Yes, there will be services carved out of EAPGs. Please refer to the EAPG carveout fee schedule.
These services should be billed on the same outpatient claim as other outpatient services provided on the same day. These lines will be paid based on the carveout fee schedule rather than based on the EAPG fee schedule. Providers should refer to the EAPG listings file available through 3M for a crosswalk of HCPCS/CPT codes to EAPGs.
Please note, there will only be one rate on the EAPG carveout fee schedule for all peer groups—BCBSND will not have different rates for these codes on the carveout fee schedule based on peer group.