Hospital Outpatient Prospective Payment System: January 2024 Update

Related CR Release Date: December 21, 2023
Effective Date: January 1, 2024
Implementation Date: January 2, 2024
MLN Matters Number: MM13488
Related Change Request (CR) Number: CR 13488
Related CR Transmittal Numbers: R12421CP and R12421BP

CR 13488 tells you about:

  • COVID-19 vaccine and administration codes
  • Covered devices for pass-through payments
  • Inpatient-only list (IPO)
  • Services
    • Covered dental rehabilitation procedures
    • Marriage and family therapist (MFT)
    • Mental health counselor (MHC)
  • Drugs, biologicals, and radiopharmaceuticals
  • Skin substitutes
  • Pricer logic and wage index policies
  • Revenue code reporting for cardiac computed tomography CPT Codes 75572, 75573, and 75574
  • Coverage determinations

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

View the complete CMS Medicare Learning Network (MLN) Matters (MM)13488.

Last Updated Jan 18 , 2024