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Outpatient Hospital
CPT codes, descriptions and two-digit modifiers only are
copyright American Medical Association. All Rights Reserved.
The information on this page serves as a reference only. It
does not guarantee that services are covered. Providers are instructed to refer
to the Michigan Medicaid Provider Manual, MMP Bulletins and other relevant
policy for specific coverage and reimbursement policies. This information can
be found on the Medicaid Policy, Letters & Forms web page. If there are
discrepancies between the information on this page and the Medicaid Provider
Manual, such as rate or coverage determinations, they will be resolved in favor
of the Medicaid Provider Manual language.
OPPS Wrap Around Code Lists
- Instructions
- Oct 2024 XLSX
- July 2024 XLSX
- April 2024 XLSX
- Jan 2024 XLSX
- Oct 2023 XLSX
- July 2023 XLSX
- April 2023 XLSX
- Jan 2023 PDF
- Jan 2023 XLSX
- Oct 2022 PDF
- Oct 2022 XLS
- July 2022 PDF
- July 2022 XLS
- April 2022 PDF
- April 2022 XLS
- Jan 2022 PDF
- Jan 2022 XLS
- Oct 2021 PDF
- Oct 2021 XLS
- July 2021 PDF
- July 2021 XLS
- April 2021 PDF
- April 2021 XLS
- Jan 2021 PDF
- Jan 2021 XLS
Carrier Priced Laboratory Fee Databases
Michigan Medicaid
- OPPS Quarterly Implementation Process
- Historical OPPS Wrap Around Code List
- Revenue Code Requirement Table
- OPPS Reduction Factor History
- Outpatient Hospital Fee Screens - Cost to Charge Ratios
- Inpatient and Outpatient Hsp Short Stay Reimbursement - Rate History
- Outpatient Uncompensated Care DSH Pool
- Provider Survey on Hepatitis C Testing and Treatment
Useful CMS Links
- Hospital Outpatient Prospective Payment System
- Hospital Outpatient PPS Addendum A and Addendum B Updates