File Version:
L, CCW Data Documentation February 2021
NumberSAS NameVariable Name
1 BENE_ID Encrypted CCW Beneficiary ID
2 CLM_ID Claim ID
3 NCH_NEAR_LINE_REC_IDENT_CD NCH Near Line Record Identification Code (RIC)
4 NCH_CLM_TYPE_CD NCH Claim Type Code
5 CLM_FROM_DT Claim From Date (FFS)
6 CLM_THRU_DT Claim Through Date (FFS)
7 NCH_WKLY_PROC_DT NCH Weekly Claim Processing Date
8 FI_CLM_PROC_DT FI Claim Process Date
9 CLAIM_QUERY_CODE Claim Query Code
10 PRVDR_NUM Provider Number
11 CLM_FAC_TYPE_CD Claim Facility Type Code (FFS)
12 CLM_SRVC_CLSFCTN_TYPE_CD Claim Service Classification Type Code (FFS)
13 CLM_FREQ_CD Claim Frequency Code (FFS)
14 FI_NUM FI or MAC Number
15 CLM_MDCR_NON_PMT_RSN_CD Claim Medicare Non Payment Reason Code
16 CLM_PMT_AMT Claim (Medicare) Payment Amount
17 NCH_PRMRY_PYR_CLM_PD_AMT NCH Primary Payer (if not Medicare) Claim Paid Amount
18 NCH_PRMRY_PYR_CD NCH Primary Payer Code (if not Medicare)
19 FI_CLM_ACTN_CD FI or MAC Claim Action Code
20 PRVDR_STATE_CD NCH Provider SSA State Code
21 ORG_NPI_NUM Organization (or group) NPI Number
22 SRVC_LOC_NPI_NUM Claim Service Location NPI Number
23 AT_PHYSN_UPIN Claim Attending Physician UPIN Number
24 AT_PHYSN_NPI Claim Attending Physician NPI Number (FFS)
25 AT_PHYSN_SPCLTY_CD Claim Attending Physician Specialty Code
26 OP_PHYSN_NPI Claim Operating Physician NPI Number (FFS)
27 OP_PHYSN_SPCLTY_CD Claim Operating Physician Specialty Code
28 OT_PHYSN_NPI Claim Other Physician NPI Number (FFS)
29 OT_PHYSN_SPCLTY_CD Claim Other Physician Specialty Code
30 RNDRNG_PHYSN_NPI Rendering Physician NPI (FFS)
31 RNDRNG_PHYSN_SPCLTY_CD Claim or Revenue Center Rendering Physician Specialty Code
32 RFRG_NPI Claim Referring Physician NPI Number
33 RFRG_SPCLTY_CD Claim Referring Physician Specialty Code
34 PTNT_DSCHRG_STUS_CD Patient Discharge Status Code (FFS)
35 CLM_TOT_CHRG_AMT Claim Total Charge Amount
36 NCH_PTNT_STATUS_IND_CD NCH Patient Status Indicator Code
37 CLM_UTLZTN_DAY_CNT Claim Medicare Utilization Day Count
38 NCH_BENE_DSCHRG_DT NCH Beneficiary Discharge Date
39 PRNCPAL_DGNS_CD Claim Principal Diagnosis Code (FFS)
40 ICD_DGNS_CD1 Claim Diagnosis Code I (FFS)
41 ICD_DGNS_CD2 Claim Diagnosis Code II (FFS)
42 ICD_DGNS_CD3 Claim Diagnosis Code III (FFS)
43 ICD_DGNS_CD4 Claim Diagnosis Code IV (FFS)
44 ICD_DGNS_CD5 Claim Diagnosis Code V (FFS)
45 ICD_DGNS_CD6 Claim Diagnosis Code VI (FFS)
46 ICD_DGNS_CD7 Claim Diagnosis Code VII (FFS)
47 ICD_DGNS_CD8 Claim Diagnosis Code VIII (FFS)
48 ICD_DGNS_CD9 Claim Diagnosis Code IX (FFS)
49 ICD_DGNS_CD10 Claim Diagnosis Code X (FFS)
50 ICD_DGNS_CD11 Claim Diagnosis Code XI (FFS)
51 ICD_DGNS_CD12 Claim Diagnosis Code XII (FFS)
52 ICD_DGNS_CD13 Claim Diagnosis Code XIII (FFS)
53 ICD_DGNS_CD14 Claim Diagnosis Code XIV (FFS)
54 ICD_DGNS_CD15 Claim Diagnosis Code XV (FFS)
