Key Takeaways
- Status indicators drive whether services are separately paid, packaged, or conditionally payable.
- Packaging is not always a coding error; many ancillary lines are intentionally bundled.
- OCE edits should be classified and worked by rule type, not bypassed.
Last updated: February 2026
OPPS troubleshooting mindset
When reimbursement is unexpected:
- Start with status indicator behavior.
- Check if the denied line is packaged by design.
- Review OCE/NCCI edits and supporting documentation.
- Correct only what is truly incorrect, then preserve the correction trail.
Test Your Knowledge
A denied outpatient line is packaged under OPPS. What is usually the best interpretation?
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D