Hospital OPPS: April 2025 Update

Related CR Release Date: March 20, 2025
MLN Matters Number: MM13993
Effective Date: April 1, 2025
Related Change Request (CR) Number: CR 13993
Implementation Date: April 7, 2025
Related CR Transmittal Number: R13135CP

CR 13993 tells you about:

  • Certain laboratory tests, COVID-19 monoclonal antibody therapy products, and Hospital Outpatient Prospective Payment System (OPPS) device categories
  • Ambulatory payment classifications (APCs)
  • Surgical and imaging procedures
  • Drugs, biologicals, and radiopharmaceuticals
  • Skin substitute products

Make sure your billing staff knows about these updates effective April 1, 2025, including coding and billing changes

View the complete CMS Medicare Learning Network (MLN) Matters (MM)13993.

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