Additional Procedural Codes for Exclusion from the OAS CAHPS Survey
folder_openSurvey Specifications and Guidelinescalendar_todayPosted August 10, 2017
Appendix Q (Excluded Procedural Codes) of the OAS CAHPS Survey Protocols and Guidelines Manual, Version 1.3 lists CPT codes[1] that fall within the range for Codes for Surgery but are not considered to be eligible for the OAS CAHPS Survey. Since the Protocols and Guidelines Manual, Version 1.3 was posted last year, 15 additional CPT codes have been approved by CMS for exclusion from OAS CAHPS. This list includes the 13 CPT codes that were approved by CMS for exclusion from OAS CAHPS and announced as such on June 23, 2017 (linked here), and 2 newly added CPT codes for exclusion – 36591 and 36592 – which are shown in red in the last table below.
Effective immediately, OAS CAHPS Survey vendors should consider the following CPT codes ineligible for this survey.
Category
20000–29999: Musculoskeletal System
|
29130
|
Application of finger splint; static
|
29131
|
Application of finger splint; dynamic
|
29583
|
Application of multilayer compression system; upper arm and forearm
|
29584
|
Application of multilayer compression system; upper arm, forearm, hand, and fingers
|
29700
|
Removal or bivavling; gauntlet, boot or body cast
|
29705
|
Removal or bivavling; full arm or full leg cast
|
29710
|
Removal or bivavling; shoulder or hip spica, Minerva, or Risser jacket, etc.
|
29715
|
Removal or bivavling; turnbuckle jacket
|
29720
|
Repair of spica, body cast or jacket
|
29730
|
Windowing of cast
|
29740
|
Wedging of cast (except clubfoot casts)
|
29750
|
Wedging of clubfoot cast
|
29799
|
Unlisted procedure, casting or strapping
|
Category
33010–37799: Cardiovascular System
|
36430
|
Transfusion of blood components
|
36591
|
Collection of blood specimen from a completely implantable venous access device
|
36592
|
Collection of blood specimen using established central or peripheral catheter, venous, not otherwise specified
|
Additional CPT codes within the eligible range may also be excluded in the future. To request additional exclusions, vendors must submit an Exceptions Request Form (ERF) to request specific the codes to be considered for exclusion.
Appendix Q will be updated with the next edition of the OAS CAHPS Survey Protocols and Guidelines Manual. Please contact the OAS CAHPS Survey Coordination Team via e-mail at oascahps@rti.org or call toll-free (866) 590-7468 if you have any questions.
[1] CPT only copyright 2015 American Medical Association. All rights reserved.