Hospital Outpatient Prospective Payment System: April 2024 Update

Related CR Release Date: March 21, 2024
Effective Date: April 1, 2024
Implementation Date: April 1, 2024
MLN Matters Number: MM13568
Related Change Request (CR) Number: CR 13568
Related CR Transmittal Number: R12552CP

CR 13568 tells you about:

  • New CPT & HCPCS codes
  • Covered devices for OPPS pass-through payments
  • Edit for Level 6 intraocular procedures ambulatory payment classification (APC)
  • iDose TR (travoprost intracameral implant) for the treatment of glaucoma
  • Clarification on the OPPS status indicator for the cardiovascular remote interrogation device evaluation
  • Payment for intensive cardiac rehabilitation services (ICR) in an off-campus, nonexcepted provider-based department (PBD) of a hospital
  • Drugs, biologicals, and radiopharmaceuticals
  • Skin substitutes

Make sure your billing staffs know about these payment system updates for April.

View the complete CMS Medicare Learning Network (MLN) Matters (MM)13568.

Last Updated Apr 04 , 2024