tci ED Coding & Reimbursement Alert - 2016 Issue 1

OPPS Procedure Payments: Review These 2016 Procedure Payment Changes

Some Increase While Others Drop Based On Status Indicator Assignment While all the 2016 payment changes for procedures can be found in Addendums A and B of the OPPS final rule, we list examples of common ED outpatient procedures and a payment comparison between 2015 and 2016. Many of these procedures have a status indicator of Q1 — conditionally packaged when reported with another service with a status indicator of V (visits) S or T (procedures).  Procedures having a status indicator of S or T will continue to be separately paid in the ED setting, explains Michael A...

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