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Back  RFI # 1243: Source of 359 Treatment Codes

Formal vs. Informal Help Informal Formal

Submitter

John Mapoles

Description

The external source 359: Treatment codes, is mentioned in x223.pdf for 837 transactions. The source listed as Health Care Financing Administration Treatment Codes and the abstract describes the codes as: Codes used to describe the treatments provided in a home health setting. Search the CMS web site and other sites have not turned up a set of codes with that name. Are these HCPCS or HIPPS codes? Any help would be appreciated.

Response

No, these are not HCPCS or HIPPS codes. Treatment codes are alpha numeric values and are 2 or 3 digits in length. They can be found in the Medicare Program Integrity Manual under Exhibit 30 at the following link. See http://www.cms.gov/manuals/downloads/pim83exhibits.pdf. Additional information about the codes can also be found at http://www.cms.gov/transmittals/downloads/R23PIM.pdf.
Submission 2/18/2011
Status Date 3/21/2011
Status F - Final
Primary References
Document 005010X223
Section2.4
Page304
Set IDH1