Healthcare News: October OPPS update introduces new HCPCS codes and billing guidance

October 5th, 2021

Subscribe or sign in to view the full article.

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

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

  1. October 2021 OPPS quarterly update

    Overview of the CMS quarterly outpatient payment update and the general areas affected by the changes.

  2. New procedural HCPCS codes

    Discussion of newly added outpatient procedural HCPCS codes and the service categories they represent.

  3. New HCPCS drug codes

    Summary of newly introduced outpatient drug-related HCPCS codes included in the update.

  4. Pass-through status updates

    Coverage of drug code changes tied to outpatient pass-through payment status beginning in the effective period.

  5. 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

  • HCPCS: C9779
  • HCPCS: C9780
  • HCPCS: J2406
  • HCPCS: C9081
  • HCPCS: C9082
  • HCPCS: C9083
  • HCPCS: C9084
  • HCPCS: A9593
  • HCPCS: A9594
  • HCPCS: J1823

Subscribe or sign in to view the full article.

Access to this feature is available in the following products:
  • HCPro's JustCoding Newsletters +Archives

The JustCoding® Newsletter is a fantastic resource for coding professionals. Whether you're an inpatient or outpatient coder, a veteran or new to the job, JustCoding will keep your skills sharp and help you stay abreast of CMS changes.


demo
request yours today
subscribe
start today
newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.

Aimee- AI -powered coding assistant - Try it now for Free Would you like Aimee - AI
to help you with this?