AHA Coding Clinic® for HCPCS - 2004 Issue 4

Required use of C-codes

In order to calculate the median costs for device-dependent APCs, CMS needs claims data for the devices that are required for use in the provision of services in these APCs. The coding of devices has been a challenge for hospitals since the implementation of the Outpatient Prospective Payment System (OPPS). In August 2000, new technology devices were coded separately using device-specific C-codes. Nine months later, Congress mandated that devices be rolled into categories and identified with C-codes. In 2002, CMS “folded-in” 75% of transitional pass-through payments into the base APC rates. In 2003, a number of devices on...

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