AMA CPT® Assistant - 2003 Issue 8 (August)
Update of OPPS Revisions/Corrections (August 2003)
August 2003 pages 10-13 Coding Brief:Update of OPPS Revisions/Corrections On April 2, 2003, the Centers for Medicare and Medicaid Services released a Program Memorandum (PM) (Transmittal A-03-020) indicating that the April 2003 Outpatient Code Editor (OCE) and the OPPS PRICER will reflect the HCPCS and ambulatory payment classification (APC) additions and changes, and other revisions, identified in this document. This PM includes corrections of errors that appeared in the final rule with comment period published in the Federal Register on November 1, 2002 (67 FR 66719). The corrections were published in a Correction Notice (CN) in the Federal Register...
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Article Overview
This article reviews CMS outpatient prospective payment system revisions and corrections published in 2003, including updates tied to program memoranda, correction notices, APC changes, and selected billing instructions. It is useful for hospital outpatient coders, billing staff, and reimbursement professionals who need to understand which outpatient payment topics were clarified, corrected, or updated during that period. The article covers several broad areas such as observation services, drug-eluting stents, radiation therapy reporting, partial hospitalization, and other HCPCS/APC updates.
Why This Topic Matters
It helps readers track CMS outpatient payment corrections and implementation dates that affected hospital billing and claim processing in 2003. The article also supports awareness of which guidance was revised or clarified for specific outpatient services and payment categories.
Article Sections
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August 2003 pages 10-13
Introductory coding brief and overview of the CMS outpatient payment update, including the source memoranda and effective dates referenced in the article.
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Corrections to Transmittal A-02-129 issued on January 3, 2003
Updates to earlier CMS outpatient guidance, organized by topic areas that were revised or clarified in the 2003 transmittal.
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Changes Affecting Drugs and Biologicals
A summary of outpatient payment updates related to pharmaceuticals, biological products, and related billing topics.
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Drug-Eluting Stents
Billing and payment updates concerning outpatient handling of drug-eluting stent services and associated APC information.
What You Will Learn
- Which outpatient payment topics CMS corrected or updated in 2003
- How the article is organized around CMS memoranda and outpatient revisions
- Which broad service categories were affected by the update
- What kinds of billing and payment subjects were addressed for hospital outpatient claims
Who Should Read This
- Hospital outpatient coders
- Hospital billing staff
- Reimbursement specialists
- Revenue cycle professionals
- Compliance and coding educators
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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