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The amount of the federal specific portion of the PPS payment for capital.
This is one component of the total amount that is payable for capital PPS for the claim. The total capital amount, which includes this variable, is in the variable CLM_TOT_PPS_CPTL_AMT.
The amount of the indirect medical education (IME) (reimbursable amount for teaching hospitals only; an added amount passed by Congress to augment normal prospective payment system [PPS] payments for teaching hospitals to compensate them for higher patient costs resulting from medical education programs for interns and residents) portion of the PPS payment for capital.
This is one component of the total amount that is payable for capital PPS for the claim. The total capital amount, which includes this variable, is in the variable CLM_TOT_PPS_CPTL_AMT.
The amount of the outlier portion of the PPS payment for capital.
This is one component of the total amount that is payable for capital PPS for the claim. The total capital amount, which includes this variable, is in the variable CLM_TOT_PPS_CPTL_AMT.
The code indicating whether or not:
(1) the claim is from the prospective payment system (PPS), and/or
(2) the beneficiary is a deemed insured MQGE (Medicare Qualified Government Employee)
This amount is the hold harmless amount payable for old capital as computed by PRICER for providers with a payment code equal to 'A'.
The hold harmless amount-old capital is 100 percent of the reasonable costs of old capital for sole community hospitals, or 85 percent of the reasonable costs associated with old capital for all other hospitals, plus a payment for new capital.
The code used to identify various prospective payment system (PPS) payment adjustment types. This code identifies the payment return code or the error return code for every claim type calculated by the PRICER tool.
This field indicates the Prospective Payment System (PPS) Pricer version used to process payment for the claim.
The diagnosis code identifying the diagnosis, condition, problem or other reason for the admission/encounter/visit shown in the medical record to be chiefly responsible for the services provided.
This data is also redundantly stored as the first occurrence of the diagnosis code (variable called ICD_DGNS_CD1).
The diagnosis code identifying the diagnosis, condition, problem or other reason for the admission/encounter/visit shown in the medical record to be chiefly responsible for the services provided.
This data is also redundantly stored as the first occurrence of the diagnosis code (variable called ICD_DGNS_CD1).
Effective with Version 'J', the code used to indicate if the diagnosis code is ICD-9/ICD-10.
Effective with Version 'J', the code used to indicate if the diagnosis code is ICD-9/ICD-10.
The code that indicates the principal or other procedure performed during the period covered by the institutional claim.
The date on which the principal procedure was performed. The date associated with the procedure identified in ICD_PRCDR_CD1.
The code that indicates the procedure performed during the period covered by the institutional claim.
The date on which the 10th procedure was performed.
The code that indicates the procedure performed during the period covered by the institutional claim.
The date on which the 11th procedure was performed.
The code that indicates the procedure performed during the period covered by the institutional claim.
The date on which the 12th procedure was performed.
The code that indicates the procedure(s) performed during the period covered by the institutional claim. There are up to 13 procedures on the claim. The principal procedure is recorded in ICD_PRCDR_CD1, and secondary, tertiary, etc. procedures are in ICD_PRCDR_CD2–13.
The date on which the 13th procedure was performed.
The code that indicates the procedure performed during the period covered by the institutional claim.
The date on which the 2nd procedure was performed.
The code that indicates the procedure performed during the period covered by the institutional claim.
The date on which the 3rd procedure was performed.
The code that indicates the procedure performed during the period covered by the institutional claim.
The date on which the 4th procedure was performed.
The code that indicates the procedure performed during the period covered by the institutional claim.
The date on which the 5th procedure was performed.
The code that indicates the procedure performed during the period covered by the institutional claim.
The date on which the 6th procedure was performed.
The code that indicates the procedure performed during the period covered by the institutional claim.
The date on which the 7th procedure was performed.
The code that indicates the procedure performed during the period covered by the institutional claim.
The date on which the 8th procedure was performed.
The code that indicates the procedure performed during the period covered by the institutional claim.
The date on which the procedure was performed. The date associated with the procedure identified in ICD_PRCDR_CD1–ICD_PRCDR_CD13.
The code that indicates the principal or other procedure performed during the period covered by the institutional claim.
Effective with Version 'J', the code used to indicate if the surgical procedure code is ICD-9 or ICD-10.
NOTE: With 5010, the diagnosis and procedure codes have been expanded to accommodate ICD-10, even though ICD-10 is not scheduled for iomplementation until 10/2013.
The date on which the principal procedure was performed. The date associated with the procedure identified in ICD_PRCDR_CD1.
The code that indicates the procedure performed during the period covered by the institutional claim.
Effective with Version 'J', the code used to indicate if the surgical procedure code is ICD-9 or ICD-10.
NOTE: With 5010, the diagnosis and procedure codes have been expanded to accommodate ICD-10, even though ICD-10 is not scheduled for iomplementation until 10/2013.
The date on which the 2nd procedure was performed.
The code that indicates the procedure performed during the period covered by the institutional claim.
Effective with Version 'J', the code used to indicate if the surgical procedure code is ICD-9 or ICD-10.
NOTE: With 5010, the diagnosis and procedure codes have been expanded to accommodate ICD-10, even though ICD-10 is not scheduled for iomplementation until 10/2013.
The date on which the 3rd procedure was performed.
The code that indicates the procedure performed during the period covered by the institutional claim.
Effective with Version 'J', the code used to indicate if the surgical procedure code is ICD-9 or ICD-10.
NOTE: With 5010, the diagnosis and procedure codes have been expanded to accommodate ICD-10, even though ICD-10 is not scheduled for iomplementation until 10/2013.
The date on which the 4th procedure was performed.
The code that indicates the procedure performed during the period covered by the institutional claim.