|
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 |