Respiratory

For the Week of January 23, 2017

Did CMS make any changes to the APCs for endoscopies in the 2017 OPPS?


In the 2016 outpatient prospective payment system (OPPS) final rule, the Centers for Medicare & Medicaid Services (CMS) issued five new APCs for airway endoscopies, which continue in 2017. APCs 5151–5155 cover the five levels, which range in price from $146.14 for level 1 to $4,361.11 for level 5. The price of the specific codes can be found in the OPPS Addendum B at https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalOutpatientPPS/Addendum-A-and-Addendum-B-Updates.html.