Changes to Certain HCFA Level II HCPCS "C" Codes for Use with Outpatient Prospective Payment System (June 2001)

June 2001 pages 4-7 Coding Update Changes to Certain HCFA Level II HCPCS "C" Codes for Use with Outpatient Prospective Payment System HCFA recently announced changes to the 2001 Level II HCPCS C-codes for use in conjunction with the reporting of hospital outpatient procedures/services. The following new categories have been established and are effective for services delivered on or after April 1, 2001. According to HCFA, they are expected to remain in effect until January 1, 2003. All of the C-codes included here are used exclusively for services paid under the outpatient prospective payment system (OPPS) and may not...

Subscribe or sign in to view the full article.

Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article covers HCFA’s June 2001 guidance on revised HCPCS Level II C-code categories for hospital outpatient prospective payment system billing. It explains the policy context, effective dates, transition period, and the broad device groupings that were created for outpatient pass-through payment reporting. It is relevant to hospital outpatient coders, billing staff, compliance teams, and others who track Medicare coding updates and device-related payment guidance.

Why This Topic Matters

These changes affected how hospitals reported qualifying outpatient devices during the transition to category-based C codes. The article helps readers understand the scope of the update, the timing of code use, and the general framework behind Medicare outpatient device reporting.

Article Sections

  1. Coding Update

    Overview of HCFA’s outpatient coding update and the purpose of the revised C-code framework. Covers the general Medicare payment context and the transition away from item-specific reporting.

  2. Devices Eligible for Transitional Pass-through Payments

    Background on the device eligibility framework and the broader requirements discussed for outpatient pass-through payment under Medicare. Summarizes the regulatory and administrative context for the guidance.

  3. C-Codes for Categories

    Lists the newly established category-based HCPCS C codes and describes the general structure of the outpatient device categories. Includes the effective period and the temporary overlap with older codes.

  4. Crosswalk from Item-Specific C Codes to New Category C-Codes

    Explains the transition aid that maps earlier item-specific codes to the new categories. Notes the availability of additional reference materials and related HCFA guidance.

What You Will Learn

  • The policy reason HCFA introduced category-based outpatient C codes
  • The general timeframe for when the coding changes took effect
  • How the article organizes the transition from older item-specific codes to new categories
  • What kinds of outpatient device topics are addressed in the guidance
  • Where HCFA-related reference materials and follow-up resources are mentioned

Who Should Read This

  • Hospital outpatient coders
  • Medical billing staff
  • Revenue cycle professionals
  • Compliance teams
  • Coding educators and auditors

