CY 2018 CY 2018 Long Descriptor Proposed HCPCS CY 2019 Code Payment Indicator New Level Hyaluronan or derivative, Durolane, for intra- articular II injection, per dose K2 C9465 New Level Injection, triamcinolone acetonide, preservative-free, II extended-release, microsphere formulation, 1 mg K2 Q9993 ASC Quality Reporting CMS is proposing several updates to the Ambulatory Surgical Center Quality Reporting (ASCQR) program. CMS is proposing to add the Factor 8 to removal criteria, as described in the OQR section above. Factor 2 will be replaced by or Improvement on a Measure Does Not Result in “Performance Better Patient Outcomes”. CMS is proposing the removal of 4 out” measures (ASC-1: Patient “topped Burn (NQF #0263); ASC-2: Patient Fall (NQF #0266); ASC-3: Wrong Site, Wrong Side, Wrong Patient, Wrong Procedure, Wrong Implant (NQF #0267); ASC-4: All-Cause Hospital Transfer/Admission (NQF #0265)). TABLE 3: PROPOSED CY 2019 C-APCs C-APC CY 2019 APC Group Title Clinical Family 5112 Level 2 Musculoskeletal Procedures 5113 Level 3 Musculoskeletal Procedures ORTHO 5114 Level 4 Musculoskeletal Procedures ORTHO 5115 Level 5 Musculoskeletal Procedures ORTHO 5116 Level 6 Musculoskeletal Procedures ORTHO 5471 Implantation of Drug Infusion Device PUMPS
CY 2018 HCPCS Code CY 2018 Long Descriptor Proposed CY 2019 Payment Indicator New Level II C9465 Hyaluronan or derivative, Durolane, for intra- articular injection, per dose K2 New Level II Q9993 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg K2 ASC Quality Reporting CMS is proposing several updates to the Ambulatory Surgical Center Quality Reporting (ASCQR) program. CMS is proposing to add the Factor 8 to removal criteria, as described in the OQR section above. Factor 2 will be replaced by “Performance or Improvement on a Measure Does Not Result in Better Patient Outcomes”. CMS is proposing the removal of 4 “topped out” measures (ASC-1: Patient Burn (NQF #0263); ASC-2: Patient Fall (NQF #0266); ASC-3: Wrong Site, Wrong Side, Wrong Patient, Wrong Procedure, Wrong Implant (NQF #0267); ASC-4: All-Cause Hospital Transfer/Admission (NQF #0265)). TABLE 3: PROPOSED CY 2019 C-APCs C-APC CY 2019 APC Group Title Clinical Family 5112 Level 2 Musculoskeletal Procedures 5113 Level 3 Musculoskeletal Procedures ORTHO 5114 Level 4 Musculoskeletal Procedures ORTHO 5115 Level 5 Musculoskeletal Procedures ORTHO 5116 Level 6 Musculoskeletal Procedures ORTHO 5471 Implantation of Drug Infusion Device PUMPS
2019%20OPPS%20PR%20Summary.docx