Logo
ISO 9001:2000
Menu Arrow
Menu Top
Menu Arrow
Menu Top
Menu Arrow
ISO Certified

Update of Healthcare Common Procedure Coding System (HCPCS) Codes, File Names, Descriptions and Instructions for Retrieving the 2006 Ambulatory Surgical Center (ASC) HCPCS Additions, Deletions, and Master Listing

Note: Should you have landed here as a result of a search engine (or other) link, be advised that these files contain material which is copyrighted by the American Medical Association (AMA). You are forbidden to download the files unless you read, agree to and abide by the provisions of the copyright statement. Read the copyright statement now (you will be linked back to here).


MLN Matters. . .Information for Medicare Providers
(Issued by the Centers for Medicare & Medicaid Services)


Provider Types Affected
ASCs providing services to Medicare beneficiaries and billing Medicare carriers or fiscal intermediaries (FIs) for those services

Provider Action Needed
Be aware of the ASC HCPCS codes that are being added to and deleted from the ASC list, effective January 1, 2006.

Background
The Centers for Medicare & Medicaid Services (CMS) is updating the ASC HCPCS codes list as a result of changes in the American Medical Association (AMA) Physician’s Current Procedural Terminology (CPT) for 2006.

Note: These code changes will not be published until after the AMA’s 2005 CPT-4 codes are published, which usually occurs by November 1, 2005.

Implementation Date
The implementation date is January 3, 2006.

Additional Information
For complete details, please see the official instruction issued to your carrier/FI regarding this change. Attachment A of that instruction (CR4082) is included below and it contains the ASC list of both HCPCS deletions and additions, effective January 1, 2006.

CR4082 may be viewed by going to http://www.cms.hhs.gov/Transmittals/ External Link on the CMS Web site.

From that Web page, look for CR4082 in the CR NUM column on the right, and click on the file for that CR.

If you have any questions, please contact your Medicare carrier/FI at their toll-free number, which may be found at http://www.cms.hhs.gov/MedlearnProducts/downloads/CallCenterTollNumDirectory.pdf External Link on the CMS Web site.

Attachment A from CR4082
The following is the ASC List of Approved Procedures HCPCS Code Changes (deletions/additions) for January 1, 2006, effective for services performed on or after January 1, 2006:

Deletions

HCPCS CODE

Short Descriptor

ASC Payment Group

Payment Amount

15350

Skin homograft

2

446

15351

Skin homograft add on

2

446

16015

Treatment of burn(s)

2

446

21493

Treat hyoid bone fracture

3

510

21494

Treat hyoid bone fracture

4

630

31585

Treat larynx fracture

1

333

31586

Treat larynx fracture

2

446

37720

Removal leg vein

3

510

37730

Removal leg veins

3

510

42325

Create salivary cyst drain

2

446

Additions

HCPCS CODE

Short Descriptor

ASC Payment Group

Payment Amount

15040

Harvest cultured skin graft

2

446

15110

Epidrm autogrft trnk/arm/leg

2

446

15111

Epidrm autogrft t/a/l add-on

1

333

15115

Epidrm a-grft face/nck/hf/g

2

446

15116

Epidrm a-grft f/n/hf/g addl

1

333

15130

Derm autograft, trnk/arm/leg

2

446

15131

Derm autograft t/a/l add-on

1

333

15135

Derm autograft face/nck/hf/g

2

446

15136

Derm autograft, f/n/hf/g add

1

333

15150

Cult epiderm grft t/arm/leg

2

446

15151

Cult epiderm grft t/a/l addl

1

333

15152

Cult epiderm graft t/a/l +%

1

333

15155

Cult epiderm graft, f/n/hf/g

2

446

15156

Cult epidrm grft f/n/hfg add

1

333

15157

Cult epiderm grft f/n/hfg +%

1

333

15300

Apply skinallogrft, t/arm/lg

2

446

15301

Apply sknallogrft t/a/l addl

1

333

15320

Apply skin allogrft f/n/hf/g

2

446

15321

Aply sknallogrft f/n/hfg add

1

333

15330

Aply acell alogrft t/arm/leg

2

446

15331

Aply acell grft t/a/l add-on

1

333

15335

Apply acell graft, f/n/hf/g

2

446

15336

Aply acell grft f/n/hf/g add

1

333

15420

Apply skin xgraft, f/n/hf/g

2

446

15421

Apply skn xgrft f/n/hf/g add

1

333

15430

Apply acellular xenograft

2

446

15431

Apply acellular xgraft add

1

333

16025

Dress/debrid p-thick burn, m

2

446

16030

Dress/debrid p-thick burn, l

2

446

37718

Ligate/strip short leg vein

3

510

37722

Ligate/strip long leg vein

3

510

45990

Surg dx exam, anorectal

2

446

Disclaimer
This article was prepared as a service to the public and is not intended to grant rights or impose obligations. This article may contain references or links to statutes, regulations, or other policy materials. The information provided is only intended to be a general summary. It is not intended to take the place of either the written law or regulations. We encourage readers to review the specific statutes, regulations and other interpretive materials for a full and accurate statement of their contents.

Related Change Request (CR) #: 4082
Medlearn Matters Number: MM4082
Related CR Release Date: October 21, 2005
Related CR Transmittal #: 720
Effective Date: January 1, 2006
Implementation Date: January 3, 2006

Posted: 11/29/2005

CPT codes, descriptions, and other data only are copyright 2005 American Medical Association (or such other date of publication of CPT). All Rights Reserved. Applicable FARS/DFARS Apply.

 

 

   
 
Spacer Image
 Translate this page >> 
 
 
 
 
 
 
 
 
 
 
Copyright