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The document is a training packet for emergency room outpatient services billing that includes: - An overview of new policies for billing emergency room services under revenue codes 450 and 451. - Examples of claims using revenue codes 450 and 451 to bill for emergency room services. - Information on billing additional services like CT scans or cardiac caths under other revenue codes along with the emergency room charge. - Guidance on billing emergency room services that occur within 24 hours of an inpatient admission on the inpatient claim instead of as outpatient claims.





















