What APC do unattended study codes belong to, and what is the payment rate for 2025?
CMS has assigned unattended studies 95806, G0398, and G0399 billed by the OPPS hospital into APC grouping 5721, with a payment rate of $156.46. For 2025, CMS has assigned G0400 to APC 5722 with a payment rate of $311.40
This question was answered in our Coding Essentials for RT/Pulmonary Function. 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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