Each HCPCS code is assigned to only one Ambulatory Payment Classification (APC), however there can be an unlimited number of APCs per encounter for a single beneficiary.

Question

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HCPCS codes are used to represent services and procedures for billing purposes, and each code is typically assigned to one APC for payment determination. However, during a single encounter, a beneficiary may receive multiple services, each potentially falling under a different APC, thus allowing for multiple APCs per encounter.

Each HCPCS Code Is Assigned to Only One Ambulatory Payment