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APC codes

Kathy Posted Tue 10th of March, 2015 08:05:14 AM

Good Morning...
I understand 1/1/2015 Hospital can no longer bill APC codes for out patient visits. Is this true for all APC codes or is it for select codes? If select, what APC codes can the Hospital continue to bill? Our office is doing a cost analysis for the TC fee with the local Hospital
Thank you !!!

-kathy

SuperCoder Answered Wed 11th of March, 2015 08:32:54 AM

Hi kathy,

Thank you for the query.

Please find the link from CMS.gov which give a detail explanation which are the APC codes included and excluded for Hospital Outpatient OPPS.

This publication provides information about the Hospital Outpatient
Prospective Payment System (OPPS)

http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads/HospitalOutpaysysfctsht.pdf

http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalOutpatientPPS/Hospital-Outpatient-Regulations-and-Notices.html

Hope it helps you.

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