Comparison of Proposed 2025 OPPS Addendum B with July 2024 Addendum B

This spreadsheet compares relative weights and payment rates at the HCPCS level, using proposed rule Addendum B compared to 2024 Addendum B (July 1, 2024 file). Spreadsheet cells highlighted in yellow are presented by HFMA; all other information is from CMS.

The Addendum B spreadsheet contains these 7 tabs:

• 2025 NPRM Add. B by HCPCS: compares 2024 and proposed 2025 status indicators, relative weights, and payment rates for all HCPCS codes included in proposed Addendum B; sorted by HCPCS code
• ­2025 NPRM Add. B by APC: same as previous tab but sorted by APC and within APC by HCPCS code
• Status codes G and K: comparisons for separately payable drugs and biologicals with status indicator G or K in the 2025 proposed rule are shown in this tab
• 2025 NPRM Add. M:  as supplied by CMS, Proposed HCPCS Codes for Assignment to Composite APCs for CY 2025
• 2025 NPRM Add. O: as supplied by CMS, New CPT and G – Codes Effective January 1, 2025; CMS request comments on OPPS status indicator and APC assignments and ASC payment indicator.
• ­2025 Status Indicators: as supplied by CMS, ADDENDUM D1.–PROPOSED OPPS PAYMENT STATUS INDICATORS FOR CY 2025
• ­2025 Comment Indicators: as supplied by CMS, ADDENDUM D2.—PROPOSED OPPS COMMENT INDICATORS FOR CY 2025