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March 27, 2018

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Medical Coding News Archives

CMS Makes APC Reassignments

December 11, 2007:
The Centers for Medicare and Medicaid Services (CMS) published the 2008 final rule on changes to the outpatient prospective payment system (OPPS) in the Federal Register on November 27, 2007. As part of the rule, CMS made the following ambulatory payment classification (APC) reassignments effective January 1, 2008:
  • Reconfigured skin repair procedures. APCs 0024, 0025, 0027, and 0686 are being eliminated. Five new APCs (0133, 0134, 0135, and 0136) are being established to represent level I-V skin repairs. Each procedure assigned to the current skin repair APCs has been redistributed into one of the five new APCs, with one exception: CPT® code 15835 Excision, excessive skin and subcutaneous tissue (including lipectomy); buttock) is being reassigned to APC 0022 Level IV, Excision/Biopsy, where other CPT® codes in its code family reside.
  • Reassigned uterine fibroid embolization. CPT® code 37210 for uterine fibroid embolization is reassigned to APC 0229 Transcatheter placement of intravascular shunts.
  • Reassigned monitoring. CPT® code 95250 Continuous glucose monitoring, and HCPCS Level II codes G0248 and G0249 Home international normalized ratio (INR) monitoring have been reassigned to the clinic visit APC of 0607.
  • Deleted APC 0081. APC 0081 Noncoronary Angioplasty or Atherectomy was deleted due to the revised 2008 packaging approach, which changed the associated median costs. Angioplasty procedures that had been assigned to this APC in 2007 were reassigned to APC 0083 for 2008.
  • Reassigned removal of cardiac event recorder. CPT® code 33284 Removal of an implantable, patient-activated cardiac event recorder was reassigned to APC 0020 Level II Excision/Biopsy.
  • Reconfigured APC 0082. Eleven CPT® codes, most of which were for percutaneous atherectomy procedures, were added to APC 0082. The title of APC 0082 has been changed to Coronary or Noncoronary Atherectomy.
  • Reassigned laparoscopic neurostimulator electrode implantation. CPT® code 43647 has been reassigned to APC 0061. The title of APC 0061 has been changed to Laminectomy, Laparoscopy, or Incision for Implantation of Neurostimulator Electrodes, Excluding Cranial Nerve.
  • Reassigned percutaneous renal cryoablation. CPT® code 50593, which is replacing 0135T in 2008, has been reassigned to APC 0423 Level II Percutaneous Abdominal and Biliary Procedures.
  • Reassignment of prostate procedures. Prostatic thermotherapy, CPT® codes 53850 and 53852, and radiofrequency ablation of prostate, CPT® code 53852, have been reassigned to APC 0429 Level V Cystourethrosopy and Other Genitourinary Procedures.
  • Deleted APC 0223. The APC for implantation or revision of pain management catheter has been deleted. CPT® code 62350, which had been the only code assigned to this APC, has been reassigned to APC 0224 Implantation of Reservoir/Pump/Shunt.
  • Reassigned injection procedure for sentinel node identification. CPT® code 38792 has been reassigned to APC 0392 Level II Nonimaging Nuclear Medicine.
  • Reconfigured arthroscopic procedure APCs. Eleven arthroscopic procedures have been reassigned from APC 0041 to APC 0042. Three arthroscopic procedures that are currently in APC 0053 have been reassigned to 0041.
  • Reassigned medication management. CPT® code 90862 Pharmacologic management, including prescription, use, and review of medication with no more than minimal psychotherapy, and HCPCS Level II code M0064 Brief office visit for the sole purpose of monitoring or changing drug prescriptions used in the treatment of mental psychoneurotic and personality disorders, have been reassigned to APC 0606 Level 2 Hospital Clinic Visits. Both codes had previously been in APC 0605.
Regina Magnani, RHIT
Clinical/Technical Editor

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