The Integrated Outpatient Code Editor Summary of Data Changes document, published quarterly by CMS, is exceedingly valuable for hospital chargemaster maintenance. It is concise and lists all coding changes by their effective date. It is an essential for quarterly chargemaster updates.
The IOCE Summary of Data Changes document provides all quarterly changes related to:
APC CHANGES
- Added APCs
- APC Description Changes
HCPCS/CPT PROCEDURE CODE CHANGES
- Added HCPCS/CPT Procedure Codes
- HCPCS Changes- APC, Status Indicator and/or Edit
- Edit Assignments
- Procedure/ Device Pair Changes
MODIFIERS
- Added Modifiers
REVENUE CODES
- Added Revenue Codes
To demonstrate how concisely changes are published in the Summary of Data Changes, I've listed the following changes for the April 1, 2010, IOCE v 11.1.
| APC | APC Description | Status Indicator |
| 09258 | Telavancin injection | G |
| 09259 | Pralatrexate injection | G |
| 09260 | Ofatumumab injection | G |
| 09261 | Ustekinumab injection | G |
| 09262 | Fludarabine phosphate, oral | G |
| 09263 | Ecallantide injection | G |
| APC | Old Description | New Description |
| 00902 | Injection, onabotulinumtoxinA | Injection, onabotulinumtoxinA |
| 01289 | AbobotulinumtoxintypeA | AbobotulinumtoxinA |
| HCPCS | Code Description | SI | APC | Edit |
| C9258 | Telavancin injection | G | 09258 | 55 |
| C9259 | Pralatrexate injection | G | 09259 | 55 |
| C9260 | Ofatumumab injection | G | 09260 | 55 |
| C9261 | Ustekinumab injection | G | 09261 | 55 |
| C9262 | Fludarabine phosphate, oral | G | 09262 | 55 |
| C9263 | Ecallantide injection | G | 09263 | 55 |
| HCPCS | Code Description | Old SI | New SI | Old Edit | New Edit |
| 80101 | Drug screen, single | A | E | N/A | 28 |
| 99241 | Office consulation | 9 | 28 | ||
| 99242 | Office consultation | 9 | 28 | ||
| 99243 | Office consultation | 9 | 28 | ||
| 99244 | Office consultation | 9 | 28 | ||
| 99245 | Office consultation | 9 | 28 | ||
| 99251 | Inpatient consultation | 9 | 28 | ||
| 99252 | Inpatient consultation | 9 | 28 | ||
| 99253 | Inpatient consultation | 9 | 28 | ||
| 99254 | Inpatient consultation | 9 | 28 | ||
| 99255 | Inpatient consultation | 9 | 28 |
| Modifier | Effective Date |
| GX | 04/01/2010 |
| Revenue Code | Status Indicator |
| 0860 | N |
| 0861 | N |
The centralization of quarterly changes to these codes and modifiers in one document has provided a single-source publication that can be used to assure accuracy and reduce the time and effort devoted to quarterly chargemaster updates.
You can access the Integrated Outpatient Code Editor Summary of Data Changes in the Coding Suite.
Written by Vicky Fry, MS, MBA


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