Is this for inpatient or outpatient? they are very differnt. Outpatient is closest to physician coding as far as the rules and codes. Inpatient coding does not use CPT codes, they use ICD-9 volume 3, outpatient acute care is based on APC- ambulatory procedure classification, and inpatient is DRG, diagnosis related groups. meaning the inpatient reimbursement is tied to the diagnosis while the outpatient is tied to the procedure code. Also the outpatient facility coding uses modifiers like the physician but not all of them. I hope this helps, maybe you can do a little research on the web to help.
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