HCPro, JustCoding Outpatient - 2021 Issue 40 (October)
Healthcare News: October OPPS update introduces new HCPCS codes and billing guidance
October 5th, 2021
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Article Overview
This article explains an October 2021 outpatient prospective payment system update and its impact on hospital outpatient coding and billing. It is relevant to hospital coders, outpatient billing staff, and revenue cycle professionals who need to track new HCPCS code additions, drug-related updates, and pass-through payment status changes announced by CMS. The piece also points readers to related CMS guidance for further review.
Why This Topic Matters
Updates like this can affect outpatient hospital charge capture, code maintenance, and billing workflow planning. Keeping current helps facilities align coding practices with CMS quarterly changes and related guidance documents.
Article Sections
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October 2021 OPPS quarterly update
Overview of the CMS quarterly outpatient payment update and the general areas affected by the changes.
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New procedural HCPCS codes
Discussion of newly added outpatient procedural HCPCS codes and the service categories they represent.
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New HCPCS drug codes
Summary of newly introduced outpatient drug-related HCPCS codes included in the update.
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Pass-through status updates
Coverage of drug code changes tied to outpatient pass-through payment status beginning in the effective period.
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Additional guidance
References to supporting CMS material for readers who want to review the update in more detail.
What You Will Learn
- What the October 2021 OPPS update covers at a high level
- Which general categories of HCPCS updates were announced
- How the update affects outpatient hospital coding and billing workflow
- Where to find the related CMS reference material
Who Should Read This
- Hospital coders
- Outpatient billing staff
- Revenue cycle professionals
- Compliance staff
- Health information management professionals
Codes Discussed
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