Integration Soup

HL7® Reference Guide

Tables

0468Payment Adjustment Code

Table of codes specifying any payment adjustment due to drugs or medical devices.

Values

ValueDescription
1No payment adjustment
2Designated current drug or biological payment adjustment applies to APC (status indicator G)
3Designated new device payment adjustment applies to APC (status indicator H)
4Designated new drug or new biological payment adjustment applies to APC (status indicator J)
5Deductible not applicable (specific list of HCPCS codes)