to Be First to Receive New Medicare Cards

The Centers for Medicare and Medicaid Services announced its mailing strategy over the course ... Learn More

New Payment Model Qualifies as APM

The Centers for Medicare and Medicaid Services (CMS) is rolling out a new payment model to begin ... Learn More

MAO Provider Directories Frustrate Would-Be Patients, CMS Finds

In a review completed in August 2017, the Centers for Medicare and Medicaid Services (CMS) dis... Learn More

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Medical Coding News Archives

2016 Revisions to HCPCS Focus on Quality Reporting and Drugs Provided

February 15, 2016:

Of the revisions to the HCPCS Level II code system effective January 1, 2016, most occurred to those codes reported under the Physician Quality Reporting System (G codes) as well as codes for supplies and services furnished by providers, including drugs (J codes).

Of note is a new code for stool incontinence (A4337), five new C codes that hospitals report under OPPS for drugs, biologicals and devices, and home ventilation codes (E0465 and E0466). The G code section has 171 additions describing new measures under PQRS. Also a number of new codes were added to the Q code section (temporary codes) and sections with codes for orthotic procedures (L codes) and laboratory services (P codes).

In addition, more than 80 HCPCS Level II codes were deleted. The revisions were made throughout the code system, but most occurred in the C code and G code sections. Other deletions also can be found in the A, Q, and S (non-Medicare) codes.

HCPCS codes are maintained by the Centers for Medicare and Medicaid Services (CMS) and are used to report those services, procedures and supplies that are not part of the CPT® coding system. Medicare and other payers also use some of the codes to describe services (such as screening procedures) more specifically than is possible using CPT codes. The HCPCS code system is updated quarterly with the majority of the revisions effective January 1 each year.


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