AHA Coding Clinic® for HCPCS - 2002 Issue 4; FOR your INFORMATION

Changes in Medicare policy for Low Osmolar contrast material

A recent notification by CMS to all fiscal intermediaries on October 31, 2002, indicates that under the outpatient prospective payment system (OPPS) a payment difference between low osmolar contrast material (LOCM) and other contrast materials no longer exists since Medicare payment for all contrast media is packaged into the ambulatory payment classification (APC) for the diagnostic procedure. LOCM furnished on or after January 1, 2003 by hospitals subject to the OPPS should either include the charge for LOCM in the cost for the diagnostic procedure or, if billing for LOCM as a separate charge, bill using revenue code 255...

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