2019 OPPS proposed rule: CMS introduces three new C-APCs

July 30, 2018

Medicare Web

CMS did not propose any new comprehensive APCs (C-APC) last year, taking a rare year off, but it did introduced three new C-APCs in the 2019 OPPS proposed rule, released in late July.

The new C-APCs are:

C-APC 5163, Level 3 Ear, Nose, and Throat (ENT) Procedures
C-APC 5183, Level 3 Vascular Procedures
C-APC 5184, Level 4 Vascular Procedures

C-APC 5163 would create a lower-level C-APC to join the Level 4 (C-APC 4164) and Level 5 ENT Procedures (C-APC 5165). C-APCs 5183 and 5184 would become the first two C-APCs in the Vascular Procedures clinical family (VASCX).

For a complete list of C-APCs, see Addendum J of the proposed rule, which also includes the list of related complexity adjustments and other payment information.

To learn more about the rule’s proposals and how they could affect your facility, attend HCPro’s annual OPPS proposed rule webinar on Tuesday, August 14, with Jugna Shah, MPH, president and founder of Nimitt Consulting Inc., and Valerie A. Rinkle, MPA, lead regulatory specialist and an instructor for HCPro Medicare boot camps.