The July quarterly I/OCE update from CMS brought few new APCs or edit updates, but did deliver new modifier -L1. Hospitals will use the new modifier to submit outpatient laboratory tests paid under the Clinical Laboratory Fee Schedule (CLFS) in certain circumstances to claim separate payment.
"Sometimes the questions are complicated and the answers are simple." ?Dr. Seuss
This quote seemed an appropriate way to begin a discussion about outpatient encounters and ICD-10-PCS.
You see, outpatient procedures will still be coded using CPT®/HCPCS?the HIPAA-approved code set for reporting hospital outpatient procedures?regardless of when ICD-10 is implemented.
This week’s updates include information on the Statistical Sampling Survey and NCD for cardiac rehabilitation programs. Click the link above to read more about this week’s updates.
This week’s updates include national coverage determination for cardiac pacemakers and updated to beneficiary signature requirements for ambulance services. Click the link above to read more about this week’s updates.
