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CMS Pub. 100-04, ch. 4, § 250.11.2

Payment of Bilateral Procedures Rendered in a Method II

activein force · 2026-08-25 – presentas-observed

CAH

(Rev. 1777; Issued: 07-24-09; Effective Date: 01-01-08; Implementation Date: 01- 04-10)

Under Section 1834(g)(2)(B) of the Act, outpatient professional services performed in a

Method II CAH are paid 115 percent of such amounts as would otherwise be paid under

the Act if the services were not included in the outpatient CAH services.

Payment for bilateral procedures with a payment policy indicator of ‘1’ and the 50

modifier is based on the lesser of the actual charges or the 150 percent payment

adjustment for bilateral procedures and is calculated as follows:

• (facility specific MPFS amount times payment adjustment for bilateral procedures

(150%) minus (deductible and coinsurance)) times 115%

Payment for bilateral procedures with the 50 modifier and a payment policy indicator of

‘3’ is based on the lesser of the actual charges or 100% of the MPFS for each side of the

body (200%) and is calculated as follows:

(facility specific MPFS amount times 200% minus (deductible and coinsurance)) times

115%

History

(Rev. 1777; Issued: 07-24-09; Effective Date: 01-01-08; Implementation Date: 01- 04-10)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
397e61fb2eebb0ef846f8e193ca5291bca1520468492108111dc5dfc4026a800
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CMS Pub. 100-04, ch. 4, § 250.11.2 — Payment of Bilat… · binding.law