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August 2015

Reminder: Billing changes for inpatient and outpatient services

Outpatient services that occur 24 hours before, during or after an inpatient admission should be billed with the inpatient stay. Please combine the outpatient and inpatient services and submit one bill; the admission date should be the same as the date for the inpatient stay.

Outpatient services will only be considered part of the inpatient admission if there is a similar diagnosis/condition for each. Otherwise, the outpatient service is paid separately.

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*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2014 American Medical Association. All rights reserved.
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