"VALUE","LO_VERSION","HI_VERSION","DESCRIPTION"
"0","58","85","OPPS Pricer determines payment for service"
"1","58","85","Service not paid based on coverage or billing rules"
"2","58","85","Service not subject to OPPS"
"3","58","85","Service not subject to OPPS and has an OCE line item denial or rejection"
"4","58","85","Line item denied or rejected by MAC; OCE not applied to line item"
"5","58","85","Payment for service determined under FQHC PPS"
"6","58","85","CMHC outlier limitation reached"
"7","58","85","Section 603 service with no reduction applied in OPPS Pricer"
"8","58","85","Section 603 service with PFS reduction applied in OPPS Pricer"
"9","58","85","CMHC outlier limitation bypassed"
"A","58","85","Payment reduction for off-campus clinic visit"
"B","58","85","Payer only testing"
"C","58","85","Payment made by FQHC PPS and coinsurance is n/a (COVID-19)"
"V","58","85","Contractor bypass applied to FQHC PPS service and coinsurance is n/a (COVID-19)"
"W","58","85","Contractor bypass applied to off-campus clinic visit for payment reduction"
"X","58","85","Contractor bypass applied to Section 603 service with no reduction applied in OPPS Pricer"
"Y","58","85","Contractor bypass applied to Section 603 service with reduction applied in OPPS Pricer"
"Z","58","85","Contractor bypass determines payment for services"
