Outpatient Prospective Payment System Payment Rate for HCPCS Code A9591

CMS identified an error with the January 2021 OPPS Pricer file where the OPPS payment rate for HCPCS A9591 was incorrect.

The correct OPPS payment rate for A9591 (Fluoroestradiol f 18) is $626.583. The co-payment percentage is 0 percent.

OPPS providers need to be aware of this update and claims will be adjusted when brought to our attention.

Posted 3/15/2021