tci Medicare Compliance & Reimbursement - 2008 Issue 26

Industry Notes: Add 4 Codes To Payable ASC List

Plus: House of Representatives aims to streamline health information technology system. The days of fighting for SurgiMend payment for your ASC could be coming to a close. Starting July 1, you'll be able to report four drugs and biologicals codes that Medicare will deem "separately payable" in ASCs, according to MLN Matters article MM6095. The four new codes are as follows: • C9242 -- Injection, fosaprepitant • C9356 -- TendoGlide tendon prot, cm2 • C9357 -- Flowable wound matrix, 1 cc • C9358 -- SurgiMend, per 0.5 cm2. More good news: Also on the plus side, "no HCPCS...

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