ASC Payment System: October 2022 Update - Revised

MLN Matters Number: MM12915
Related CR Release Date: October 25, 2022
Related CR Transmittal Number: R11661CP
Related Change Request (CR) Number: 12915
Effective Date: October 1, 2022
Implementation Date: October 3, 2022

Note: CMS revised this article due to a revised CR 12915. The revision added HCPCS J1952 to Table 2 in the CR and changed the number of new drug and biological HCPCS codes to 11. CMS changed the number of new drug and biological HCPCS codes to 11 on page 2 in dark red font in this Article. CMS also changed the CR release date, transmittal number and CR web address. All other information is unchanged.

CR 12915 tells you about:

  • Updates to the Ambulatory Surgical Center (ASC) payment system in October
  • New Outpatient Prospective Payment System (OPPS) device pass-through code
  • Newly established HCPCS codes for drugs and biologicals
  • New skin substitute products low-cost group or high-cost group assignment

Make sure your billing staff knows about these changes.

View the complete CMS Medicare Learning Network (MLN) Matters (MM)12915.

Last Updated $dateUtil.getDate( $modifieddate , "MMM dd , yyyy" , $locale , $tzone )