Any Ambulatory surgery bill on UB04 with a service date on or after 10/1/2015 would be EAPG Applicable.
These Ambulatory bills require Value Code, Rate Code/EAPG Code and NPI (treating NPI) instead of Pas rate.
Not all UB04 bills are Ambulatory surgery bills,
Following combination of revenue code and bill type determines the Ambulatory surgery bill.
UB04 Bill Type Revenue Code
131 360
131 361
131 362
131 367
131 369
131 490
131 499
132 360
132 361
132 362
132 367
132 369
132 490
132 499
133 360
133 361
133 362
133 367
133 369
133 490
133 499
134 360
134 361
134 362
134 367
134 369
134 490
134 499
135 360
135 361
135 362
135 367
135 369
135 490
135 499
136 360
136 361
136 362
136 367
136 369
136 490
136 499
137 360
137 361
137 362
137 367
137 369
137 490
137 499
138 360
138 361
138 362
138 367
138 369
138 490
138 499
139 360
139 361
139 362
139 367
139 369
139 490
139 499
831 Any code
832 Any code
833 Any code
834 Any code
835 Any code
836 Any code
837 Any code
838 Any code
839 Any code
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