MLN Matters Article (Revised) MM12316: July 2021 Update of the Hospital Outpatient Prospective Payment System (OPPS)
This new Article comprises Subregulatory Guidance for changes to and billing instructions for various payment policies CMS is implementing in the July 2021 OPPS update. The July 2021 Integrated Outpatient Code Editor (I/OCE) will reflect the HCPCS, Ambulatory Payment Classification (APC), HCPCS Modifier, and Revenue Code additions, changes, and deletions in CR 12316. MLN Matters (MM) Articles are based on information contained within Change Requests (CRs). In this case, this article is based on content within CR12316 that is posted on the CMS website at https://www.cms.gov/files/document/r10825CP.pdf
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: June 14, 2021
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.