Skip to main content
U.S. flag

An official website of the United States government

Return to Search

Maintenance and Update of the Temporary Hook Created to Hold OPPS Claims that Include Certain Drug HCPCS Codes

Transmittal 875, Change Request (CR) 4371 issued on February 24, 2006, instructed FISS to hook and hold claims with bill types 12x, 13x, or 76x, with dates of service on or after the first day of each quarter, that includes one or more drug HCPCS codes from the list that will be provided quarterly. The hook program should be maintained and updated each quarter based on the list of drug HCPCS found at the address provided in the Business Requirements below. This process should continue until further notice. OPPS Pricer schedule for CY 2009 has been updated.

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: September 12, 2008

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.