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For the 2017 calendar year, CMS has announced that they will operationalize the new coding rules, including adoption of the new code descriptors for CPT codes 77065, 7707 through the use of the three current HCPCS codes G0206, G0204 and G0202.

As part of this, CMS will be changing the descriptors of the HCPCS codes to match the new CPT codes.

A skin-protection wheelchair seat cushion less than 22 inches in width but any depth is coded E2603, and a skin-protection seat cushion greater than 22 inches in width but any depth is coded E2604.

Date Issued: 12/21/2016 Effective January 1, 2017, in accordance with AMA CPT coding guidelines, existing mammography CPT codes 77055, 77056, 77057 and computer-aided detection (CAD) CPT codes 7702 have been deleted.

CPT codes 80305, 8037 will be eligible for one (1) unit of reimbursement per date of service.

CPT codes 80305 and/or 80306 will be eligible in the physician office setting.

CMS requires that these codes (G-Codes) rather than CPT code 88305 be utilized to report surgical pathology on prostate needle biopsy specimens only if the number of separately identified needle biopsy specimens is five or more.

  What are some examples of HCPCS codes for durable medical equipment?

  A HCPCS code can be fairly broad or very specific.

These CPT codes are not eligible for health insurance plan reimbursement under the Physician Fee Schedule or under the Clinical Laboratory Fee Schedule.

For free-standing and hospital-based clinical laboratories only, Emblem Health will recognize Healthcare Common Procedure Coding System (HCPCS) codes G0477 through G0483 for drug testing services, consistent with CMS coverage guidelines.

Surgical pathology on four or fewer prostate needle biopsy specimens should be reported with CPT code 88305 with the unit of service corresponding to the number of separately identified biopsy specimens.

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