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March 9, 2021

OPPS Payment Rate for HCPCS Code A9591

The Centers for Medicare & Medicaid Services (CMS) identified an error with the January 2021 Outpatient Prospective Payment System (OPPS) Pricer file where the OPPS payment rate for Healthcare Common Procedure Coding System (HCPCS) code A9591 is incorrect.

The correct OPPS payment rate for A9591 is $626.583. The co-payment percentage is 0 percent. CGS will update the HCPCS file to reflect this correction and will adjust impacted claims when brought to our attention.


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