Hospital OPPS - April 2019 Update - Revised

MLN Matters Number: MM11216 Revised
Related CR Release Date: March 15, 2019
Related CR Transmittal Number: R4255CP
Related Change Request (CR) Number: 11216
Effective Date: April 1, 2019
Implementation Date: April 1, 2019

Note: CMS revised this article on October 29, 2019, to add a reference to a related article, SE19009 which replaces Section 6 - Chimeric Antigen Receptor (CAR) T- Cell Therapy - instructions on pages 5-7 of this article. All other information is unchanged.

CR 11216 describes changes to, and billing instructions for, various payment policies implemented in the April 2019 Outpatient Prospective Payment System (OPPS) update. The April 2019 Integrated Outpatient Code Editor (I/OCE) will reflect the HCPCS, Ambulatory Payment Classification (APC), HCPCS Modifier, and Revenue Code additions, changes, and deletions identified in CR11216. Make sure your billing staffs are aware of these changes.

View the complete CMS Medicare Learning Network (MLN) Matters (MM)11216.

            Last Updated Mon, 09 Mar 2020 09:56:35 +0000