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Outpatient Surgery E-Weekly

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Archive > November, 2007 Vol. VIII, No. 11

Coding & Billing

Billing for Multiple Procedures Under the New Payment System

Lolita Jones, RHIA, CCS

Much will change come January when ASCs begin using Ambulatory Payment Classification groups. There's a lot of bundling and discounting with APCs, plus a fair number of procedures that are defined as incidental and therefore not billable. There will be times, however, when you can report additional codes when you perform multiple procedures on the same patient. You must know which codes trigger additional APC payment and also have sufficient documentation in the OR report. Here are a few examples.

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