01611
Payment Adjustment Code
2001-06-26
Definition: This field contains any payment adjustment due to drugs or medical devices. Refer to User-defined Table 0468 - Payment adjustment code for suggested values. This field is defined by HCFA or other regulatory agencies
User-defined Table 0468 - Payment adjustment code
Length≤1
5 values
1 | No payment adjustment |
2 | 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) |
4 | Designated new drug or new biological payment adjustment applies to APC (status indicator J) |
5 | Deductible not applicable (specific list of HCPCS codes) |