CMS assigns HCPCS codes to APC’s based on similar clinical characteristic and similar costs. APC’s are used in outpatient surgery departments, outpatient clinic emergency department, and observation services. An OPPS payment status indicator is assigned to every CPT/HCPCS code, the indicators ...
APC Modified Payment $244 Physician Modified Payment $69 (-51) $3,220 <$690 (-51, -52) $1,118 $1,118 Packaged Packaged $140 (-51) $140 (-51, -59) $15 (-26) $19 (-26) Potential Inpatient Reimbursement Codes MS-DRG MS- MS - DRG MS - DRG DRG Description Payment Other ...