AHA Coding Clinic® for HCPCS - 2021 Issue 4; For Your Information

Updates to device offset from payment

n the October 2021 Update of the Hospital Outpatient Prospective Payment System (OPPS) (Transmittal 10997 dated September 16, 2021), the Center for Medicare and Medicaid Services (CMS) determined the device(s) in the category described by HCPCS code C1831 should always be reported with one of the primary Current Procedural Terminology (CPT) codes 22558, 22586, 22612, 22630, or 22633 and add-on code 22853 or 22854.In the July 2021 Update of the Hospital Outpatient Prospective Payment System (OPPS) (Transmittal 10825, dated June 11, 2021), CMS stated that the device in the category described by HCPCS C1761 should always be reported...

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