Reimbursement

CY 2026 Proposed OPPS APC/HCPCS Lookup Tool

Published August 14, 2025 2:59 pm | Updated August 18, 2025 11:18 am

This spreadsheet is a tool that allows the user to pull-up basic descriptive and payment information for an APC or HCPCS code.

The Proposed OPPS APC/HCPCS lookup tool spreadsheet contains the following tabs:

  • APC Lookup: Allows user to lookup descriptive and payment information on a given APC. User chooses APC or types in APC in formula bar in cell “B2”. Spreadsheet automatically displays the information and the associated HCPCS that belong to that APC. Cells are locked but content can be copied and pasted into another spreadsheet for manipulation.
  • HCPCS Lookup: Allows user to lookup descriptive and payment information on a given HCPCS. User chooses HCPCS or types in HCPCS in formula bar in cell “B2”. Spreadsheet automatically displays information and its associated APC.
  • 2026 Status Indicators: As supplied by CMS, ADDENDUM D1. PROPOSED OPPS PAYMENT STATUS INDICATORS FOR CY 2026

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