AHA Coding Clinic® for HCPCS - 2017 Quarter 1; For Your Information
Reporting of an Argus retinal prosthesis
The Centers for Medicare & Medicaid Services (CMS) created HCPCS code C1842 , Retinal prosthesis, includes all internal and external components; add-on to C1841 , as an add-on code to resolve claims processing issues for ambulatory surgical centers (ASCs). Please note that this add-on code should not be reported by hospital outpatient department providers. This code became effective January 1, 2017. ...
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Article Overview
This article explains a Medicare coding update involving the HCPCS system and reporting of an Argus retinal prosthesis. It is aimed at coders, billing staff, and facility reimbursement teams who need to understand the scope of the change, the affected provider setting, and the effective date. The discussion is narrowly focused on a CMS-created code and its role in claims processing.
Why This Topic Matters
Facility and professional billing teams need to know when a CMS coding change applies, which provider settings are impacted, and what effective date governs reporting.
What You Will Learn
- The CMS context for a retinal prosthesis reporting update
- Which provider settings are discussed in relation to the change
- When the update became effective
- How the article frames the claims-processing purpose of the HCPCS update
Who Should Read This
- Medical coders
- Billing specialists
- Revenue cycle staff
- ASC reimbursement teams
- Hospital outpatient billing staff
Codes Discussed
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