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Inpatient vs Outpatient

Insurance: Medicare Part A
Coding Systems:
ICD-10-CM
ICD-10-PCS
Insurance: Medicare Part B
Coding Systems:
ICD-10-CM
CPT
HCPCS Level II

Inpatient

Outpatient

Billing Form:
UB-04 (CMS-1450)
Billing Form:
CMS-1500
Reimbursement:
Based on DRG
Reimbursement:
Based on Physician Fee Schedule, 
insurance contracted rates, ambulatory surgical center rates, etc. 
"Probable," "Suspected" 
"Rule Out" Conditions
CAN be coded. 
"Probable," "Suspected" 
"Rule Out" Conditions
can NOT be coded. 
Code symptoms.
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