AHA Coding Clinic® for HCPCS - 2019 Issue 1; For Your Information
New HCPCS codes and dosage descriptors for certain drugs, biologicals and radiopharmaceuticals effective January 1, 2019
CMS created several new HCPCS codes for the reporting of drugs and biologicals in the hospital outpatient setting where there have not previously been specific HCPCS codes available. These new HCPCS codes will be added to the list of HCPCS codes utilized for the reporting of certain drugs and biologicals. These new HCPCS codes effective for CY 2019 are listed in the table below. CY 2019 HCPCS Code CY 2019 Long Descriptor C9035 Injection, aripiprazole lauroxil (aristada initio), 1 mg C9036 Injection, patisiran, 0.1 mg C9037 Injection, risperidone (perseris), 0.5 mg C9038 Injection, mogamulizumab-kpkc, 1 mg C9039...
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Article Overview
This article explains a set of HCPCS additions effective for calendar year 2019 and is aimed at coders, billing staff, and compliance professionals who work with outpatient drug and biological reporting. It covers the broad categories of newly established codes and dosage descriptors, along with the organizations and setting context behind the update, so readers can determine whether the changes affect their workflows.
Why This Topic Matters
HCPCS updates can affect charge capture, claims reporting, and internal charge description masters. This article helps readers identify whether their organization needs to review outpatient drug, biological, radiopharmaceutical, and product reporting for the 2019 update cycle.
What You Will Learn
- Which types of HCPCS items received new calendar year 2019 reporting codes
- How the article groups drugs, biologicals, radiopharmaceuticals, and related products
- What overall outpatient reporting context CMS is addressing
- Which product categories are included in the 2019 update list
Who Should Read This
- Hospital outpatient coders
- Medical billers
- Revenue cycle staff
- Compliance professionals
- Charge capture teams
- Pharmacy billing staff
Codes Discussed
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