Physician Practice

October 2017 Update of the Hospital Outpatient Prospective Payment System (OPPS)

Physician Practice Insider, September 4, 2017

On Aug. 25, CMS published Medicare Claims Processing Transmittal 3853, updating billing, payment and coding policies for the OPPS for October 2017.  The update included:

  • Information on the new benefit for Peripheral Artery Disease (PAD) Rehabilitation
  • New proprietary lab codes
  • Four new pass-through drugs
  • Instructions for correct reporting of certain flu vaccines
  • Clarification on coding and payment of blepharoplasty performed with blepharoptosis

Table with new codes and other information are attached.

Effective date: Oct. 1, 2017

Implementation date: Oct. 2, 2017


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