eapg

  1. C

    Wiki SCS NYSDOH APG Change

    Has anyone else had any difficulty getting WC and Medicaid insurances to process trials and implants under the new APG groups effective 07/01/2021? Prior to 07/01/2021, the HCPCS with EAPG Assignment grouped 63650 into EAPG 218. Effective 07/01/2021, 63650 is now in EAPG 223. However, we haven't...
  2. J

    Wiki Outpatient hospital billing under new EAPG payment system

    We bill as an outpatient dept of a local hospital (not an ASC) How are bilateral procedures supposed to be billed? We always billed Medicaid and Medicaid Replacement plans with 2 lines, the first w/ RT modifier and the second w/ LT modifier. They would not accept modifier 50. Now they are...
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