What is the APC for new codes 94625 and 94626?
The new codes have been assigned to APC 5733 (Level 3 Minor Procedures)—the same APC to which G0424 had been assigned previously—in the 2022 OPPS final rule, with a simulated “per-session” median cost of approximately $56.85 for 2022.
This question was answered in our Coding Essentials for RT/Pulmonary Function. For more hot topics relating to respiratory services, please visit our store or call us at 1.800.252.1578, ext. 2.