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 sourcePublished
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Applicable from
1 Jan 2018
Accessed
2 Sep 2026
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