APS Billing Primer

Print extra list in morning before you start rounding for billing. Submit this list once coded to the billing office.
Only bill for patients actually seen by either yourself or one of the APS NP’s.
Patients enrolled via OR: The attending in the OR bill C015 and C101. You don’t bill anything. If patient went to OR while enrolled on APS check with attending if they will be billing any APS codes.
New consults: Bill either C215 or A215 (after hours). Add C101 if consult done in PACU, CrCu, CVICU, B5ICU, D4, BurnICU or CCU (cardiac ICU).
Follow up visits: G247 (any nerve catheter including MOTAP and RECTUS SHEATH or epidural) or C012 for the rest (or A104 over weekend)
If you insert any blocks on APS patients - please bill blocks codes.
E420 trauma code also applies to consults/assessments and visits for the first 24 hrs.
C995 /C987/ C997 premiums are applicable to all after hour’s assessments.
Only visits to patients with Epidurals after hours are eligible for the E402 premium.
The individual on pain service is RESPONSIBLE for ensuring services are billed on the change over day (Monday).

All of the above apply AND:
- The first new patient should be billed with C963 AND C986
- Subsequent NEW patients should have C987 added
- Visits to patients with Epidurals – G247 and E402
- Visits to all other patients A014