Hospital Outpatient Prospective Payment System: April 2023 Update - Revised

Related CR Release Date: March 31, 2023
Effective Date: April 1, 2023
Implementation Date: April 3, 2023
MLN Matters Number: MM13136
Related Change Request (CR) Number: CR 13136
Related CR Transmittal Number: R11937CP

Note: A revision to CR 13136 changed a reference to ASP calculations based on sales price submissions from the third quarter of CY 2022 to the fourth quarter. CMS made the same change in Section 5g (page 6) of the Article. The change is in dark red.

CR 13136 tells you about payment system updates and new codes for:

  • COVID-19
  • Drugs, biologicals, and radiopharmaceuticals
  • Devices
  • Other items and services

Make sure your billing staff knows about these changes.

View the complete CMS Medicare Learning Network (MLN) Matters (MM)13136.

Last Updated Apr 06 , 2023