Some of these codes will be available for use as early as July 1.
Over the last few months CMS has been releasing procedure codes for your revenue cycle teams, both for inpatients and outpatients.
For your inpatient procedures, the updated ICD-10-PCS codes will available for discharges starting October 1.
According to the ICD-10-PCS fiscal year 2024 update summary, CMS made the following changes: 78 new codes, 14 revised titles, and five deleted codes.
The new codes cover a range of procedures, including:
- Bypass femoral artery using conduit
- Insertion of conduit to short-term external heart assist system
- Insertion of intraluminal device, bioprosthetic valve
- Introduction of drugs into peripheral veins
- Repositioning of larynx
The revisions and deletions mainly featured vertebral fusion procedures and introduction of certain drugs.
When it comes to outpatient reporting, most of the HCPCS code changes will be implemented July 1, but some codes were made available as early as March 14.
59 of the codes in this update were previously established in the first quarter 2023 HCPCS Application Summaries and Coding Recommendations. These 59 HCPCS codes are in Table 15 of the transmittal.
New administration code 0174A is for patients six months through four years of age and is to be used in conjunction with CPT product code 91317 (SARS-CoV-2 vaccine, mRNA-LNP, bivalent spike protein, preservative free, 3 mcg/0.2 mL dosage, diluent reconstituted, tris-sucrose formulation, for intramuscular use). In March, the Food and Drug Administration amended the bivalent Pfizer-BioNTech COVID-19 vaccine’s emergency use authorization to allow clinicians to administer a booster to certain young patients. Shortly after, the AMA released administration code 0174A, which became effective March 14.
The transmittal also mentioned the 20 Category III CPT codes that were originally introduced in January. These 20 Category III CPT codes will be available for use beginning July 1.
All of these new procedure codes come in conjunction with the 2024 ICD-10-CM diagnosis codes that were announced in June.
Robust data is critical to hospitals’ efforts to improve reimbursement. One way to better capture data on your patient populations is through proper documentation and keeping revenue cycle staff up to date on code changes.
Amanda Norris is the Director of Content for HealthLeaders.
KEY TAKEAWAYS
Over the last few months CMS has been releasing procedure codes for your revenue cycle teams, both for inpatients and outpatients.
All of these new procedure codes come in conjunction with the new diagnosis codes that were announced in June.
Robust data is critical to hospitals’ efforts to improve reimbursement. One way to better capture data on your patient populations is through proper documentation and keeping revenue cycle staff up to date on code changes.