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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 11150 Date: December 10, 2021 Change Request 12552 SUBJECT: January 2022 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 2022 OPPS update. The January 2022 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 (Annual Updates to the OPPS Pricer for Calendar Year (CY) 2007 and Later), and makes changes to sections and - (General Coding and Billing Instructions and Explanations) , to list the device category codes for present or previous pass-through payment and related terms and definitions.
APC 5222 (Level 2 Pacemaker and Similar Procedures), APC 5741 (Level 1 Electronic Analysis of Devices), and APC 5221 (Level1 Pacemaker and Similar Procedures) that are associated with the costs of the device category described by HCPCS code C1833 (Cardiac monitor). The …
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