AHA Coding Clinic® for HCPCS - 2011 Issue 4; FOR your INFORMATION
New device Pass-through categories
CMS has established two (2) new device pass-through codes that became effective October 1, 2011, HCPCS codes C1830, Powered bone marrow biopsy needle, and C1840, Lens, intraocular (telescopic). Additionally, HCPCS code C1840 is accepted as a new device code for transitional pass-through payment, when submitted with CPT codes: 66982 Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification) complex, requiring devices or techniques not generally used in routine cataract surgery (eg, iris expansion device, suture support for intraocular lens, or primary posterior capsulorrhexis) or performed...
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Article Overview
This article explains a CMS update on device pass-through categories and related payment processing details. It is aimed at coders, billing staff, and revenue cycle professionals who need to track quarterly or annual HCPCS and CPT changes that may affect outpatient claims and device-related reimbursement. The article also points readers to the CMS transmittal and related reference materials for context.
Why This Topic Matters
Understanding device pass-through updates helps billing and coding teams recognize when CMS has introduced new HCPCS device codes and how those changes relate to outpatient payment workflows. This matters for accurate claim handling, compliance, and staying current with CMS program updates.
What You Will Learn
- Which CMS program update is being referenced
- Which device-related HCPCS codes are newly identified in the article
- How the article connects device pass-through changes to related CPT procedure reporting
- Where the CMS reference information is located
Who Should Read This
- Medical coders
- Outpatient billing staff
- Revenue cycle teams
- Ophthalmology practices
- Hospital outpatient departments
Codes Discussed
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