Coding, Classification and Reimbursement

Payment Statud codes

  • 1.  Payment Statud codes

    Posted 17 days ago
    Hi all,

    Is anyone familiar with payment status codes or indicators such as D2,D1, S2?

    I am not seeing these in the OPPS payment indicators.



  • 2.  RE: Payment Statud codes

    Posted 16 days ago
    I'm not sure this helps, but below is the link to the 2019 OPPS final rule addendas.  Addendum D1 and D2 contain the status indicators --- perhaps that is where you got the D1, D2?
    Nevertheless, there isn't a SI S2 or an Addendum S2.
    https://www.cms.gov/apps/ama/license.asp?file=/Medicare/Medicare-Fee-for-Service-Payment/HospitalOutpatientPPS/Downloads/CMS-1695-FC-2019-OPPS-FR-Addenda.zip

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    Sheila Goethel
    Coding Services Senior Manager
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