Health Information Management

Tip: Q Status Indicators

APCs Insider, May 8, 2009

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The Q status indicators are temporary. When the OCE receives a claim for processing, it will determine whether that code is packaged or separately payable. If packaged, the Q status indicator becomes an N. If separately payable, the Q status indicator generally becomes an S or T—the same status indicator that is assigned to the APC under which separate payment is made.

Use this process to determine under which status indicator the OCE will pay a separately payable Q status indicator code:

  • First, refer to Addendum B (a list of all HCPCS codes for 2009) to look up payment information for that code, including the APC to which it is assigned when separately payable
  • Next, refer to Addendum A (a list of all APCs for 2009) to look up payment information for codes assigned to that APC
  • The payment information in Addendum A will include the status indicator for that APC, which is the status indicator the OCE will assign to the status indicator Q code when it is separately payable

This tip was adapted from the article "Review these important CY 2009 OPPS status indicator changes" from the May issue of Briefings on APCs.



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