Hospital Outpatient Prospective Payment System – 2026 Updates

Prepare for key changes in the 2026 Hospital Outpatient Prospective Payment System (HOPPS) with our essential guide. This document summarizes the latest CMS updates, effective January 1, 2026, to help you stay compliant and maximize reimbursement. Download it now to ensure your team is ready for the year ahead.

What's included:

✔︎ 2.6% overall payment rate increase
✔︎  New procedures and devices with pass-through status
✔︎ Updates to ASC-covered and inpatient-only codes
✔︎ New indicators for non-opioid pain relief post-surgery

HOPPS Updates Summary

Fill out the form below to download this free resource.

HIA-Logo-1-white-2

Coding Course: FY 2026 CPT and HOPPS Updates

Prepare for the upcoming coding year with HIA's FY 2026 CPT and HOPPS Updates courses. Designed to ensure you’re well-prepared for the latest changes in medical coding, these courses provide everything you need to stay current. Now available in HIAlearn.

VIEW COURSE

Recent Blog Posts

Clinical Validation - Acute Respiratory Failure Se...

Acute respiratory failure is frequently documented in patients admitted with chronic obstructive pulmonary disease (COPD) exacerbations, but clinical validation requires ...

ICD-10-CM Coding for Two Pressure Ulcers, Same Sit...

When two pressure ulcers occur in the same anatomical site and stage but have different Present on Admission (POA) indicators, coders may face a reporting challenge becau...

What MedPAR Data Can Reveal About Coding Accuracy ...

MedPAR (Medicare Provider Analysis and Review) is a national dataset built from Medicare inpatient claims that helps researchers, policymakers, and healthcare analysts ev...