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MM13568 - Hospital Outpatient Prospective Payment System: April 2024 Update

This new Article comprises Subregulatory Guidance for payment system updates effective April 1, 2024:
• New codes
• Covered devices for pass-through payments
• Level 6 intraocular procedures ambulatory payment classification: Modify your claim if CMS returns it
• iDose TR (travoprost intracameral implant) for glaucoma treatment
• Cardiovascular remote interrogation device evaluation: clarification on the status indicator
• Intensive cardiac rehabilitation services in a hospital off-campus, non-excepted provider-based department: additional payment amount effective January 1, 2024; we’ll retroactively adjust claims you submitted from January to April
• Drugs, biologicals, and radiopharmaceuticals
• Skin substitutes

Download the Guidance Document


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

Issue Date: March 25, 2024

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.