AMA CPT® Assistant - 2003 Issue 4 (April)

Specific OPPS 2003 Reporting Policy (April 2003)

April 2003 pages 7-23 Coding Communication:Specific OPPS 2003 Reporting Policy Previous articles in the multipart outpatient hospital reporting series addressed various facets of Medicare's hospital outpatient prospective payment system (OPPS), including current instruction for certain new HCPCS Level II codes/modifiers (ie, drug eluting stents, observation services, HCPCS Level II-CA modifier). We now would like to clarify the use of other 2003 HCPCS Level II codes, especially those that, according to Center for Medicare & Medicaid Services (CMS) policy, now supersede the use of certain CPT codes. We provide CMS rationales for issuing new HCPCS Level II G codes, definition...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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