Tag Archives: Coding

CMS Proposes HCPCS Changes for Miscellaneous DME

CMS is proposing to revise the coding used to describe miscellaneous durable medical equipment (DME). The agency notes that HCPCS code E1399, “durable medical equipment, miscellaneous,” is currently used to bill for inexpensive DME, other covered DME, and replacement parts, which are subject to different payment rules. Likewise, HCPCS code K0108 describes a “wheelchair component … Continue Reading

CMS Call: Transitioning to ICD-10 (Nov. 5)

CMS is hosting a call on November 5, 2014 to discuss implementation issues associated with the transition to ICD-10 on October 1, 2015. The call will cover the following topics: final rule and national implementation; Medicare Fee-For-Service testing; the Medicare Severity Diagnosis Related Grouper (MS-DRG) Conversion Project; partial code freeze and annual code updates; plans … Continue Reading

HHS Officially Sets October 1, 2015 Date for ICD-10 Implementation

HHS has published a final rule that makes official the October 1, 2015 compliance date for the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) and the International Classification of Diseases, 10th Revision, Procedure Coding System (ICD-10-PCS). HHS had previously intended to transition from ICD-9 to ICD-10 on October 1, 2014, but the Protecting Access … Continue Reading

CMS Proposes Discontinuing 2 HCPCS Codes under New Demonstration

As recently announced, CMS is conducting what it describes as a “limited demonstration” of an internet-based notice and comment mechanism on internally-generated requests to discontinue Level II HCPCS codes.   CMS has just released details regarding the first two HCPCS codes it is proposing to remove under this process: A7042 Implanted Pleural Catheter, Each.  CMS rationale:  the … Continue Reading

CMS Announces New Public Comment Process on Requests to Discontinue HCPCS Codes

CMS has announced what it is describing as a “limited demonstration” of an internet-based notice and comment mechanism on requests to discontinue Level II HCPCS codes. The internet-based process would apply to HCPCS discontinuation requests that are generated by CMS based on national program operating needs, and that are not the subject of other notice … Continue Reading

CMS Extends Partial ICD-9-CM and ICD-10 Code Freeze to Reflect Transition Delay

CMS has announced that it is extending its partial ICD-9-CM and ICD-10 code freeze to reflect enactment of legislation (the Protecting Access to Medicare Act of 2014) that prevents the agency from adopting ICD-10 prior to October 1, 2015. Under the new schedule, on October 1, 2014 there will be only limited code updates to both … Continue Reading

CMS Public Meeting on Clinical Lab Codes (July 14)

CMS is holding a public meeting on July 14, 2014 to receive comments on the appropriate basis for establishing payment amounts for new or substantially revised HCPCS codes being considered for Medicare payment under the clinical laboratory fee schedule for 2015. The meeting also provides a forum for those who submitted reconsideration requests regarding final … Continue Reading

CMS Sets Dates for 2014 HCPCS Public Meetings

CMS has announced that it is holding series of meetings in May and June to discuss pending application for the 2015 Healthcare Common Procedure Coding System (HCPCS) update. The dates are as follows: May 20 & 21, 2014 — Drugs/Biologicals/Radiopharmaceuticals/Radiologic Imaging Agents May 28, 2014 — Supplies and Other June 3, 2014 — Durable Medical Equipment … Continue Reading

CMS Finalizes Hospice Policies, Rates for FY 2014

CMS published a final rule on August 7, 2013 that updates Medicare hospice reimbursement and related policies for FY 2014, which begins on October 1, 2013. The final rule increases Medicare hospice payments by 1.0% compared to FY 2013 rates, but down slightly from the 1.1% increase anticipated in the proposed rule. Specifically, CMS is … Continue Reading

CMS to Host July 10, 2013 Meeting on New Clinical Laboratory Test Payment Determinations

CMS has announced that it is hosting a July 10, 2013 public meeting to receive comments and recommendations on the appropriate basis for establishing payment amounts for new or substantially revised HCPCS codes being considered for Medicare payment under the clinical laboratory fee schedule for calendar year 2014. The deadline for registration of presenters and … Continue Reading

CMS Meeting on Billing and Coding with Electronic Health Records (May 3)

On May 3, 2013, CMS and the Office of the National Coordinator for Health Information Technology (ONC) are hosting a meeting to discuss electronic health records, the increase in code levels billed for some Medicare services, and appropriate coding in an increasingly-electronic environment. The meeting, which is aimed at providers, health information technology vendors, and other … Continue Reading

CMS Offers Tips and Timelines for ICD-10 Implementation

In preparation for the October 1, 2014, ICD-10 code set implementation date, CMS has posted a variety of ICD-10 checklists and planning timelines for provider practices, hospitals, and payers.  CMS also has outlined suggested steps for ensuring a smooth transition to ICD-10 and preparing for potential cash-flow disruptions from claims processing delays. For instance, CMS … Continue Reading

CMS Announces Dates for 2013 HCPCS Public Meetings

CMS is holding series of meetings in May and June 2013 to discuss preliminary determinations for applications for new Healthcare Common Procedure Coding System (HCPCS) codes for the 2014 update. The following are the 2013 public meeting dates: May 8 and 9, 2013 — Drugs/Biologicals/Radiopharmaceuticals/Radiologic Imaging Agents May 29, 2013 — Supplies and Other June 4, … Continue Reading

ICD-9-CM Coordination and Maintenance Committee Meeting (March 5, 2013)

This post was written by Nancy Sheliga. On March 5, 2013, the ICD-9-CM Coordination and Maintenance Committee is holding a public forum to discuss proposed code changes to the ICD-9-CM and ICD-10-CM/PCS code sets. As previously reported, CMS has scheduled implementation of the ICD-10-CM/ICD-10-PCS code sets for October 1, 2014. Accordingly, only limited code updates … Continue Reading
LexBlog