Tag Archives: HCPCS

CMS Schedules 2017 Meetings to Consider HCPCS Code Applications

CMS has just announced the dates for its annual meetings to discuss pending applications for new and revised HCPCS codes: May 16 – 18, 2017: Drugs/Biologicals/Radiopharmaceuticals/Radiologic Imaging Agents June 7 – 8, 2017: Durable Medical Equipment and Accessories/Orthotics and Prosthetics/Supplies/Other Deadlines and instructions for speaker and general registration and submission of comments are set forth … Continue Reading

DME MACs Warn Suppliers Not to Rely on Manufacturer Coding Advice

The Durable Medical Equipment Medicare Administrative Contractors (DME MACs) have issued a Correct Coding article on “HCPCS Coding Recommendations from Non-Medicare Sources,” which discusses Medicare supplier responsibility for selecting the most appropriate Healthcare Common Procedure Coding System (HCPCS) code for furnished medical products. The DME MACs point out that manufacturers and other entities do not … Continue Reading

CMS Schedules Meetings on HCPCS Code Applications

CMS is holding meetings in May and June 2016 to discuss pending applications for new and revised Healthcare Common Procedure Coding System (HCPCS) codes. The meeting dates are as follows: • May 17 – 19: Drugs/Biologicals, Radiopharmaceuticals/Radiologic Imaging Agents • June 1 – 2: Durable Medical Equipment, Orthotics and Prosthetics; Supplies and Other Deadlines and … Continue Reading

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 Schedules July 16 Meeting on Medicare Clinical Laboratory Fee Schedule Payments

CMS has just announced that it is holding a public meeting on July 16, 2015 to discuss Medicare clinical laboratory fee schedule (CLFS) payment for new or substantially revised HCPCS codes for calendar year 2016. At the meeting, the public also will have an opportunity to comment on certain reconsideration requests regarding test code payment … Continue Reading

CMS Publishes Update to DME Items Subject to Face-to-Face Encounter, Written Order Prior to Delivery Requirements

Today CMS published a notice updating the Healthcare Common Procedure Coding System (HCPCS) codes on the Durable Medical Equipment (DME) List of “Specified Covered Items” that require a face-to-face encounter and a written order prior to delivery (although CMS still is delaying enforcement of the face-to-face examination – but not the detailed written order – … Continue Reading

CMS Schedules May 2015 Meetings on HCPCS Applications

CMS has announced that it is holding series of meetings in May 2015 to discuss pending  Healthcare Common Procedure Coding System (HCPCS) applications. The meeting dates are as follows: May 7 & 8 — Drugs/Biologicals/Radiopharmaceuticals/Radiologic Imaging Agents May 21 & 22 — Supplies and Other May 27 — Durable Medical Equipment (DME) and Accessories; and … 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 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
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