55 ICD_DGNS_CD16 Claim Diagnosis Code XVI (FFS)
56 ICD_DGNS_CD17 Claim Diagnosis Code XVII (FFS)
57 ICD_DGNS_CD18 Claim Diagnosis Code XVIII (FFS)
58 ICD_DGNS_CD19 Claim Diagnosis Code XIX (FFS)
59 ICD_DGNS_CD20 Claim Diagnosis Code XX (FFS)
60 ICD_DGNS_CD21 Claim Diagnosis Code XXI (FFS)
61 ICD_DGNS_CD22 Claim Diagnosis Code XXII (FFS)
62 ICD_DGNS_CD23 Claim Diagnosis Code XXIII (FFS)
63 ICD_DGNS_CD24 Claim Diagnosis Code XXIV (FFS)
64 ICD_DGNS_CD25 Claim Diagnosis Code XXV (FFS)
65 FST_DGNS_E_CD First Claim Diagnosis E Code (FFS)
66 ICD_DGNS_E_CD1 Claim Diagnosis E Code I (FFS)
67 ICD_DGNS_E_CD2 Claim Diagnosis E Code II (FFS)
68 ICD_DGNS_E_CD3 Claim Diagnosis E Code III (FFS)
69 ICD_DGNS_E_CD4 Claim Diagnosis E Code IV (FFS)
70 ICD_DGNS_E_CD5 Claim Diagnosis E Code V (FFS)
71 ICD_DGNS_E_CD6 Claim Diagnosis E Code VI (FFS)
72 ICD_DGNS_E_CD7 Claim Diagnosis E Code VII (FFS)
73 ICD_DGNS_E_CD8 Claim Diagnosis E Code VIII (FFS)
74 ICD_DGNS_E_CD9 Claim Diagnosis E Code IX (FFS)
75 ICD_DGNS_E_CD10 Claim Diagnosis E Code X (FFS)
76 ICD_DGNS_E_CD11 Claim Diagnosis E Code XI
77 ICD_DGNS_E_CD12 Claim Diagnosis E Code XII
78 CLM_HOSPC_START_DT_ID Claim Hospice Start Date
79 BENE_HOSPC_PRD_CNT Beneficiary's Hospice Period Count
80 DOB_DT Date of Birth from Claim
81 GNDR_CD Gender Code from Claim
82 BENE_RACE_CD Beneficiary Race Code (FFS)
83 BENE_CNTY_CD County Code from Claim (SSA)
84 BENE_STATE_CD Beneficiary Residence (SSA) State Code (FFS)
85 BENE_MLG_CNTCT_ZIP_CD Zip Code of Residence from Claim
86 CLM_MDCL_REC Claim Medical Record Number (FFS)
87 CLM_TRTMT_AUTHRZTN_NUM Claim Treatment Authorization Number
88 CLM_PRCR_RTRN_CD Claim Pricer Return Code
89 CLM_SRVC_FAC_ZIP_CD Claim service facility ZIP code (where service was provided)
90 CLM_NEXT_GNRTN_ACO_IND_CD1 Claim Next Generation (NG) Accountable Care Organization (ACO) Indicator Code - Population-Based Payment (PBP)
91 CLM_NEXT_GNRTN_ACO_IND_CD2 Claim Next Generation (NG) Accountable Care Organization (ACO) Indicator Code - Telehealth
92 CLM_NEXT_GNRTN_ACO_IND_CD3 Claim Next Generation (NG) Accountable Care Organization (ACO) Indicator Code - Post Discharge HH visits
93 CLM_NEXT_GNRTN_ACO_IND_CD4 Claim Next Generation (NG) Accountable Care Organization (ACO) Indicator Code - 3-day SNF waiver
94 CLM_NEXT_GNRTN_ACO_IND_CD5 Claim Next Generation (NG) Accountable Care Organization (ACO) Indicator Code - Capitation
95 ACO_ID_NUM Claim Accountable Care Organization (ACO) Identification Number
96 CLM_BENE_ID_TYPE_CD Claim Beneficiary Identifier Type Code
97 CLM_RSDL_PYMT_IND_CD Claim Residual Payment Indicator Code
98 PRVDR_VLDTN_TYPE_CD Provider Validation Type Code
99 RR_BRD_EXCLSN_IND_SW Railroad Board Exclusion Indicator Switch
100 CLM_MODEL_REIMBRSMT_AMT Claim Model Reimbursement Amount

