Integrated Outpatient Code Editor (IOCE) Data Files on CD-ROM
Essential tool for hospitals with outpatient billing to ensure claims are correct before submitted to Medicare for payment
NTIS is CMS's authorized distributor of the Outpatient Code Editor with Ambulatory Payment Classification (OCE/APC) products
Order number: SUB-5488
Four issues for $460
Individual issues $125 plus handling fee
The Integrated Outpatient Code Editor (IOCE) program edits patient data to help identify possible errors in coding, and assigns Ambulatory Payment Classification numbers based on Healthcare Common Procedure Coding System (HCPCS) codes for payment under the mandated outpatient prospective payment system (OPPS).
The files contained on this CD-ROM are the data files used in the Integrated Outpatient Code Editor (IOCE) software.
- Valid HCPCS codes
- HCPCS differences between quarters
- Valid CCI code pairs
- Valid mutually exclusive pairs
- Valid modifiers
- Valid Modifier differences between quarters
- Code pairs that should or should not be used together
- Code pair differences between quarters that should or should not be used together
- Valid Diagnoses
- Diagnoses differences between quarters
Please note that the code pairs contained in the IOCE software is one quarter behind the code pair edits that are in the National Correct Coding Policy Manual for Part B Medicare Carriers.
NOTICE: PLEASE RETAIN PRIOR VERSIONS OF THE IOCE DATA FILES: The data files for each issue of the IOCE represent the updated data files for that release. Consequently, if there are no changes to a particular file for a particular update, that file is usually not included on the data CD. APC, HCPCS and CCI files will always be present because those files are updated every quarter.
Files are in Microsoft Word and Excel.
CPT codes only are copyrighted 2013 by the American Medical Association (AMA). All Rights Reserved. If you wish to dissemination this information, you must sign an agreement, or call 703-605-6015 for more information.