AHA Coding Clinic® for HCPCS - 2002 Issue 4; FOR your INFORMATION

Observation services, HCPCS, and APC's

The Centers for Medicare & Medicaid Services (CMS), has published additional instructions in the November 1, 2002, final rule regarding HCPCS code G0244 to assist users in the reporting of observation services. The new instructions provided by CMS are as follows. Please note that the previously published instructions regarding HCPCS code G0244 were incomplete. The additional information published by CMS reflects current outpatient code editor (OCE) logic, and should be applied to claims for HCPCS code G0244, as follows: Chest pain, at least two sets of cardiac enzymes [either two CPK (82550, 82553), or two troponin (84484 or 84512)]...

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