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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 3685 Date: December 22, 2016 Change Request 9930 SUBJECT: January 2017 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 January 2017 OPPS update. The January 2017 Integrated Outpatient Code Editor (I/OCE) and OPPS Pricer 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).

In light of this policy change we are modifying Sections 20.6.4 and 61.2 of Chapter 4 of the Medical Claims Processing Manual, Pub.100-04. 3. Argus Retinal Prosthesis Add-on Code (C1842) Effective January 1, 2017, CMS is creating HCPCS code C1842 (Retinal prosthesis, includes all internal and

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