decisionhealth Newsletters, Coder Pink Sheets - 2022 Issue 10 (October)
Q&A: Here’s where to find the most recent list of inpatient-only procedures
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Article Overview
This article answers a reader question about the current Medicare inpatient-only procedure list and how CMS handled the list in 2022 after prior changes affecting orthopedic procedures. It is intended for coders, billers, and surgical reimbursement professionals who need to know where to find the current hospital outpatient prospective payment system listing and understand the broad CMS context behind the list’s status.
Why This Topic Matters
The inpatient-only list affects site-of-service billing and whether certain services are treated as inpatient rather than outpatient. Understanding the current CMS listing and related updates helps coding and reimbursement staff verify whether a procedure appears on the list without relying on outdated references.
What You Will Learn
- How the inpatient-only procedure list was addressed in 2022
- Where to locate the current hospital outpatient code listing
- How CMS-related list changes affected orthopedic procedures at a high level
- How the article frames the outpatient status indicator used to identify inpatient-only services
Who Should Read This
- Medical coders
- Hospital outpatient coders
- Inpatient and outpatient billers
- Orthopedic surgery reimbursement staff
- Revenue cycle professionals
Codes Discussed
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