You can search for an ambulatory payment classification (APC) code by its code or description.
The Search APC Code page contains the following panels:
| Field | Description |
|---|---|
| To add an ambulatory payment classification code (APC), click Add APC Code. | |
| APC Code |
The code indicating the prospective payment group for hospital outpatient service. Can be used with the Starts With option. |
| Description |
The short description of the payment group associated with the APC code. Can be used with the Starts With or Contains option. Format: 40 characters or less Example: Level II Laparoscopy is the description for APC 131 |
| Starts With |
The Starts With option tells the system to retrieve all records that start with the search criteria entered. Examples: <<NEED APC APPROPRIATE EXAMPLES PLEASE???>> If you enter 42 in the Diagnosis Code field and use the Starts With option, a list of diagnosis codes for diseases of the circulatory system, such as: 421 (Acute and subacute endocarditis), and 428.1 (pneumonia due to Hemophilus influenzae) would be returned. If you enter Botulism as the description with the Starts With option, the system displays all codes with the description starting with botulism, such as Botulism Food Poisoning. The result does not contain Infant Botulism and Wound Botulism since they do not start with the word botulism. |
| Contains |
The Contains option tells the system to retrieve all records that include the associated search field somewhere in the text. At least 2 characters must be entered to use the Contains option. <<NEED APC APPROPRIATE EXAMPLES PLEASE???>> Example: If you enter Botulism with the Contains option, the system will display all codes who descriptions contains botulism, such as Botulism Food Poisoning, Infant Botulism and Wound Botulism. |
| Field | Description |
|---|---|
|
If more than one match is found, this table is displayed. To view a match, click the appropriate row. None of these fields can be edited. |
|
| APC Code | The code indicating the prospective payment group for hospital outpatient service. |
| Description |
The description of the disease associated with the diagnosis code. Format: 40 characters or less Example: Iodine Hypothyroidism |
Version as of 5/16/14.
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