CY 2021 Comprehensive APC Payment Policy Exclusions
Ambulance services
Brachytherapy
Diagnostic and mammography screenings
"Physical therapy, speech-language pathology and occupational therapy services reported on a separate facility claim for recurring services"
"Pass-through drugs, biologicals, and devices"
Preventive services defined in 42 CFR410.2
Self-administered drugs (SADs) - Drugs that are usually self-administered and do not function as supplies in the provision of the comprehensive service
"Services assigned to OPPS status indicator “F” (certain CRNA services, Hepatitis B vaccines and corneal tissue acquisition)"
Services assigned to OPPS status indicator “L” (influenza and pneumococcal pneumonia vaccines)
"Certain Part B inpatient services – Ancillary Part B inpatient services payable under Part B when the primary “J1” service for the claim is not a payable Medicare Part B inpatient service (for example, exhausted Medicare Part A benefits, beneficiaries with Part B only)"
Services assigned to a New Technology APC 
