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Medical Billing and Coding, ICD-10-CM, ICD-10-PCS, CPT, HCPCS, etc.
Viewing:  Feb 22, 2017

APC Status Indicator Codes

The icons below are shown on the appropriate CPT® and HCPCS codes.

A  Services Paid under Fee Schedule or Payment System other than OPPS
B  Codes Not Recognized by OPPS when submitted on Outpatient Hospital Part B Bill Type (12x/13x)
C  Inpatient Procedures, not paid under OPPS
D  Discontinued Codes
E  Non-Covered Service, not paid under OPPS
F  Corneal, CRNA and Hepatitis B
G  Pass-Through Drugs and Biologicals
H  Pass-Through Device Categories
K  Nonpass-Through Drugs and Nonimplantable Biologicals, Including Therapeutic Radiopharmaceuticals
L  Influenza Vaccine; Pneumococcal Pneumonia Vaccine
M  Items and Services Not Billable to the Fiscal Intermediary/MAC
N  Items and Services Packaged into APC Rates
P  Partial Hospitalization
Q1  STVX-Packaged Codes
Q2  T-Packaged Codes
Q3  Codes That May Be Paid Through a Composite APC
R  Blood and Blood Products
S  Significant Procedure, Not Discounted When Multiple
T  Significant Procedure, Multiple Reduction Applies
U  Brachytherapy Sources
V  Clinic or Emergency Department Visit
X  Ancillary Services
Y  Non-Implantable Durable Medical Equipment

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