"VALUE","LO_VERSION","HI_VERSION","DESCRIPTION"
"0","58","85","Not packaged"
"1","58","85","Packaged service (status indicator N or no HCPCS code and certain revenue codes)"
"2","58","85","Packaged as part of partial hospitalization per diem or daily mental health service per diem"
"3","58","85","Artificial charges for surgical procedure (submitted charges for surgical HCPCS less than $1.01)"
"4","58","85","Packaged as part of drug administration APC payment"
"5","58","85","Packaged as part of FQHC encounter payment"
"6","58","85","Packaged preventive service as part of FQHC encounter payment not subject to co-insurance payment"
