Healthcare News: July OPPS update brings bevy of ophthalmologic, maternal care code changes

June 6th, 2017

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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 reviews CMS’s July 2017 outpatient prospective payment system update and highlights the newly effective ophthalmologic, maternal care, procedure, and drug-related coding changes. It is useful for coders, billing staff, compliance teams, and healthcare organizations tracking quarterly OPPS updates, HCPCS additions, and Category III CPT® changes. The article provides a high-level overview of the update and the categories of codes affected.

Why This Topic Matters

Quarterly OPPS updates can affect outpatient billing workflows, charge capture, and claim processing. This article helps readers identify which broad areas of coding are changing and who may need to review their systems or reference materials.

What You Will Learn

  • What types of code updates are included in the July 2017 OPPS quarterly update
  • Which broad clinical areas are affected by the update
  • How CMS quarterly changes can impact outpatient coding and billing workflows
  • What categories of codes are newly effective or replaced

Who Should Read This

  • Medical coders
  • Outpatient billing staff
  • Compliance professionals
  • Revenue cycle teams
  • Healthcare administrators
  • Ophthalmology practices
  • Maternal care practices

Codes Discussed

  • CPT: 0469T
  • CPT: 0470T
  • CPT: 0471T
  • CPT: 0472T
  • CPT: 0473T
  • CPT: 0474T
  • CPT: 0475T
  • CPT: 0476T
  • CPT: 0477T
  • CPT: 0478T
  • HCPCS Level II: C9745
  • HCPCS Level II: C9746
  • HCPCS Level II: C9747
  • HCPCS Level II: Q9984
  • HCPCS Level II: Q9985
  • HCPCS Level II: Q9986
  • HCPCS Level II: J1725

Code Ranges Discussed

  • CPT: 0470T-0471T
  • CPT: 0472T-0473T
  • CPT: 0475T-0478T

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