AHA Coding Clinic® for HCPCS - 2005 Issue 4

CMS clarifies the usage of modifier -CA

The Centers for Medicare & Medicaid Services (CMS) created HCPCS modifier -CA January 2003, for situations where a procedure on the outpatient prospective payment system (OPPS) inpatient only list is performed to resuscitate or stabilize an outpatient with an emergent, life-threatening condition, and the patient dies before being admitted as an inpatient. On November 2003, CMS created APC 0375, Ancillary outpatient services when patient expires, to ensure the appropriate payment for services rendered on the same date as procedure(s) with a status indicator (SI) of “C” billed with modifier -CA. Additionally, hospitals were instructed to use modifier -CA...

To read the full article, sign in and subscribe to the AHA Coding Clinic® for HCPCS.


The AHA Coding Clinic for HCPCS includes:

  • The official publication for Level I HCPCS (CPT-4 codes) for hospital providers
  • Also specific Level II HCPCS codes for hospitals, physicians and other health professionals
  • Current newsletters added each quarter
  • Full Archives back to 2001
  • Fully searchable through Find-A-Code's Comprehensive Search
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information page link back to related articles
  • View all the articles associated with any code, right from the code page!
Access to this feature is available in the following products:
  • AHA's Coding Clinic® - HCPCS +Archives

demo
request yours today
subscribe
start today
newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.