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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).
2021, CPT code 0071A was assigned to status indicator “S”, APC 9397 (Covid-19 Vaccine Admin Dose 1 of 2). CPT code 0072A was assigned to status indicator “S”, APC 9398 and CPT code 91307 was assigned to status indicator “L”. Table 1, attachment A, lists the long descriptors for the codes. These codes, along with their short
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