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2026 OPPS and Ambulatory Surgical Center Final Rule Released

Key Takeaways

  • The Centers for Medicare & Medicaid Services (CMS) has released their 2026 final rules under the Hospital Outpatient Prospective Payment System (OPPS).
  • The final rules were released November 21, 2025, along with a fact sheet outlining the major points.
  • Skin substitutes are one of the areas addressed in this edition of the yearly rule changes. 

 

The Centers for Medicare & Medicaid Services (CMS) has finalized major payment reforms for skin substitute products under the CY 2026 Hospital Outpatient Prospective Payment System (OPPS) and Physician Fee Schedule (PFS) final rules.1 There are many key components across all areas of medicine, but skin substitutes are again a focus, not unlike in the recently released 2026 Physician Fee Schedule. Stay tuned to the CTP News Desk as analysis and impact details evolve, and for viewpoints from leaders in the field. 

 

Reference

  1. Centers for Medicare and Medicaid Services. Calendar Year (CY) 2026 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System Final Rule (CMS-1786-F). Published November 2025. Accessed November 22, 2025. https://www.cms.gov/newsroom/fact-sheets/calendar-year-2026-hospital-outpatient-prospective-payment-system-opps-ambulatory-surgical-center

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