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Code 93351

Date: Apr 30, 2013

Question:

In the hospital setting, if they use code 93351 they say it doesn't include any reimbursement for the physician. However if you look at what 93351-26 pays, it appears to only cover code 93018 and 93350-26. Is code 93016 included in code 93351 for the hospital? I know it states there is no physician reimbursement, but isn't reimbursement for the APC figured by the cost report submitted by the hospital? If the hospital paid the physician, wouldn't that be in the cost report and thus be covered under code 93351? Just trying to make sure I understand it correctly.

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