Instructions for FIs/MACs to Hold Claims Containing CPT Code 33249 and HCPCS Code C1882
The procedure-to-device edit files included in the January, 2012 (V13.0) and April, 2012 (V13.1) Integrated Outpatient Code Editor (I/OCE) do not allow the device described by the Healthcare Common Procedure Coding System (HCPCS) code C1882 (Cardioverter-defibrillator, other than single or dual chamber (implantable)) to satisfy the edit in place for CPT code 33249 (Insertion or replacement of permanent pacing cardioverter-defibrillator system with transvenous lead(s), single or dual chamber). The July, 2012 I/OCE (V13.2) will be updated with a new procedure-to-device edit file that will allow HCPCS code C1882 to be billed with CPT code 33249. Medicare contractors will hold claims with dates of service between Sun Jan 1, 2012 and Sat June 30, 2012, for the device described by HCPCS code C1882 when used in conjunction with the procedure described by CPT code 33249, until V13.2 of the I/OCE is installed by contractors on Mon July 2, 2012, so these claims may be processed for payment. ________________________________ CMS.gov Website Upgrade: Please take note that CMS is in the process of making upgrades to the www.CMS.gov<http://www.CMS.gov> website. If you encounter problems accessing information while on the site, please refresh the page or check back later. We appreciate your understanding and apologize for any inconvenience. ________________________________ Note: If you have problems accessing any hyperlink in this message, please copy and paste the URL into your Internet browser. If you know someone who would like to subscribe to a Medicare Fee-For-Service (FFS) provider listserv, go to (http://www.cms.gov/prospmedicarefeesvcpmtgen/downloads/Provider_Listservs.pdf). If you would like to unsubscribe from a specific provider listserv, please go to (https://list.nih.gov/cgi-bin/wa.exe?INDEX) to unsubscribe or to leave the appropriate listserv. Please DO NOT respond to this email. This email is a service of CMS and routed through an electronic mail server to communicate Medicare policy and operational changes and/or updates. Responses to this email are not routed to CMS personnel. Inquiries may be sent by going to (http://www.cms.gov/ContactCMS). Thank you.
