Status Indicator and OPPS Rate for HCPCS Code Q5124 for the October 2022 Quarter

CMS is aware of an issue with Healthcare Common Procedure Coding System (HCPCS) code Q5124 (Byooviz) in the October 2022 Update of the Outpatient Prospective Payment System (OPPS). The October 2022 OPPS Addenda included an incorrect status indicator and payment rate for Q5124.

The correct OPPS status indicator for Q5124 is: Status Indicator = "K". The correct OPPS payment rate for Q5124 is $232.780. The co-payment percentage is 20 percent. This change will be made retroactive to October 1, 2022.

Last Updated Dec 06 , 2022