AAPC - Back to school
Results 1 to 4 of 4

Thread: outpatient facility coding

  1. #1
    Join Date
    Apr 2007
    Milwaukee, WI

    Default outpatient facility coding

    AAPC: Back to School
    Anyone out there do this? I am a bit rusty and have a question or two about ICD procedures vs CPT's.
    I have always been under the impression and understanding that outpatient facility uses CPT which correlate to APC's for payment.
    Is there EVER a time you would use ICD procedures on OUTPATIENT facility procedures performed?

  2. #2

    Default Outpatient facility coding

    It is usually up to the payer. The encoders that facilities typically use will apply both CPT & Volume 3 codes. However, if a payer does not want the volume 3 codes, they will be removed before releasing the claim. Example: Medicare does not want the volume 3 codes on outpatient claims. Some managed care payers want both CPT & volume 3 codes on the claim.

  3. #3
    Join Date
    Apr 2007

    Smile ICD-9 Procedure codes

    We use both ICD-9 codes and CPT at our outpatient facility for procedures. The encoder gives both and we submit them to billing that way. I think it is facility specific, but some utilize those codes for tracking purposes and want them entered even though they may not go out on the bill.

  4. #4
    Join Date
    Apr 2007
    Milwaukee, WI


    Thanks. I have always used only CPT's on outpatient facility but recently took a test and they apparently only wanted ICD's which wouldn't always be correct anyway. Grrrrr LOL
    Thanks for your replies!

Similar Threads

  1. Outpatient Facility Coding Help
    By kdietsch85 in forum Outpatient Facilities
    Replies: 7
    Last Post: 11-12-2014, 03:57 AM
  2. Outpatient Facility Coding Help
    By kdietsch85 in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 06-19-2014, 11:50 AM
  3. Coding S&I (Outpatient Facility) Help!!
    By SFowler150 in forum Interventional Radiology
    Replies: 1
    Last Post: 02-02-2009, 01:45 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.