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Payment Adjustment Code
Vocabulary Type Code System - Representative
Concept Domain Payment Adjustment Code
Code System Name
Code System Identifier
Code System OID
HL7 Table Identifier HL70468
Version
Status Active
Where Used GP2-9
Purpose and Use Table of codes specifying any payment adjustment due to drugs or medical devices.


Payment Adjustment Code - Code System
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)