Microdyn Updates for Ambulatory Payment Classifications (APC), CRs 107154 & 107155 

Apr 04, 2022

Effective March 5, 2022, we have updated MIHMS with the Centers for Medicare & Medicaid Services (CMS) quarterly updates. The following CMS documents provide the details of the January 2022 updates: 

• January Integrated Outpatient Code Editor Specs: https://www.cms.gov/files/document/r11149cp.pdf 

• January Update of the Hospital Outpatient Prospective Payment System (OPPS):  https://www.cms.gov/files/document/r11150cp.pdf 

While processing this update, we discovered that Current Procedural Terminology (CPT) 64852 is processing with a zero-dollar payment. We will adjust claims that processed incorrectly, and no provider action is needed.