2017 OPPS proposed rule: CMS proposes removing six codes from inpatient-only list

Why This Topic Matters

The proposed changes could affect whether certain procedures are paid in the hospital outpatient setting and how related services are grouped under OPPS. Readers working in coding, charge capture, revenue integrity, or reimbursement policy can use the article to assess operational and payment impact.

Article Sections

1. CMS review of the inpatient-only list

   Explains how CMS evaluates procedures for the inpatient-only list and the general annual review framework under OPPS.

2. Proposed removal of six codes

   Summarizes the categories of procedures CMS proposes to remove from the inpatient-only list in the 2017 OPPS rule.

3. Laryngoplasty codes

   Discusses the proposed status of select laryngoplasty procedures and related outpatient payment grouping under OPPS.

4. Spinal procedures

   Reviews proposed changes for spinal instrumentation add-on services and the related outpatient payment structure.

5. Total knee arthroplasty

   Covers CMS’s request for comment on outpatient consideration of total knee arthroplasty and the broader payment-model implications.

6. Comments and timing

   Notes the public comment deadline and the article’s closing administrative references.