Enhanced Ambulatory Patient Grouping (EAPG)

The EAPG classification methodology is used to explain the amount and type of resources used in a wide range of ambulatory visits. BCBSND utilizes the EAPG classification system for hospital outpatient, ambulatory surgical center, partial psychiatric and partial substance abuse claims.

The Provider Manual has a section dedicated to EAPG that includes an overview, billing guidelines and information about consolidation, packaging and discounting.

EAPG Common Questions