Tip: CMS proposes new C-APCs for 2016
APCs Insider, September 25, 2015
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CMS proposes adding new comprehensive APCs (C-APC) in 2016, but did not change the logic or methodology for paying for these procedures. The new C-APCs are:
- 5165, Level 5 ENT Procedures
- 5492, Level 2 Intraocular Procedures
- 5416, Level 6 Gynecologic Procedures
- 5361, Level 1 Laparoscopy
- 5362, Level 2 Laparoscopy
- 5123, Level 3 Musculoskeletal Procedures
- 5375, Level 5 Urology and Related Services
- 5881, Ancillary Outpatient Services When Patient Expires
- 8011, Comprehensive Observation Services
This tip is adapted from “CMS proposes massive APC reconfiguration, updates 2-midnight rule" in the September issue of Briefings on APCs.
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