Question:

What are the specific reporting circumstances for HCPCS C-APC 8011?

Answer:

HCPCS C-APC 8011 is a billing code for Comprehensive Observation Services, which pays a single comprehensive rate for a patient’s entire observation period after a hospital outpatient encounter, including the initial visit and subsequent services. This is for observation stays of 8 hours or longer, billed on a Medicare Part B claim with the HCPCS code G0378, and is considered a comprehensive payment for all services on that claim.

This question was answered in our annual Respiratory Therapy Reimbursement & Compliance Update webcast. For more hot topics relating to respiratory services, please visit our store or call us at 1.800.252.1578, ext. 2.

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