Discounting

10.5 - Discounting (Rev. 1445, Issued: 02-08-08; Effective: 01-01-08; Implementation: 03-10-08) • Fifty percent of the full OPPS amount is paid if a procedure for which anesthesia is planned is discontinued after the patient is prepared and taken to the room where the procedure is to be performed but before anesthesia is provided. • Fifty percent of the full OPPS amount is paid if a procedure for which anesthesia is not planned is discontinued after the patient is prepared and taken to the room where the procedure is to be performed. • Multiple surgical procedures furnished during the same operative session are discounted. • The full amount is paid for the surgical procedure with the highest weight; • Fifty percent is paid for any other surgical procedure(s) performed at the same time; • Similar discounting occurs now under the physician fee schedule and the payment system for ASCs; • When multiple surgical procedures are performed during the same operative session, beneficiary coinsurance is discounted in proportion to the APC payment.