tci Outpatient Facility Coding Alert - 2014 Issue 3

APC Payment Update: Don't Miss These Changes to EAM Codes for 2014

Hint: More services will qualify than ever before.  Every outpatient coder needs to know the new revamped Extended Assessment and Management (EAM) codes for 2014. New APC 8009, which reimburses at an APC base rate of $1,198.91, replaces APCs 8002 (Level 1) and 8003 (Level 2).  2014 advantage: When there were five levels to choose from in 2013, only the Level 5 clinic visit would trigger the Level 1 EAM; but in 2014, with only a single code (HCPCS G0463) for visits, any clinic visit will receive the EAM reimbursement.  Level 4 Type A...

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