Q&A: Services bundled in the observation C-APC

Q: Are lab tests included the Comprehensive APC for observation services?

A: The C-APC for observation (8011) pays for all services provided in the encounter and billed on the same claim with the visit and observation services, including diagnostic testing and drug administration services that would normally be paid separately.

For more information, see the Patient Status Training Toolkit for Medicare Utilization Review, Second Edition.