• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Status Indicators 2017

Create Wiki
S

saraandrews

New
Messages
8
Location
Fresno, CA
Best answers
0
Can status indicator T be paid with a status indicator J1?

Example
36820 SI-T
37607 SI-T
37246 SI-J1

Sometimes we receive payment for all 3 codes and other time for just 1 code and it's always the T code.
 
The payment for codes with status T will be packaged with the payment rate for the J1 code that falls under the comprehensive APC. This is an all-inclusive rate so the status T codes are paid - it's just that you may not see a separate payment on the individual line items. This is a Medicare payment methodology - your non-Medicare payers may or may not follow this payment method so you might see payment on all codes depending on your contracts. Also, Medicare payers may sometimes allocate the payment on all lines even though the pricing is based on the J1 APC rate.
 
You must log in or register to reply here.
Top