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CMS Releases 2023 Medicare Hospital OPPS and ASC Final Rule

On Nov. 1, the Centers for Medicare & Medicaid Services (CMS) released the 2023 Changes to Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center (ASC) Payment System final rule. In 2023, payment rates will increase by 3.8% for hospitals and ASCs that meet applicable quality reporting requirements. CMS also adopted neurosurgery-supported changes, including:

  • Removing the arthrodesis add-on CPT® code 22632 from the inpatient-only (IPO) list;
  • Adding the new total disc arthroplasty additional level CPT code 22860 to the IPO list; and
  • Approving pass-through payments for the Evoke® spinal cord stimulation system and Aprevo® custom intervertebral body fusion device.

Click here for a CMS press release and here for a CMS fact sheet.