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Wednesday, July 1, 2015

C Codes - Effective July 1st 2015

Note: Refer to the July 2015 Update of the Hospital Outpatient Prospective Payment System (OPPS) or the July 2015 Update of the Ambulatory Surgical Center (ASC) Payment System change request (CR) documents for payment and other information about these HCPCS C-code(s).  These documents can be found at: http://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2015-Transmittals.html
HCPCS  Code Short Description Long Description Added Date Termination Date Comments
C2613 Lung bx plug w/del sys Lung biopsy plug with delivery system 7/1/2015   New OPPS pass-through device code effective July 1, 2015.
C9349 PuraPly, PuraPly Antimic PuraPly, and PuraPly Antimicrobial, any type, per square centimeter 01/01/2015   This code was effective Jan 1, 2015.  The trade name for the product has been changed from "Fortaderm" to "PuraPly" effective July 1, 2015.
C9448 Oral netupitant palonosetron Netupitant 300mg and palonosetron 0.5 mg, oral 4/1/2015 6/30/2015 HCPCS code C9448 will be deleted on June 30, 2015, and replaced with HCPCS code Q9978(Netupitant 300 mg and Palonosetron 0.5 mg, oral) effective July 1, 2015.
C9453 Injection, nivolumab Injection, nivolumab, 1 mg 7/1/2015   New OPPS pass-through drug code effective July 1, 2015.
C9454 Inj, pasireotide long acting  Injection, pasireotide long acting, 1 mg 7/1/2015   New OPPS pass-through drug code effective July 1, 2015.
C9455 Injection, siltuximab Injection, siltuximab, 10 mg 7/1/2015   New OPPS pass-through drug code effective July 1, 2015.
C9737 Lap esoph augmentation Laparoscopy, surgical, esophageal sphincter augmentation with device (eg, magnetic band) 01/01/2014 6/30/2015 HCPCS code C9737 will be deleted on June 30, 2015, and replaced with Category III CPT code 0392T (Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie, magnetic band)) effective July 1, 2015.

FAQs Updated

1.      Are physicians who practice in hospital-based ambulatory clinics eligible to receive Medicare or Medicaid electronic health record...