AHA Coding Clinic® for HCPCS - 2002 Issue 3

OCE recognizes admitting diagnosis for observation services

A recent program memorandum (PM), Transmittal A-02-075, released by the Centers for Medicare & Medicaid Services, now requires the Shared Systems Maintainers (SSMs) to pass the admitting diagnosis field to the outpatient prospective payment system (OPPS) outpatient code editor (OCE). The effective date for this change is April 1, 2002. However, the change will not be implemented by the SSMs until January 1, 2003. Presently, to determine whether observation services meet the requirements for separate OPPS payment, all the diagnosis fields on an outpatient claim are required to be available to the OPPS OCE. Each diagnosis field on the...

To read the full article, sign in and subscribe to the AHA Coding Clinic® for HCPCS.


The AHA Coding Clinic for HCPCS includes:

  • The official publication for Level I HCPCS (CPT-4 codes) for hospital providers
  • Also specific Level II HCPCS codes for hospitals, physicians and other health professionals
  • Current newsletters added each quarter
  • Full Archives back to 2001
  • Fully searchable through Find-A-Code's Comprehensive Search
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information page link back to related articles
  • View all the articles associated with any code, right from the code page!
Access to this feature is available in the following products:
  • AHA's Coding Clinic® - HCPCS +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.