Hospitals receive payment updates from CMS

Effective April 1, 2004, hospitals receive special payments for four additional services under updates from the Centers for Medicare & Medicaid Services (CMS). These are temporary until sufficient cost data are available to develop an appropriate price, according to CMS. The services are:

  • Health care common procedure coding system (HCPCS) code C9712, insert pH capsule, GERD. This is insertion of a special device for measuring acid levels associated with gastroesophageal reflux disease. The payment is $450.
  • HCPCS C9713, noncontact laser vap prosta. This is a procedure using a laser device that vaporizes the prostate and controls bleeding. The payment is $3,750.
  • HCPCS C9714 Breast inters rad tx, immed. This is immediate placement of a balloon catheter in the breast for interstitial radiation therapy following a partial mastectomy. The payment is $2,750.
  • HCPCS C9715 Breast inters rad tx, delay. This is delayed placement of a balloon catheter in the breast for interstitial radiation therapy following a partial mastectomy. The payment is $3,250.

For more information, go to www.cms.hhs.gov/manuals/pm_trans/R132CP.pdf.