This final rule will: revise the Medicare hospital inpatient prospective payment systems (IPPS) for operating and capital-related costs of acute care hospitals; make changes relating to Medicare graduate medical education (GME) for teaching hospitals; update the payment policies and the annual payment rates for the Medicare prospective payment system (PPS) for inpatient hospital services provided […]
Download the data files described below via this link: associated file(s) (ZIP) IRF Wage Index – These files contain the final urban and rural Core-Based Statistical Area FY 2023 IRF wage index tables. IRF Rate Setting Rule – This file contains data for each of the 1,118 inpatient rehabilitation facilities used to estimate the final policy updates in the […]
This final rule updates the prospective payment rates for inpatient rehabilitation facilities (IRFs) for Federal fiscal year (FY) 2023. As required by statute, this final rule includes the classification and weighting factors for the IRF prospective payment system’s case-mix groups and a description of the methodologies and data used in computing the prospective payment rates […]
2023 ICD-10-CM (CMS) 2023 Conversion Table (ZIP) 2023 Code Descriptions in Tabular Order (ZIP) 2023 Addendum (ZIP) 2023 Code Tables, Tabular and Index (ZIP) FY 2023 ICD-10-CM Coding Guidelines (PDF) POA Exempt Codes (ZIP) 2023 ICD-10-PCS 2023 ICD-10-PCS Order File (Long and Abbreviated Titles) (ZIP) 2023 Official ICD-10-PCS Coding Guidelines (PDF) 2023 Version Update Summary […]
CMS has issued a proposed rule to revise the Medicare hospital outpatient prospective payment system (OPPS) and the Medicare ambulatory surgical center (ASC) payment system for Calendar Year (CY) 2023 based on CMS’ continuing experience with these systems. In this proposed rule, CMS describes the changes to the amounts and factors used to determine the […]
COVID-19: Novavax Vaccine, Adjuvanted — New Codes The FDA authorized emergency use of the Novavax COVID-19 vaccine, Adjuvanted for the prevention of COVID-19 disease in patients 18 years and older. CMS issued 3 new CPT codes effective July 13, 2022: Code 91304 for vaccine product: Long descriptor: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) […]
Long COVID: Use ICD-10 Code U09.9 For a post COVID-19 condition, unspecified, like Long COVID, use code DX U09.9. Add other codes for conditions related to the COVID-19 infection, like R50.9 for fever. For a current COVID-19 infection, use code DX U07.1. Don’t use code DX U09.9. For a current COVID-19 infection and conditions from […]
This proposed rule would establish conditions of participation that Rural Emergency Hospitals (REH) must meet to participate in the Medicare and Medicaid programs. These requirements are intended to ensure that a high quality of care is furnished by REHs. This proposed rule also includes changes to the requirements Critical Access Hospital would have to meet […]
CMS is releasing a new proposed rule protecting access to emergency care and additional outpatient services for people in rural communities. CMS is establishing the Conditions of Participation (CoPs) for Rural Emergency Hospitals (REHs). The proposed rule will allow small rural hospitals to seek this new health care provider designation and provide continued access to […]