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Tier 1payment_ruleApprovedev-us-opps-cy2018-ipo

CY 2018 Hospital OPPS and ASC Payment System final rule, CMS-1678-FC

Centers for Medicare & Medicaid Services (CMS)

Summary

For CY2018 CMS removed total knee arthroplasty from the Inpatient Only list along with five other procedures, and precluded Recovery Audit Contractors from conducting site-of-service reviews of outpatient total knee arthroplasty for two years. This is the origin of the American site-of-care question for the procedure.

Supporting location Inpatient Only List; ASC Covered Procedures List

Open source

Published

Applicable from

1 Jan 2018

Accessed

2 Sep 2026

Answers depending on this record

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