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MM13933 - Hospital Outpatient Prospective Payment System: January 2025 Update

This new Article comprises Subregulatory Guidance for coding updates, device pass-through status updates, comprehensive Ambulatory Payment Classification changes, updates related to drugs, biologicals, and pharmaceuticals and changes to Outpatient Prospective Payment System (OPPS) Pricer logic. MLN Matters (MM) Articles are based on information contained within Change Requests (CRs). In this case, this article is based on content within CR13933 that is posted on the CMS website at https://www.cms.gov/files/document/r13032cp.pdf.

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

Issue Date: January 15, 2025

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.