AHA Coding Clinic® for HCPCS - 2004 Issue 3; FOR your INFORMATION

Billing update for drug eluting stents

In July 2003, the Centers for Medicare & Medicaid Services (CMS) added two HCPCS codes G0290 and G0291 for the placement drug eluting stents. Given that C codes were reinstituted by CMS on January 1, 2004, recent instructions published in Publication 100-04, Transmittal 195, state that hospitals are now able to report charges for drug eluting stents with HCPCS code C1874, Stent coated/covered, with delivery system, and the appropriate revenue code. CMS further instructs hospitals to make certain that the charges for HCPCS codes G0290 and G0291 for placement of the stents does not include the stent charge when...

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