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January 25, 2018


Four Tests Added to List of CLIA Waived Tests

In early January, the Centers for Medicare and Medicaid Services (CMS) announced new waived tests... Learn More


New and Revised Vaccine Codes Added to 2018 CPT Code Book

The American Medical Association (AMA) added and revised several vaccine CPT codes for its 201... Learn More


OIG Recommends Measures for Curbing Opioid Misuse and Fraud

Office of Inspector General testimony before the House Committee on Ways and Means in January ... Learn More


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Medical Coding News Archives

CMS Releases HCPCS Update

 
June 10, 2010:

The Centers for Medicare and Medicaid Services (CMS) released the latest revision to the HCPCS Level II coding system on May 21.

Effective July 1, providers are to bill the oral anti-cancer drug fludarabine phosphate using code Q2025.

Q2025 Fludarabine phosphate, oral, 1mg

Dermal injections for facial lipodystrophy syndrome (LDS) have been approved as covered services effective March 23, 2010. For the services to be considered reasonable and necessary, providers must use a dermal filler that has been approved by the Food and Drug Administration (FDA) for this purpose, and then only in HIV-infected beneficiaries when facial LDS caused by antiretroviral HIV treatment is a significant contributor to the patient’s depression. When these requirements have been met, providers should report the following codes for claims with a date of service on or after March 23, 2010.

Q2026 Injection, Radiesse, 0.1ml
Q2027 Injection, Sculptra, 0.1ml

HCPCS Level II is a national coding system developed by CMS that contains alphanumeric codes for physician and nonphysician services not included in the CPT coding system. HCPCS Level II codes cover such things as ambulance services, drugs, and durable medical equipment, as well as orthotic and prosthetic devices. CMS updates the HCPCS coding system quarterly.

Deborah C. Hall
Clinical/Technical Editor

 

 
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