Tip: Understand Q status indicator subcategories
APCs Weekly Monitor, May 22, 2009
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- Q1, for STVX-packaged
- Q2, for T-packaged codes
- Q3, for codes subject to payment as part of a composite
TheSTVX-packaged codes (status indicator Q1) are packaged when billed on the same date of service with any other code with a status indicator of S, T, V, or X. If not, they are separately payable under a separate APC.
The T-packaged codes (status indicator Q2) are packaged only if they are billed on the same date of service with any other codes with a T status indicator. If not, they are separately payable under a separate APC.
Codes subject to payment as part of a composite (status indicator Q3) are packaged into the composite rate when all criteria for that composite are met. Otherwise, Q3 status indicator services may become separately payable, if assigned to a separate APC, or packaged into other services, if not.
If you report more than one STVX- or T-packaged code without a separately payable service into which it would otherwise be packaged, CMS makes separate payment only for the highest-paying service and packages all others into that code.
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