Healthcare News: January OPPS update revises IPO list and introduces new HCPCS codes

January 12th, 2021

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This news update covers a CMS January 2021 OPPS quarterly update and its impact on outpatient hospital coding. It focuses on newly added HCPCS procedure codes, new proprietary laboratory analysis codes, and a set of CPT codes moved off the inpatient-only list for 2021. The article is useful for hospital outpatient coders, billing teams, and revenue cycle professionals who need to track annual code updates and list changes.

Why This Topic Matters

It helps coding and billing professionals stay current with OPPS changes that can affect charge capture, outpatient reporting, and code set maintenance for the new year.

Article Sections

  1. Overview of the January 2021 OPPS quarterly update

    Summarizes the scope of the CMS update and the main categories of changes included in the release.

  2. New HCPCS procedure codes

    Introduces newly effective HCPCS procedure codes and the clinical areas they relate to.

  3. New HCPCS PLA laboratory codes

    Describes newly added proprietary laboratory analysis codes appearing in the quarterly update.

  4. CPT codes removed from the inpatient-only list

    Notes the CPT codes identified in the update as no longer on the inpatient-only list for 2021.

What You Will Learn

  • What categories of HCPCS and CPT changes were included in the January 2021 OPPS update
  • Which broad clinical service areas were affected by newly added outpatient procedure codes
  • What types of laboratory-related PLA additions were highlighted
  • How the update addressed CPT codes associated with the inpatient-only list

Who Should Read This

  • Hospital outpatient coders
  • Certified professional coders
  • Billing and reimbursement staff
  • Revenue cycle teams
  • Health information management professionals

Codes Discussed

  • HCPCS Level II: C9770
  • HCPCS Level II: C9771
  • HCPCS Level II: C9772
  • HCPCS Level II: C9773
  • HCPCS Level II: C9774
  • HCPCS Level II: C9775
  • HCPCS Level II: 0227U
  • HCPCS Level II: 0228U
  • HCPCS Level II: 0229U
  • CPT: 00474
  • CPT: 21179
  • CPT: 21510

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