Medicare releases new HCPCS codes for LOCM for office use

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

Article Overview

This article covers Medicare’s release of new HCPCS codes tied to low-osmolar contrast material and related contrast agents for office use. It discusses the broader payment and reporting context under Medicare policy, the shift from older A-codes to newer Q-codes, and notes how the guidance differs by provider setting. The article is relevant to radiology, imaging, and billing professionals who need to track HCPCS updates and understand which contrast-agent code families are involved.

Why This Topic Matters

Coding and billing teams in imaging and radiology settings need to stay current with HCPCS updates so claims are reported under the correct code families for the appropriate provider setting. This article helps readers identify that a Medicare change affects contrast-agent reporting and that the update includes multiple related code groups.

Article Sections

  1. Medicare policy update and reporting context

    Introduces the Medicare update affecting contrast-agent payment and reporting. It frames the change in the context of Medicare policy and office-based billing.

  2. Questions about how the new reporting works

    Summarizes the article’s discussion of common implementation questions raised by the update. It focuses on the general reporting approach without detailing specific selection rules.

  3. New HCPCS codes for contrast agents

    Presents the updated HCPCS code groupings for contrast-agent reporting. It includes the contrast categories covered by the change and notes that several code families are involved.

  4. New instructions

    Outlines the setting-specific instructions associated with the code update. It distinguishes between hospital outpatient billing and non-institutional provider reporting.

What You Will Learn

  • The Medicare context for the contrast-agent code update
  • Which HCPCS code families are affected by the change
  • How the article distinguishes reporting by provider setting
  • What kinds of contrast-agent categories are addressed in the update

Who Should Read This

  • Medical coders
  • Radiology billing staff
  • Imaging practice administrators
  • Compliance professionals
  • Revenue cycle teams

Codes Discussed

Code Ranges Discussed

  • HCPCS LEVEL II: A4644–A4646
  • HCPCS LEVEL II: Q9945–Q9951
  • HCPCS LEVEL II: A4643 AND A4647
  • HCPCS LEVEL II: Q9955–Q9957

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