What are the status indicators?
What are the status indicators?
What are Payment Status Indicators? The Payment Status Indicator Identifies whether the service described by the HCPCS code is paid under the OPPS and if so, whether payment is made separately or packaged.
What are status indicators used for?
Status indicator I is a commonly used indicator. It is most often used on HCPCS Level II codes describing supply items. It is also assigned to all the CPT Category II codes, as they are for performance monitoring and not payment.
What is a status indicator C?
For example, a Status Indicator C means that the HCPCS is not payable if performed in either an outpatient hospital or ASC setting. A Status Indicator of N means there is no separate payment because reimbursement is packaged into the payment for other services. Status Indicator C. Inpatient Procedures.
What does status indicator S mean?
If a claim contains two APCs, one of which has a status indicator ‘S’, and the other has a status indicator ‘T’, is either one discounted? Status indicator ‘S’ represents a significant procedure, and is not discounted when you report multiple CPT codes that group to APCs with multiple ‘S’ status indicators.
What is a Q1 status indicator?
A “Q” status indicator is defined as: 1) Packaged services subject to separate payment under OPPS payment criteria. 2) If criteria are not met, payment is packaged into payment for other services, including outliers. Therefore, there is no separate APC payment.
Where are status indicators located?
Status Indicators, along with Payment Indicators are located in your HCPCS book.
What is a q1 status indicator?
Is status indicator S payable?
(1) Packaged APC payment if billed on the same date of service as a HCPCS code assigned status indicator “S,” “T,” “V,” or “X.” (2) In all other circumstances, payment is made through a separate APC payment. Q2 T-Packaged Codes Paid under OPPS; Addendum B displays APC assignments when services are separately payable.
Where are status indicators located in HCPCS?
The status indicator will be located under the. The APC is located in the PAY/HCPC APC CD field, and the payment rate is located in the PRICER AMT field.
