decisionhealth Newsletters, Coder Pink Sheets - 2009 Issue 7 (July)
Never events: New HCPCS modifiers and E codes
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Article Overview
This article explains a Medicare/CMS policy update focused on preventable surgical “never events” and the coding changes used to track them. It is relevant to coders, billing staff, compliance teams, and ophthalmology practices because it discusses new HCPCS modifiers, revised ICD-9-CM E codes, effective dates, and related professional guidance aimed at reducing wrong-site and similar errors.
Why This Topic Matters
The topic affects how certain preventable procedure events are identified and reported in claims and administrative data. It also highlights specialty guidance and workflow tools that may be important for ophthalmology practices and compliance review.
Article Sections
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CMS never-event policy update
Overview of Medicare’s policy response to preventable surgical events and the timing of related coding changes. The section frames the general categories of events being tracked.
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New HCPCS modifiers and ICD-9-CM E codes
Summary of the newly introduced HCPCS modifiers and revised ICD-9-CM E codes referenced in the article. The discussion is centered on the code update itself and the effective dates.
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AAO develops protocols to prevent ‘never events’
Information about ophthalmology-focused prevention tools and professional resources developed to reduce wrong-site and similar errors. The section also notes organizational involvement and related education efforts.
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Official resources
Links and source references for locating CMS and ICD-9-CM update materials. This section is a resource list rather than clinical guidance.
What You Will Learn
- What CMS means by preventable surgical “never events” in this context
- Which types of coding updates were introduced to track these events
- What kinds of ophthalmology prevention resources were announced
- Where to find the official CMS and ICD-9-CM update materials
Who Should Read This
- Medical coders
- Billing staff
- Compliance professionals
- Ophthalmology practices
- Health information management professionals
Codes Discussed
Modifiers Discussed
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