Frequently asked questions (FAQs) about OPPS visit codes

Under the OPPS, which HCPCS codes are used by provider-based outpatient hospitals to report Type A and Type B hospital emergency department visits? Which HCPCS codes are used for reporting hospital outpatient clinic visits? ...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article summarizes CMS frequently asked questions about OPPS visit coding for provider-based outpatient hospitals. It is relevant to hospital outpatient coders, billing staff, and compliance teams who need a high-level understanding of the categories of guidance CMS provided after 2007 emergency department policy changes and the introduction of trauma-team-related coding.

Why This Topic Matters

It helps readers identify whether the article addresses hospital outpatient visit reporting under OPPS, especially questions tied to emergency department classification changes and related CMS guidance.

What You Will Learn

  • What CMS was addressing in its OPPS visit code FAQs
  • How the article frames hospital outpatient emergency department and clinic visit topics
  • Which general policy areas were the focus of the 2007 CMS questions and answers
  • How the article relates to OPPS reporting for provider-based outpatient hospitals

Who Should Read This

  • Hospital outpatient coders
  • Outpatient billing staff
  • Revenue integrity teams
  • Compliance professionals
  • Coding educators

Codes Discussed

Code Ranges Discussed

  • HCPCS: 99281-99285

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