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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.

the alternate procedure code for outpatient billing. We encourage you to purchase current copies of CPT, HCPCS and ICD code books. The correct coding initiative edits and medically unlikely edits will apply to outpatient claims from the following hospitals and facilities: • Acute care hospitals • Long term acute care hospitals

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