ICD9 Procedure Codes vs HCPCS Procedure Codes

[Jim Moores]

Hi All,     I think that this is an easy question (I hope).  When we price Outpatient Surgeries we use the APG system that uses both the ICD9 Procedure Codes and the HCPCS Procedure Codes (so I've been told).  Both data elements are in the 837 I transaction.      The question:  The 837I IG is unclear if we can require BOTH procedure codes for outpatient claims... The HCPCS seems to be situational, but without comment.  I've read that no comments means "send it if you've got it".  The difference is, we need to price accurately.     Bottom line:  Can we require Institutional Providers of Care to send us both for Outpatient Claims in some sort of contractual arrangement (network contract).     Any comments and observations gratefully accepted.   Thanks all,     ********************************************************************** To be removed from this list, send a message to: [EMAIL PROTECTED] Please note that it may take up to 72 hours to process your request. ------------------------------------------------------------------------------ CONFIDENTIALITY NOTICE: This message is intended only for the use of the individual or entity to which it is addressed and may contain information that is privileged, confidential or exempt from disclosure under applicable law. If the reader of this message is not the intended recipient or the employee or agent responsible for delivering the message to the intended recipient, you are hereby notified that you are strictly prohibited from printing, storing, disseminating, distributing or copying this communication. If you have received this communication in error, please notify us immediately by replying to the message and deleting it from your computer. Thank You, Antares Management Solutions. ==============================================================================