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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).
Apr 05, 2021 · IOCE update, we assigned Covid-19 vaccine administration CPT codes 0001A and 0011A to APC 1492 (New Technology - Level 1B ($11-$20)) with a payment rate of $15.50 and CPT codes 0002A and 0012A to APC 1493 (New Technology - Level 1C ($21-$30)) with a payment rate of $25.50.
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