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APC and ASC Payment Considerations Hospital outpatient departments are reimbursed under the Medicare Outpatient Prospective Payment System (OPPS), where CPT 96372 is assigned to an Ambulatory Payment Classification (APC).Virtual AuthTech® identifies CPT 96372 within: APC Group information APC Status Indicator Relative Payment Weight National Payment Rate ASC payment relationships Hospital billing departments should verify that outpatient claims comply with current APC packaging rules and applicable status indicators, as payment methodologies may differ from those used in physician offices

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