Article Detail - JE Part A
Hospital OPPS: July 2025 Update
Related CR Release Date: June 23, 2025
MLN Matters Number: MM14091
Effective Date: July 1, 2025
Related Change Request (CR) Number: CR 14091
Implementation Date: July 7, 2025
Related CR Transmittal Number: R13258CP
CR14091 includes coding and billing changes for:
- New COVID-19, influenza, and respiratory syncytial virus vaccines
- COVID-19 monoclonal antibody therapy products, proprietary laboratory analyses (PLA) codes, and Hospital Outpatient Prospective Payment system (OPPS) device categories
- Status indicator changes
- Drugs, biologicals, and radiopharmaceuticals
- Skin substitutes
Make sure your billing staff knows about these updates effective July 1, 2025.
View the complete CMS Medicare Learning Network (MLN) Matters (MM)14091.