INTERVENTIONAL CARDIOLOGY

November 25, 2015

The reporting of C-codes on hospital outpatient claims is critical to ensure appropriate coding for devicerelated procedures as well as appropriate levels of reimbursement. Medicare and also private payers use C codes to track the cost of medical devices used during a hospital outpatient procedure that is billed under the Hospital Outpatient Prospective Payment System (OPPS). While separate reimbursement for devices is not driven by C-code use unless it is approved as a new technology add-on payment device, Medicare sets new hospital OPPS rates using hospital claims and cost data and the use of a C-code to report the device will ensure that the device’s costs are included.

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Spotlight

Aviacode

Aviacode’s cloud-delivered coding applications, ProCoder™ and ProAuditor™, enable our national network of professionally certified medical coders and coding auditors to create consistent, reliable and predictable coding results, and document reviews

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