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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 22nd 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 23rd 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 24th 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 25th procedure was performed.
On an institutional claim, the date on which the principal or other procedure was performed.
Code indicating the type of claim record being processed with respect to payment (debit/credit indicator; interim/final indicator).
The date the encounter was submitted into the CMS Encounter Data System (EDS).
The national provider identifier (NPI) number assigned to uniquely identify the referring physician.
The code used to identify the CMS specialty code of the referring physician/practitioner.
The code that indicates a condition relating to an institutional claim or encounter record that may affect payer processing.
The code that indicates a condition relating to an institutional claim that may affect payer processing.
The sequence number of the claim related condition code (variable called CLM_RLT_COND_CD).
The code that identifies a significant event relating to an institutional claim or encounter record that may affect payer processing.
These codes are associated with a specific date (the claim related occurrence date).
The code that identifies a significant event relating to an institutional claim that may affect payer processing.
These codes are associated with a specific date (the claim related occurrence date).
The sequence number of the claim related occurrence code (variable called CLM_RLT_OCRNC_CD).
The date associated with a significant event related to an institutional claim or encounter record that may affect payer processing.
The date for the event that appears in the claim related occurrence code field.
The date associated with a significant event related to an institutional claim that may affect payer processing.
The date for the event that appears in the claim related occurrence code field.
The sequence number of the related span code (variable called CLM_SPAN_CD).
The sequence number of the related claim value code (variable called CLM_VAL_CD).
This variable is the National Provider Identifier (NPI) for the physician who rendered the services.
NPIs replaced UPINs as the standard provider identifiers beginning in 2007. The UPIN is almost never populated after 2009.
The code used to identify the CMS specilty code of the rendering physician/practitioner.
Claim Representative Payee (RP) Indicator Code
Claim Residual Payment Indicator Code
The type of service provided to the beneficiary.
The type of service provided to the beneficiary.
ZIP code where service was provided, as indicated on the claim.
The National Provider Identifier (NPI) of the location where the services were provided.
Under the Long-Term Care Hospital (LTCH) Prospective Payment System (PPS), the payment amount based on the MS-LTC-DRG payment with short stay outlier (SSO) adjustment.
Under the Long-Term Care Hospital (LTCH) Prospective Payment System (PPS), the payment amount based on estimated cost of the case.
Under the Long Term Care Hospital (LTCH) prospective payment system (PPS), the payment amount based on the inpatient prospective payment system (IPPS) comparable amount. This amount does not include any applicable outlier payment amount.
Under the Long Term Care Hospital (LTCH) Prospective Payment System (PPS), the payment amount based on the Inpatient Prospective Payment (IPPS) comparable amount. This amount does not include any applicable outlier payment amount
The code indicating the source of the referral for the admission or visit.
The code indicating the source of the referral for the admission or visit.
The last day on the billing statement covering services rendered to the beneficiary (a.k.a. 'Statement Covers Thru Date').
The last day on the billing statement covering services rendered to the beneficiary (a.k.a 'Statement Covers Thru Date').
The total charges for all services included on the institutional claim.
This field is redundant with revenue center code 0001/total charges.
The total amount that is payable for capital for the prospective payment system (PPS) claim.
This is the sum of the capital hospital specific portion, federal specific portion, outlier portion, disproportionate share portion, indirect medical education portion, exception payments, and hold harmless payments.
The number assigned by the medical reviewer and reported by the provider to identify the medical review (treatment authorization) action taken after review of the beneficiary's case. It designates that treatment covered by the bill has been authorized by the payer.
The type of claim that was submitted. There are different claim types for each major category of health care provider.
A code indicating what kind of payment is covered in this claim