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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
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 Hospital Short Stay Reimbursement ICD-9 ICD-10 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