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.
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