Medical Oncology Code Changes
ACOA Web Docs – September 2007
ACOA Coding Update
New CMS codes for IVIG
Effective July 1, 2007 CMS replaced HCPCS
code J1567 with the following product-specific IVIG codes, which are
reported with one unit for each 500 mg of product administered:
There are also codes
available for new payable services such as Rhophylac injections (Q4089) and
HepaGam B injections (Q4090). Additional information is available at:
http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM5635.pdf
In addition, the reimbursement and
availability for IVIG is a focus of the Office of the Inspector General in
2007.According to the OIG work Plan: “We will examine current market prices
and product availability for Intravenous Immune Globulin (IVIG). As part of
this review, we will assess manufacturer pricing and perspectives on IVIG
and will also examine other links in the IVIG supply chain, i.e.,
distributors, Group Purchasing Organizations, and physicians.”
This Coding and
Reimbursement Update was prepared by:
Cindy C. Parman, CPC, CPC-H
Coding Strategies, Inc.
Phone: (877) 6CODING
Fax: (770) 445-0407
Cindy.Parman@codingstrategies.com
www.codingstrategies.com
Cindy
C. Parman, CPC, CPC-H
principal and co-founder of Coding Strategies, Inc. in Atlanta, GA. Cindy
is a current member of the Advisory Board for the American Academy of
Professional Coders (AAPC) and a faculty instructor for AMA Solutions, a
subsidiary of the American Medical Association. She serves as the Consulting
Editor of the Radiology Coding Alert
and is on the Editorial Advisory Board of
General Surgery Coding Alert and
Pain Management Coding Alert.
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