Effective January 1, 2008, the Outpatient Code Editor (OCE) will begin editing for the presence of a HCPCS code for the diagnostic radiopharmaceutical on the same claim as the separately payable nuclear medicine procedure. Claims not passing these edits will be returned to the provider. The nuclear medicine procedure-radiopharmaceutical edits are available on the CMS Web site at http://www.cms.hhs.gov/HospitalOutpatientPPS/ under Downloads. These edits may be updated quarterly as appropriate.
AHA Coding Clinic® for HCPCS - 2008 Issue 1; FOR your INFORMATION
New diagnostic radiopharmaceutical edits
AHA CODING CLINIC® FOR ICD-10-CM and ICD-10-PCS 2008 is copyrighted by the American Hospital Association ("AHA"), Chicago, Illinois. No portion of AHA CODING CLINIC® FOR ICD-10-CM and ICD-10-PCS may be reproduced, sorted in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without prior express, written consent of the AHA.
ICD-10-CM and ICD-10-PCS Coding Clinic. This product contains AHA CODING CLINIC® FOR ICD-10-CM and ICD-10-PCS content which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable, which was developed exclusively at private expense by the American Hospital Association, 155 N. Wacker Dr., Suite 400, Chicago, Illinois 60606. U.S. government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2) (November 1995) and/or subject to the restrictions of DFARS 227.7202-1(a) (June 1995) and DFARS 227.7202-3(a) (June 1995), as applicable, for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (December 2007) and/or subject to the restricted rights provisions of FAR 52.227-14 (December 2007) and FAR 52.227-19 (December 2007), as applicable, and any applicable agency FAR supplements, for non-Department of Defense Federal procurements.
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