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CMS Adds Nine New HCPCS Codes to ASC List of Covered Ancillary Services

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CMS has added nine newly created HCPCS codes that will be added to the ASC list of covered ancillary services effective July 1.

 

The nine drugs and biologicals separately payable under the ASC payment system that have been granted ASC payment status effective July 1, along with their long and short descriptors and payment indicators, are as follows:

 

HCPCS Code

Long Descriptor

Short Descriptor

ASC PI

C9283

Injection, acetaminophen, 10 mg

Injection, acetaminophen

K2

C9284

Injection, ipilimumab, 1 mg

Injection, ipilimumab

K2

C9285

Lidocaine 70 mg/tetracaine 70 mg, per patch

Patch, lidocaine/tetracaine

K2

C9365

Oasis Ultra Tri-Layer Matrix, per square centimeter

Oasis Ultra Tri-Layer Matrix

K2

C9406

Iodine I-123 ioflupane, diagnostic, per study dose, up to 5 millicuries

Dx I-123 ioflupane, per dose

K2

Q2041*

Injection, von willebrand factor complex (human), Wilate, 1 i.u. vwf:rco

Wilate injection

K2

Q2042

Injection, hydroxyprogesterone caproate, 1 mg

Hydroxyprogesterone caproate

K2

Q2043*

Sipuleucel-t, minimum of 50 million autologous cd54+ cells activated with pap-gm-csf, including leukapheresis and all other preparatory procedures, per infusion

Sipuleucel-T auto CD54+

K2

Q2044

Injection, belimumab, 10 mg

Belimumab injection

K2

 

The HCPCS codes identified with an asterisk are replacement codes. HCPCS code Q2041 is replacing HCPCS code J7184 beginning on July 1. The payment status of J7184 beginning July 1 will change from K2 (drugs and biologicals paid separately when provided integral to a surgical procedure on ASC list; payment based on OPPS rate) to Y5 (non-surgical procedure/item not valid for Medicare purposes because of coverage, regulation and/or statute; no payment made). HCPCS code Q2043 is replacing HCPCS code C9273 beginning on July 1. C9273 will be deleted for dates of service July 1 and forward. The July 2011 ASCPI file will reflect the changes PI=Y5 for J7184 and PI=D5 for C9273 effective July 1.

 

Source: CMS

 

Related Articles on ASC Coding and Billing:

CMS Adds Six New HCPCS Codes to ASC List of Covered Surgical Procedures

How to Determine When to Go In-Network vs. Out-of-Network

Preparing Your Surgery Center for ICD-10: Part 3

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