Coding, Classification and Reimbursement

Payment Statud codes

  • 1.  Payment Statud codes

    Posted 02-05-2019 10:56
    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 02-06-2019 09:21
    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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