den71ice
Networker
Do you know how often and when APC indicator codes are added? I know we get APC updates every quarter but I'm unsure how often the indicators change. Thank you.
A Pd under other Sch/Pmt System
B Not recognized on OP bill
C IP Procedure
D Deleted Code
E Not Paid by Medicare
F Not Paid by OPPS. Cost
G Drug/Biological Separate APC w/pass through
H Device Separate Cost Based on Pass through
K Drug/Biological Separate APC non-pass through
L Vaccine not paid under OOPS
N Items/Services packaged into APC
P Partial Hospitalization
S Significant Procedure Multi not discounted
T Significant Procedure Multi reduction applies
V Clinic/Emergency Visit
Y Non-implant Durable Med Equipm
X Ancillary Services
M Items and srvcs not billable to Fiscal Intrmed
W Invalid or blank HCPCS and invalid rev code
Z Valid RevCode, blank HCPCS, no other Stat Ind
A Pd under other Sch/Pmt System
B Not recognized on OP bill
C IP Procedure
D Deleted Code
E Not Paid by Medicare
F Not Paid by OPPS. Cost
G Drug/Biological Separate APC w/pass through
H Device Separate Cost Based on Pass through
K Drug/Biological Separate APC non-pass through
L Vaccine not paid under OOPS
N Items/Services packaged into APC
P Partial Hospitalization
S Significant Procedure Multi not discounted
T Significant Procedure Multi reduction applies
V Clinic/Emergency Visit
Y Non-implant Durable Med Equipm
X Ancillary Services
M Items and srvcs not billable to Fiscal Intrmed
W Invalid or blank HCPCS and invalid rev code
Z Valid RevCode, blank HCPCS, no other Stat Ind