AHA Coding Clinic® for HCPCS - 2007 Issue 1; FOR your INFORMATION

Device editing

Since April 2005, CMS has had in place edits which require that if a hospital bills certain procedure codes that require a device, the claim must contain an appropriate device or it will be returned to be corrected under OCE edit 71 with the message: “Claim lacks required device code.” For example, if the hospital bills the HCPCS code G0300 for insertion of an ICD and leads, the hospital must also bill a device code for an ICD. The applicable table can be found at www.cms.hhs.gov/HospitalPPS/ under “January 2007 Procedure to Device Edits...

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