"STATUS_INDICATOR","LO_VERSION","HI_VERSION","DESCRIPTION"
"A","54","81","Services not paid under OPPS; paid under fee schedule or other payment system"
"B","54","81","Non-allowed item or service for OPPS"
"C","54","81","Inpatient procedure"
"E","54","65","Non-allowed item or service"
"E1","66","81","Non-allowed item or service"
"E2","66","81","Items and services for which pricing information and claims data are not available"
"F","54","81","Corneal tissue acquisition; certain CRNA services and hepatitis B vaccines"
"G","54","81","Drug/Biological Pass-through"
"H","54","81","Pass-through device categories"
"J1","58","81","Hospital Part B services paid through a comprehensive APC"
"J2","62","81","Hospital Part B services that may be paid through a comprehensive APC"
"K","54","81","Non pass-through drugs and  nonimplantable biologicals, including therapeutic radiopharmaceuticals"
"L","54","81","Flu/PPV vaccines"
"M","54","81","Service not billable to the FI/MAC"
"N","54","81","Items and Services packaged into APC rates"
"P","54","81","Partial hospitalization service"
"Q1","54","57","STVX-Packaged codes"
"Q1","58","81","STV-Packaged Codes"
"Q2","54","81","T-Packaged codes"
"Q3","54","81","Codes that may be paid through a composite APC"
"Q4","62","81","Conditionally packaged laboratory services"
"R","54","81","Blood and blood products"
"S","54","81","Procedure or service, not discounted when multiple"
"T","54","81","Procedure or service, multiple reduction applies"
"U","54","81","Brachytherapy sources"
"V","54","81","Clinic or emergency department visit"
"W","54","81","Invalid HCPCS or Invalid revenue code with blank HCPCS"
"X","54","57","Ancillary service"
"Y","54","81","Non-implantable DME"
"Z","54","81","Valid revenue with blank HCPCS and no other SI assigned"
