April 22, 2015
Inpatient Only Services
"Inpatient only" services are generally, but not always, surgical services that require inpatient care because of the nature of the procedure, the typical underlying physical condition of patients who require the service, or the need for at least 24 hours of postoperative recovery time or monitoring before the patient can be safely discharged.
The policies related to inpatient only services are located in the CMS Medicare Claims Processing Manual (Pub. 100-04), chapter 4, section 180.7.
A list of inpatient only services is updated annually in the Hospital Outpatient Prospective Payment System (OPPS) Final Rule. The Calendar Year (CY) 2015 list can be found in either of the following:
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