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Ask a Rev Cycle Expert: OPPS Packaging?


Under OPPS, are pathology codes with status indicators Q1 and Q2 packaged with procedures listed as J1 and J2 when performed on the same day?


Yes, any code assigned to status indicators Q1 STV-Packaged Codes or Q2 T-Packaged Codes may be packaged into the Ambulatory Payment Classification (APC) reimbursement when provided on the same day as a procedure assigned to status indicator J1 Hospital Part B Services Paid Through a Comprehensive APC or J2 Hospital Part B Services That May Be Paid Through a Comprehensive APC. For the most part, any supportive services provided during the same encounter as a J1 or J2 procedure will be packaged into the APC reimbursement.

Disclaimer: This information was current at the time of its publishing and is designed to provide accurate information in regard to the subject matter covered. Vitalware does not accept any responsibility or liability with regard to any errors, omissions, misuses, or misinterpretation by the reader. It is not intended to take the place of either the written policies or regulations. We encourage you to review the specific regulations and other interpretive materials as necessary. All CPT® codes are trademarked by the American Medical Association (AMA) and all revenue codes are copyrighted by the American Hospital Association (AHA).