Healthcare Common Procedure Coding System (HCPCS) codes are used to report certain devices and supplies used in the hospital outpatient and home setting.
The Centers for Medicare & Medicaid Services (CMS) has contracted Noridian Administration Services (NAS) for its Durable Medical Equipment, prosthetics, orthotics and supplies (DMEPOS) services. See individual state reimbursement rates and other guidance at www.noridianmedicare.com and click the Pricing, Data Analysis & Coding (PDAC) link or call toll free at 1-877-735-1326.
Hospitals are required to report device category C Codes for Medicare hospital outpatient procedures. C codes do not exist for devices utilized for inpatient procedures. Use of C codes is critical to future reimbursement rates.