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Status indicator
APC OPPS
Question | Answer |
---|---|
A | Services paid under Fee Schedule or other than OPPS |
B | Codes not recognized by OPPS |
C | Inpatient procedure |
D | Discontinued codes |
E | Non-covered service |
F | Corneal, CRNA, and hepa B |
G | Pass-through drugs |
H | Pass-through device |
K | Non-pass through drugs |
L | Influenza vaccine |
M | Not Billable to MAC |
N | Items Packaged into APC Rates |
P | Partial Hospitalization |
Q1 | STVX Packaged Codes |
Q2 | T-Packaged Codes |
Q3 | Codes that may Paid through a Composite APC |
R | Blood |
S | Significant Procedure, Not Discounted |
T | Significant Procedure, REduction applies |
U | Brachytheraphy Sources |
V | Clinic/ED Visit |
X | Ancillary Services |
Y | Non-Implantable DME (Durable Medical Equipment) |