Awareness : OBC Tips

Medicare Inpatient-Only Procedure

Medicare has devised a set of procedures that can only be paid if performed in an inpatient setting. The patient is discharged on the same day as the procedure. These inpatient-only procedures, also referred to as the C-List (procedures assigned with status indicator “C”), are updated annually and require an admission order prior to performance of such procedures.The designation of inpatient-only list by Medicare requires an inpatient admission for payment even though the provider may feel the procedure can be safely performed in an outpatient setting. Visit CMS for the most recent and updated inpatient-only procedure list.