What is a q3 Status Indicator?

• A status indicator “Q3” would be assigned to all codes that may be paid through a. composite APC based on composite-specific criteria or paid separately through. single code APCs when the criteria are not met.

What is a status indicator?

Status indicator or “SI” means a payment indicator that identifies whether a service represented by a CPT or HCPCS code is payable under the OPPS APC or another payment system. Only one status indicator is assigned to each CPT or HCPCS code.

What are APC status indicators?

The ultrasound procedure had a status indicator of “Q1.” The disposable NPWT procedures had a status indicator of “T.” The “Q1” status indicator means the APC payment is packaged if the code is billed on the same claim as a HCPCS code with a status indicator of “S,” “T,” or “V.” The “T” status indicator means a …

What is a payment indicator?

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 is payment indicator N1?

N1:Packaged service/item; no separate payment made.

What does Q1 status indicator mean?

Q1. STV-Packaged codes. Paid under OPPS ; Addendum B displays APC assignments when services are separately payable. Packaged APC payment if billed on same date of service as a HCPCS assigned status indicator “S”, “T”, “V”. In all other circumstances, payment is made through a separate APC payment.

What does Status Indicator G mean?

G Pass-Through Drugs and Biologicals Paid under OPPS; Separate APC payment includes pass-through amount. H Pass-Through Device Categories Separate cost-based pass-through payment; Not subject to coinsurance.

What does N1 mean in coding?

Function and Use. The N1 command is used to add a new record to a file.

What is ASC payment indicator N1?

N1 Packaged service/item; no separate payment made.

What is J8 status indicator?

paid at adjusted rate

J8 Device-intensive procedure; paid at adjusted rate. K2 Drugs and biologicals paid separately when provided integral to a surgical procedure on ASC list; payment based on OPPS rate.

What is payment indicator C5?

ASC_Payment Indicator Definitions

C5:Inpatient surgical procedure under OPPS; no payment made. D5:Deleted/discontinued code; no payment made.

What is ASC payment?

The ASC payment group determines the amount that Medicare pays for facility services furnished in connection with a covered procedure.