E/M Coding Alert - 2011 Issue 8
HCPCS Codes: CMS Introduces Several New 'Carrier-Priced' HCPCS Codes
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Article Overview
This article explains a CMS HCPCS quarterly update that adds new carrier-priced items effective July 1. It is aimed at coders, billers, and reimbursement staff who need to stay current on newly released HCPCS entries for supplies, devices, and injectable drugs, along with the general issue of carrier pricing and MAC-based payment verification.
Why This Topic Matters
It helps billing and coding professionals identify newly available HCPCS codes and understand that payment amounts are determined separately through carrier pricing, which affects charge capture and reimbursement workflow.
What You Will Learn
- What categories of HCPCS items were added in the CMS quarterly update
- Why carrier-priced HCPCS items require separate payment verification
- Which general types of supplies, devices, and injectable drugs are covered in the update
- When the new HCPCS items became effective
Who Should Read This
- Medical coders
- Medical billers
- Revenue cycle staff
- Practice managers
- Reimbursement specialists
Codes Discussed
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