Payment Adjustment Code

Code Description Comment Version
1 No payment adjustment added v2.4
2 Designated current drug or biological payment adjustment applies to APC (status indicator G) added v2.4
3 Designated new device payment adjustment applies to APC (status indicator H) added v2.4
4 Designated new drug or new biological payment adjustment applies to APC (status indicator J) added v2.4
5 Deductible not applicable (specific list of HCPCS codes) added v2.4