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MM12436: October 2021 Update of the Hospital Outpatient Prospective Payment System (OPPS)

This new Article comprises Subregulatory Guidance for OPPS update. Provides summary on new Covid-19 CPT administration codes, new COVID-19 HCPCS vaccine administration code for administering in the patient’s home, changes for COVID-19 monoclonal antibody therapy product and administration codes, etc. MLN Matters (MM) Articles are based on information contained within Change Requests (CRs). In this case, this article is based on content within CR12436 that is posted on the CMS website at https://www.cms.gov/files/document/R10997CP.pdf.

Download the Guidance Document

Final

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

Issue Date: September 21, 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.