October 2003 Update of the Hospital Outpatient Prospective Payment System (HOPPS)

September 3, 2003

October 2003 Update of the Hospital Outpatient Prospective Payment System (HOPPS)

CMS has published a program memorandum detailing changes to the OPPS for the October 2003 update. Two codes were newly created to support expanded coverage of PET scans for thyroid cancer and perfusion of the heart using Ammonia N-13, as described in the PM AB-03-092 dated June 20, 2003.

The October 2003 Outpatient Code Editor (OCE) and OPPS PRICER will reflect the HCPCS and APC additions and changes identified in this document.

All changes addressed in this PM are effective for services furnished on or after October 1, 2003.