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US · guidance

CMS Pub. 100-04, ch. 32, § 150.8

A/MAC Billing Requirements

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

The A/MAC billing requirements will pay for bariatric surgery only when the services are submitted on the

following type of bill (TOB): 11X. Type of facility and setting determines the basis of payment:

• For services performed in Indian Health Services inpatient hospitals, TOB 11X under the inpatient

prospective payment system (IPPS) is based on the diagnosis-related group (DRG).

• For services performed in inpatient hospitals, TOB 11X under IPPS is based on the DRG.

• For services performed in IHS critical access hospitals (CAHs), TOB 11X, payment is based on 101%

facility specific per diem rate.

• For services performed in CAH inpatient hospitals, TOB 11X, payment is based on 101% of reasonable

cost.

History

(Rev. 2841, Issued: 12-23-13, Effective: 09-24-13, Implementation: 12-17-13)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
687838ced60a7e58bc593b7292f13027c9e1d92a3db5ec44f17a6e60d79c9047
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