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Provider Manual

Outpatient Procedure Benefits

Last Updated on January 24, 2019

Family Health Center provides coverage for a limited list of outpatient procedures. The list of covered CPT codes is provided to all affiliated hospital facilities and ambulatory surgery facilities, and a copy is included in this manual. If a procedure is covered, the expectation is that it is performed outpatient without any observation or recovery care services, and the patient is discharged before midnight. Facility charges for procedures not on the list are not covered by Family Health Center.