April 30, 2015

Update of the OPPS and Ambulatory Surgical Center Payment System

CMS established one new HCPCS device pass-through for the Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment Systems, which was effective April 1, 2015. Pass-through category C2623 (Catheter, transluminal angioplasty, drug-coated, non-laser) is to be billed, and paid for, as a pass-through device only when provided with CPT Code 37224 (Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal angioplasty), or CPT Code 37226 (Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s).

Please see MLN Matters article MM9100 for further guidance and detailed billing instructions.

Please contact Dominick Parris in the Department of Economics and Health Policy with your questions regarding ICD-10 End-to-End Testing at djparris@acr.org.