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2025 NPRM OPPS Lookup
Lookup Tool: The third spreadsheet is an OPPS APC/HCPCS lookup tool that allows the user to pull-up basic descriptive and payment information for a code.
2025 NPRM Addendum B Compared to July 2024
Comparison of Proposed 2025 OPPS Addendum B With July 2024 Addendum B.
Resource on ICD-10-CM Coding for Social Determinants of Health
Understand the role of ICD-10-CM codes in tracking and addressing patients' medical and social needs for personalized care.
2024 NPRM OPPS Lookup
Lookup Tool: The third spreadsheet is an OPPS APC/HCPCS lookup tool that allows the user to pull-up basic descriptive and payment information for a code.
2024 NPRM Addendum A Compared to July 2023
The Addendum A spreadsheet compares relative weights and payment rates at the APC level, using the 2024 proposed rule Addendum A compared to 2023 Addendum A (July 1, 2023 file), as downloaded from the CMS website.
2024 NPRM Addendum B Compared to July 2023
The Addendum B Spreadsheet compares relative weights and payment rates at the HCPCS level, using proposed rule Addendum B compared to 2023 Addendum B (July 1, 2023 file).
Drugs with Adjusted Coinsurance Amounts for the Quarter April 1-June 30, 2023
The Centers for Medicare and Medicaid Services (CMS) March 15 announced 27 prescription drugs for which it will lower Part B beneficiary coinsurance, beginning April 1 through June 30, 2023, as required by the Inflation Reduction Act (IRA). This is a table of those drugs.