"PAYMENT_INDICATOR","LO_VERSION","HI_VERSION","DESCRIPTION"
"0","54","81","No payment indicator assigned"
"1","54","81","Paid standard hospital OPPS amount (status indicator: J1, J2, R, S, T, U, V, X)"
"2","54","81","Paid under fee schedule or other payment system (status indicator: A, G, K)"
"3","54","81","Not paid (status indicator: Q, Q1, Q2, Q3, Q4, M, W, Y, E, E1, E2) or not paid under OPPS (status indicator: B, C, Z)"
"4","54","81","Paid at reasonable cost (status indicator: F, L)"
"5","54","81","Paid standard amount for pass-through drug or biological (status indicator: G)"
"6","54","81","Payment based on charge adjusted to cost (status indicator: H)"
"7","54","81","Additional payment for new drug or new biological (status indicator: J)"
"8","54","81","Paid partial hospitalization per diem (status indicator: P)"
"9","54","81","No additional payment, payment included in line items with APCs (status indicator: N)"
"10","54","81","Paid FQHC encounter payment"
"11","54","81","Not paid or not included under FQHC encounter payment"
"12","54","81","No additional payment, included in payment for FQHC encounter"
"13","54","81","Paid FQHC encounter payment for new patient or IPPE/AWV"
"14","54","81","Grandfathered tribal FQHC encounter payment"