Codes Discussed

  • HCPCS Level II: C1883
  • HCPCS Level II: C1713
  • HCPCS Level II: C1715
  • HCPCS Level II: C1716
  • HCPCS Level II: C1717
  • HCPCS Level II: C1718
  • HCPCS Level II: C1719
  • HCPCS Level II: C1720
  • HCPCS Level II: C2616
  • HCPCS Level II: C1721
  • HCPCS Level II: C1882
  • HCPCS Level II: C1722
  • HCPCS Level II: C1723
  • HCPCS Level II: C1726
  • HCPCS Level II: C1727
  • HCPCS Level II: C1728
  • HCPCS Level II: C1729
  • HCPCS Level II: C1730
  • HCPCS Level II: C1731
  • HCPCS Level II: C1732
  • HCPCS Level II: C1733
  • HCPCS Level II: C2630
  • HCPCS Level II: C1887
  • HCPCS Level II: C1750
  • HCPCS Level II: C1752
  • HCPCS Level II: C1751
  • HCPCS Level II: C1759
  • HCPCS Level II: C1754
  • HCPCS Level II: C1755
  • HCPCS Level II: C1753
  • HCPCS Level II: C2628
  • HCPCS Level II: C1756
  • HCPCS Level II: C2627
  • HCPCS Level II: C1757
  • HCPCS Level II: C1885
  • HCPCS Level II: C1725
  • HCPCS Level II: C1714
  • HCPCS Level II: C1724
  • HCPCS Level II: C1758
  • HCPCS Level II: C1760
  • HCPCS Level II: C1762
  • HCPCS Level II: C1763
  • HCPCS Level II: C1881
  • HCPCS Level II: C1764
  • HCPCS Level II: C1767
  • HCPCS Level II: C1768
  • HCPCS Level II: C1769
  • HCPCS Level II: C1770
  • HCPCS Level II: C1891
  • HCPCS Level II: C2626
  • HCPCS Level II: C1772
  • HCPCS Level II: C1893
  • HCPCS Level II: C1892
  • HCPCS Level II: C1894
  • HCPCS Level II: C2629
  • HCPCS Level II: C1776
  • HCPCS Level II: C1895
  • HCPCS Level II: C1777
  • HCPCS Level II: C1896
  • HCPCS Level II: C1778
  • HCPCS Level II: C1897
  • HCPCS Level II: C1898
  • HCPCS Level II: C1779
  • HCPCS Level II: C1899
  • HCPCS Level II: C1780
  • HCPCS Level II: C1878
  • HCPCS Level II: C1781
  • HCPCS Level II: C1782
  • HCPCS Level II: C1784
  • HCPCS Level II: C2619
  • HCPCS Level II: C1785
  • HCPCS Level II: C2621
  • HCPCS Level II: C2620
  • HCPCS Level II: C1786
  • HCPCS Level II: C1787
  • HCPCS Level II: C1788
  • HCPCS Level II: C2618
  • HCPCS Level II: C1789
  • HCPCS Level II: C1813
  • HCPCS Level II: C2622
  • HCPCS Level II: C1815
  • HCPCS Level II: C1816
  • HCPCS Level II: C1771
  • HCPCS Level II: C2631
  • HCPCS Level II: C1773
  • HCPCS Level II: C2615
  • HCPCS Level II: C1817
  • HCPCS Level II: C1874
  • HCPCS Level II: C1875
  • HCPCS Level II: C2625
  • HCPCS Level II: C2617
  • HCPCS Level II: C1876
  • HCPCS Level II: C1877
  • HCPCS Level II: C1879
  • HCPCS Level II: C1880

Subscribe or sign in to view the full article.

Access to this feature is available in the following products:
  • AMA's CPT® Assistant & CER - Current + Archives/Advanced Coding Pack

Boost Your Coding Precision with CPT Assistant

Welcome to the ultimate resource for mastering CPT coding – the CPT® Assistant. This indispensable tool, brought to you by the American Medical Association (AMA), is designed specifically for medical coders, auditors, and billers who strive for accuracy and efficiency in their daily work with patient charts. Whether you are validating codes, training staff, or appealing insurance denials, CPT Assistant provides the authoritative guidance you need to excel.

Features

CPT Assistant

  • Expert Insights: Explanations and interpretations by the CPT Assistant Editorial Board.

  • Curated Content: Articles addressing key coding topics are meticulously curated for your convenience.

  • Visual Learning: Detailed examples, charts, graphs and illustrations to help you understand correct coding practices.

  • Monthly Updates: Regular updates on the latest coding changes and best practices.

  • Extensive Archive: Access more than 25 years of historical reference material.

  • Search Capabilities: Enjoy simple and effective search functions by keyword, code number, or article index.

Advantages and Benefits

With CPT Assistant, you can navigate the complexities of medical coding with unparalleled confidence. This resource offers authoritative answers and expert explanations that help reduce coding errors, leading to fewer claim denials and streamlined appeals processes. The comprehensive archive of articles, updated monthly, ensures you always have the most current information at your fingertips, enhancing your ability to stay ahead of industry changes and trends.

CPT Assistant’s visual aids, such as anatomical illustrations and procedural charts, make complex codes easier to understand, improving your accuracy and efficiency. By integrating this resource into your daily workflow, you can save valuable time and enhance your productivity.

Furthermore, CPT Assistant supports your professional growth by providing ongoing education and insights that keep you informed about the latest coding practices. This not only boosts your professional credibility but also enhances your ability to train and support your team effectively.

Get Started Today

Unlock your full potential and boost your coding capabilities with CPT Assistant today and experience the benefits of having a reliable, comprehensive coding resource at your disposal.

Contact Find-A-Code Customer Support for more information and to get started.


demo
request yours today
subscribe
start today
newsletter
free subscription

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

Aimee- AI -powered coding assistant - Try it now for Free Would you like Aimee - AI
to help you with this?