Revenue Center File

NumberSAS NameVariable Name
1 BENE_ID Encrypted CCW Beneficiary ID
2 CLM_ID Claim ID
3 CLM_THRU_DT Claim Through Date (FFS)
4 CLM_LINE_NUM Claim Line Number
5 NCH_CLM_TYPE_CD NCH Claim Type Code
6 REV_CNTR Revenue Center Code (FFS)
7 REV_CNTR_DT Revenue Center Date
8 HCPCS_CD Healthcare Common Procedure Coding System (HCPCS) Code (FFS)
9 HCPCS_1st_mdfr_cd HCPCS Initial Modifier Code (FFS)
10 HCPCS_2ND_MDFR_CD HCPCS Second Modifier Code (FFS)
11 HCPCS_3RD_MDFR_CD HCPCS Third Modifier Code (FFS)
12 REV_CNTR_UNIT_CNT Revenue Center Unit Count (FFS)
13 REV_CNTR_RATE_AMT Revenue Center Rate Amount
14 REV_CNTR_PRVDR_PMT_AMT Revenue Center (Medicare) Provider Payment Amount
15 REV_CNTR_PMT_AMT_AMT Revenue Center (Medicare) Payment Amount
16 REV_CNTR_TOT_CHRG_AMT Revenue Center Total Charge Amount
17 REV_CNTR_NCVRD_CHRG_AMT Revenue Center Non-Covered Charge Amount
18 REV_CNTR_DDCTBL_COINSRNC_CD Revenue Center Deductible Coinsurance Code
19 REV_CNTR_BENE_PMT_AMT Revenue Center Payment Amount to Beneficiary
20 REV_CNTR_NDC_QTY Revenue Center National Drug Code (NDC) Quantity (FFS)
21 REV_CNTR_NDC_QTY_QLFR_CD Revenue Center NDC Quantity Qualifier Code (FFS)
22 RNDRNG_PHYSN_UPIN Revenue Center Rendering Physician UPIN
23 RNDRNG_PHYSN_NPI Rendering Physician NPI (FFS)
24 RNDRNG_PHYSN_SPCLTY_CD Claim or Revenue Center Rendering Physician Specialty Code
25 REV_CNTR_IDE_NDC_UPC_NUM Revenue Center IDE, NDC, or UPC Number (FFS)
26 REVSTIND Revenue Center Status Indicator Code
27 REV_CNTR_PRCNG_IND_CD Revenue Center Pricing Indicator Code
28 THRPY_CAP_IND_CD1 Therapy cap Indicator 1 Code
29 THRPY_CAP_IND_CD2 Therapy cap Indicator 2 Code
30 REV_CNTR_RP_IND_CD Revenue Center Representative Payee (RP) Indicator Code
3 NCH_CLM_TYPE_CD NCH Claim Type Code
32 ORDRG_PHYSN_NPI Revenue Center Ordering Physician NPI

Condition Code File

NumberSAS NameVariable Name
1 BENE_ID Encrypted CCW Beneficiary ID
2 CLM_ID Claim ID
3 NCH_CLM_TYPE_CD NCH Claim Type Code
4 RLT_COND_CD_SEQ Claim Related Condition Code Sequence
5 CLM_RLT_COND_CD Claim Related Condition Code (FFS)

Occurence Code File

NumberSAS NameVariable Name
1 BENE_ID Encrypted CCW Beneficiary ID
2 CLM_ID Claim ID
3 NCH_CLM_TYPE_CD NCH Claim Type Code
4 RLT_OCRNC_CD_SEQ Claim Related Occurrence Code Sequence
5 CLM_RLT_OCRNC_CD Claim Related Occurrence Code (FFS)
6 CLM_RLT_OCRNC_DT Claim Related Occurrence Date (FFS)

Span Code File

NumberSAS NameVariable Name
1 BENE_ID Encrypted CCW Beneficiary ID
2 CLM_ID Claim ID
3 NCH_CLM_TYPE_CD NCH Claim Type Code
4 RLT_SPAN_CD_SEQ Claim Related Span Code Sequence
5 CLM_SPAN_CD Claim Occurrence Span Code (FFS)
6 CLM_SPAN_FROM_DT Claim Occurrence Span From Date (FFS)
7 CLM_SPAN_THRU_DT Claim Occurrence Span Through Date (FFS)

Value Code File

NumberSAS NameVariable Name
1 BENE_ID Encrypted CCW Beneficiary ID
2 CLM_ID Claim ID
3 NCH_CLM_TYPE_CD NCH Claim Type Code
4 RLT_VAL_CD_SEQ Claim Related Value Code Sequence
5 CLM_VAL_CD Claim Value Code (FFS)
6 CLM_VAL_AMT Claim Value Amount

Demonstrations/Innovations Code File

NumberSAS NameVariable Name
1 BENE_ID Encrypted CCW Beneficiary ID
2 CLM_ID Claim ID
3 NCH_CLM_TYPE_CD NCH Claim Type Code
4 DEMO_ID_SQNC_NUM Demonstration sequence number
5 DEMO_ID_NUM Demonstration number
6 DEMO_INFO_TXT Demo information text