Code
|
Display
|
Definition
|
Deprecated
|
1
|
No payment adjustment
|
No payment adjustment
|
|
2
|
Designated current drug or biological payment adjustment applies to APC (status indicator G)
|
Designated current drug or biological payment adjustment applies to APC (status indicator G)
|
|
3
|
Designated new device payment adjustment applies to APC (status indicator H)
|
Designated new device payment adjustment applies to APC (status indicator H)
|
|
4
|
Designated new drug or new biological payment adjustment applies to APC (status indicator J)
|
Designated new drug or new biological payment adjustment applies to APC (status indicator J)
|
|
5
|
Deductible not applicable (specific list of HCPCS codes)
|
Deductible not applicable (specific list of HCPCS codes)
|
|