AHA Coding Clinic® for HCPCS - 2003 Issue 2

Proper billing of outpatient surgical procedures

The Centers for Medicare & Medicaid Services (CMS) has provided instruction for the proper billing of outpatient surgical procedures in a Program Memorandum (PM), Transmittal #A-03-014. These instructions were previously posted on CMS’s website in a question and answer. CMS felt it necessary to reiterate the instructions by means of a program memorandum. The information in the PM discloses that it is not necessary to bill separate charges for each procedure when multiple surgical procedures are performed at the same session. It is acceptable to bill a single charge under the revenue code that describes where the costs...

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