AHA Coding Clinic® for HCPCS - 2003 Issue 4; FOR your INFORMATION
New codes for the reporting of an implantable cardioverter-defibrillator (ICD)
The Center for Medicare & Medicaid Services (CMS) recently issued two new codes for the reporting of the insertion of an implantable cardioverter-defibrillator. Hospitals are instructed by CMS to discontinue reporting CPT code, 33240, Insertion of single or dual chamber pacing cardioverter-defibrillator pulse generator, and code 33249, Insertion or repositioning of electrode lead(s) for single or dual chamber pacing cardioverter-defibrillator and insertion of pulse generator. Effective for services furnished on or after October 1, 2003, hospitals should report the following new codes, as appropriate: HCPCS Code - Descriptor G0297 Insertion of single chamber pacing cardioverter-defibrillator pulse generator G0298 Insertion...
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Article Overview
This short CMS-focused article covers a reporting update for implantable cardioverter-defibrillator procedures in hospitals. It identifies the new HCPCS code set entries introduced for these services, notes the CPT codes affected by the change, and references the applicable effective date and CMS transmittal. The article is relevant to hospital outpatient coders, billing staff, and reimbursement professionals who need to track Medicare reporting updates.
Why This Topic Matters
It helps hospital coding and billing teams recognize which code set changes apply to ICD-related procedures under CMS outpatient reporting rules and when the update takes effect.
What You Will Learn
- Which code sets are involved in the reporting update for implantable cardioverter-defibrillator procedures.
- What CMS changed for hospital outpatient reporting of these services.
- When the reporting update became effective.
- Where to look for the referenced CMS transmittal.
Who Should Read This
- Hospital outpatient coders
- Billing staff
- Reimbursement specialists
- Revenue cycle professionals
- Medicare compliance teams
Codes Discussed
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