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Thread: HCPCS Codes

  1. #1

    Default HCPCS Codes

    AAPC: Back to School
    Hi Can anyone tell me what the headers mean on the addendum E Proposed HCPCs Codes that would be paid only as inpatient Procedures, there is a heading which says SI which means Status Indicator and the list has a letter C under that for each code. I need to know what the letter C indicates. Also, does anyone know if there is any other documentation out there as codes that are only recognized as being eligible as inpatient procedures?

    Thank You!

  2. #2
    Join Date
    Apr 2007
    Columbia, MO


    Status indicators are for outpatient facility billing, they communicate how a particular procedure or service will be treated for reimbursement under OPPS. A C indicates an inpatient procedure that is not reimbursable under OPPS, which means if it is performed in the outpatient setting, the facility will not be reimbursed. There may be a list of inpatient only procedures available thru your payer.

    Debra A. Mitchell, MSPH, CPC-H

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