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Billing Guidelines Section - Florida Blue

Billing Guidelines Section 2 Billing Guidelines .. 4 CODING A CLAIM .. 4 AMBULATORY SURGICAL CENTER .. 13 ASC Payment Program ..13 ASC Fee Schedule Progr am .. 14 ASC Fee Schedule Allowance Calculation Examples ..15 Outpatient Fee Schedule Program .. 16 Revenue and HCPCS/CPT Codes ..18 Outpatient Fee Schedule Allowance Calculation Examples ..21 Billing Guidelines for Specific Services .. 28 Ambulatory Infusion ..28 Pain Management Billing Guidelines FOR ANCILLARY PROVIDERS .. 32 Behavioral Health Outpatient Clinic Groups ..32 Birthing Centers ..32 Chiropractic Services ..33 Convenient Care Centers (CCC) ..39 Dialysis Centers ..40 DME/HME Providers ..41 Home Health/Home Infusion A genc i es.

Billing guidelines . This section of the Manual contains billing guidelines for various provider types. It was developed with consideration of the latest coding methodologies from several sources, including but not limited to: • Coding descriptions and instructions as identified in the latest rel ease of the American Medical

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