The Centers for Medicare & Medicaid Services (CMS) will no longer permit the submission of claims with discontinued HCPCS Level I and Level II codes.
The Health Insurance Portability and Accountability Act (HIPAA) transaction and code set rule requires usage of the medical code set that is valid at the time service is provided.
Therefore, since January 1, 2005 the 90-day grace period for billing discontinued HCPCS codes was eliminated by CMS. Facilities are instructed to stay abreast of all annual and mid-year changes, i.e. new, revised, and discontinued HCPCS codes, with updated code books and by accessing CMS’s website for a listing of new, revised and discontinued HCPCS codes.
Remember: The eliminated 90-day grace period also pertains to any HCPCS codes discontinued mid-year. The HCPCS updates can be seen at CMS’s Web site: http://www.cms.hhs.gov/providers/pdfdownload/anhcpsdl.asp