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Description

As discussed in the CY 2021 OPPS/ASC final rule with comment period, we reiterate that the OPPS is a prospective payment system

This will allow scar tissue to develop at the injury site

Because nonexcepted items and services are not paid under the OPPS, in the CY 2019 OPPS/ASC final rule with comment period (83 FR 58832), we finalized a policy to remove those claim lines reported with modifier PN from the claims data used in ratesetting for the CY 2019 OPPS and subsequent years