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AAO-HNS Comments on CY 2022 HOPPS/ASC Proposed Rule

AAO-HNS Comments on CY 2022 HOPPS/ASC Proposed Rule

On September 17, the AAO-HNS submitted a comment letter to the Centers for Medicare & Medicaid Services (CMS) on the CY 2022 Hospital Outpatient Prospective Payment System (HOPPS)/Ambulatory Surgery Center (ASC) proposed rule. The Academy’s comments addressed the following issues most significantly impacting the specialty:

  • Changes to the inpatient only (IPO) list;
  • Updates to the ASC covered procedures list;
  • Balloon sinus dilation ASC payments;
  • APC assignment of HCPCS code 42XXX, a new CPT code to describe DISE;
  • Comprehensive ambulatory payment classifications (APCs);
  • Pass-through payment for HCPCS Code J7402 (Sinuva); and
  • Exceptions to the “2 times” rule.

The Academy anticipates the final rule to be released in November. AAO-HNS Advocacy staff will provide an analysis of CMS’ response to our comments and final policies for calendar year 2022 shortly after the rule’s release.

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