No comments. Categories: Uncategorized. Comprehensive APCs, aka C-APCs, are much like DRGs but on the Outpatient side. Comprehensive APCs expand CMS’s intentions of the Outpatient Prospective Payment System (OPPS) being a partially packaged system.

What does APC pricing mean?

APCs or Ambulatory Payment Classifications are the United States government’s method of paying for facility outpatient services for the Medicare (United States) program. … APCs are an outpatient prospective payment system applicable only to hospitals.

What are APC status indicators?

The ultrasound procedure had a status indicator of “Q1.” The disposable NPWT procedures had a status indicator of “T.” The “Q1” status indicator means the APC payment is packaged if the code is billed on the same claim as a HCPCS code with a status indicator of “S,” “T,” or “V.” The “T” status indicator means a …