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How do Status Indicator influence the reimbursement in Medical Billing?

A Status indicator explains the payment methodology for outpatient hospital services. It determines that under what payment system the service are paid.

It is appended with every HCPCS code to identify the particular services or procedure described by the code would be paid under the hospital OPPS.

Hospital outpatient services may include:-

  • Physician professional services.
  • Screening Mammography.
  • Physician services for a patient of ESRD.
  • Clinical diagnostic laboratory services.
  • EPO for ESRD patient.
  • Pulmonary Rehabilitation clinical trial.
  • Ambulance services.
  • Non- Implantable prosthetic and orthotic devices.
  • Speech, Physical & occupational Therapy.
  • Routine dialysis procedures for ESRD patient

Types of Indicator

Status Indicators are:-

A, B, C, D, E, F, G, H, K, L, M, N, P, Q, R, S, T, U, V, X & Y.

Some Important Fact:


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