AHA Coding Clinic® for HCPCS - 2019 Issue 1; For Your Information
HCPCS code C1890
The Centers for Medicare and Medicaid Services (CMS) has established a new HCPCS C-code to signify that the surgically inserted or implanted device (including single use medical devices) was not furnished with the device-intensive procedure. HCPCS code C1890, No implantable/insertable device used with device-intensive procedures, would be reported in the Ambulatory Surgical Center (ASC), and would not be reported on institutional claims by hospital outpatient department providers. New HCPCS modifier ‘ER’ Hospitals are now required to report HCPCS modifier ER, (Items and services furnished by a provider-based off-campus emergency department) on every claim line that contains a CPT/HCPCS...
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Article Overview
This article explains a CMS coding update for hospital outpatient and ambulatory surgical center reporting. It covers a new HCPCS C-code, a new HCPCS modifier used in a specific off-campus emergency department setting, and calendar year 2019 inpatient-only list changes that include selected CPT and HCPCS procedures. The material is relevant for hospital coders, ASC coders, and revenue cycle staff who need to track federal reporting updates.
Why This Topic Matters
These CMS updates affect how certain hospital services are reported and how specific procedures are categorized for outpatient versus inpatient settings. Staying current helps coding and billing teams apply the correct reporting framework for claims processing and compliance.
Article Sections
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CMS HCPCS update
Introduces a new HCPCS C-code and describes the broader reporting context in which CMS issued the update.
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New HCPCS modifier ER
Summarizes the new modifier requirement for certain hospital outpatient services and notes the provider settings discussed by CMS.
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Inpatient-Only list changes for Calendar Year 2019
Outlines CMS calendar year 2019 inpatient-only list revisions and the procedures identified as removed or added.
What You Will Learn
- How CMS updates can affect hospital outpatient and ASC reporting
- What general types of services are addressed by the new modifier requirement
- Which kinds of procedures were included in the 2019 inpatient-only list revision
- How to recognize the article’s focus on federal coding and billing changes
Who Should Read This
- Hospital coders
- ASC billing staff
- Revenue cycle teams
- Compliance staff
- Health information management professionals
Codes Discussed
Modifiers Discussed
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