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CMS Manual System

CMS Manual System Department of Health & Human Services (DHHS) Pub 100-04 Medicare Claims Processing Centers for Medicare & Medicaid Services (CMS) Transmittal 10666 Date: March 8, 2021 Change Request 12175 SUBJECT: April 2021 Update of the Hospital Outpatient Prospective Payment System (OPPS) I. SUMMARY OF CHANGES: This Recurring Update Notification describes changes to and billing instructions for various payment policies implemented in the April 2021 OPPS update. The April 2021 Integrated Outpatient Code Editor (I/OCE) will reflect the Healthcare Common Procedure Coding System (HCPCS), Ambulatory Payment Classification (APC), HCPCS Modifier, and Revenue Code additions, changes, and deletions identified in this Change Request (CR). This Recurring Update Notification applies to Chapter 4, section The April 2021 revisions to I/OCE data files, instructions, and specifications are provided in the forthcoming April 2021 I/OCE CR.

Apr 05, 2021 · In section I.B.4. (New Covid-19 CPT Vaccines and Administration Codes) of the January 2021 OPPS Update of the Hospital Outpatient Prospective Payment System (Transmittal 10541, Change Request 12120 dated December 31, 2020), we listed the new CPT codes associated with the Pfizer and Moderna Covid-19 vaccines and their administration.

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