Question: Outpatient Prospective Payment System (OPPS) Formula (APC Weight Conversion Factor Wage Index) + Add-On Payments = Payment NOTE: When a patient undergoes multiple procedures and

Outpatient Prospective Payment System (OPPS) Formula

(APC Weight Conversion Factor Wage Index) + Add-On Payments = Payment

NOTE: When a patient undergoes multiple procedures and services on the same day, multiple APCs are generated and payments are added together. APC software automatically discounts multiple APC payments when appropriate (e.g., bilateral procedure).

Conversion Factor = $80.79

Wage Index = 0.9445

HCPCS Code

Description

APC

APC Weight

66984

Cataract procedure with intraocular lens implant

246

24.56

71046

Chest x-ray, 2 views

260

1.56

78740

Ureteral reflux study

292

3.94


What is the total APC payment for HCPCS codes 66984, 71020, and 78740? Round the answer to two decimal points. Explain.

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