Content Section
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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
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MLN Matters. . .Information for Medicare Providers
(Issued by the Centers for Medicare & Medicaid Services)
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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Note: These code changes will not be published until after the AMA’s 2005 CPT-4 codes are published, which usually occurs by November 1, 2005.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/ 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 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.
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