RESOLVED: Incorrect OPPS Payment Rate for HCPCS Code A9591

RESOLVED: Incorrect OPPS Payment Rate for HCPCS Code A9591

Current Status


Resolved April 29, 2021

Status: The HCPCS file is updated and affected claims have been adjusted.

Provider Action: Providers may adjust any claim still needing adjustment.


March 4, 2021

Status: Palmetto GBA will update the HCPCS file to include the correct payment rate of $626.583 and a copayment of 0 percent for HCPCS Code A9591 for January 2021 quarter.

Provider Action: Providers may bring to our attention any claims in need of adjustment.

Date Identified

March 3, 2021


The Centers for Medicare & Medicaid Services (CMS) has identified an error with the January 2021 Outpatient Prospective Payment System (OPPS) Pricer file where the OPPS payment rate for Healthcare Common Procedure Coding System (HCPCS) code A9591 is incorrect.

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Last Updated: 04/30/2021