File Version:
L, CCW Data Documentation February 2021

For most files, a table of variables will display below, with links to the variable definitions. If no table displays, or if you need additional information for a specific variable, please see the CCW website. Data documentation is available for all files and codebooks for many.

If you are unable to locate the information you need, please contact ResDAC.

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 AT_PHYSN_UPIN Claim Attending Physician UPIN Number
23 AT_PHYSN_NPI Claim Attending Physician NPI Number (FFS)
24 AT_PHYSN_SPCLTY_CD Claim Attending Physician Specialty Code
25 OP_PHYSN_UPIN Claim Operating Physician UPIN Number
26 OP_PHYSN_NPI Claim Operating Physician NPI Number (FFS)
27 OP_PHYSN_SPCLTY_CD Claim Operating Physician Specialty Code
28 OT_PHYSN_UPIN Claim Other Physician UPIN Number
29 OT_PHYSN_NPI Claim Other Physician NPI Number (FFS)
30 OT_PHYSN_SPCLTY_CD Claim Other Physician Specialty Code
500 RNDRNG_PHYSN_NPI Rendering Physician NPI (FFS)
32 RNDRNG_PHYSN_SPCLTY_CD Claim or Revenue Center Rendering Physician Specialty Code
33 CLM_MCO_PD_SW Claim MCO Paid Switch
34 PTNT_DSCHRG_STUS_CD Patient Discharge Status Code (FFS)
35 CLM_PPS_IND_CD Claim PPS Indicator Code
36 CLM_TOT_CHRG_AMT Claim Total Charge Amount
37 CLM_ADMSN_DT Claim Admission Date (FFS)
38 CLM_IP_ADMSN_TYPE_CD Claim Inpatient Admission Type Code (FFS)
39 CLM_SRC_IP_ADMSN_CD Claim Source Inpatient Admission Code (FFS)
40 NCH_PTNT_STATUS_IND_CD NCH Patient Status Indicator Code
41 CLM_PASS_THRU_PER_DIEM_AMT Claim Pass Thru Per Diem Amount
42 NCH_BENE_IP_DDCTBL_AMT NCH Beneficiary Inpatient (or other Part A) Deductible Amount
43 NCH_BENE_PTA_COINSRNC_LBLTY_AM NCH Beneficiary Part A Coinsurance Liability Amount
44 NCH_BENE_BLOOD_DDCTBL_LBLTY_AM NCH Beneficiary Blood Deductible Liability Amount
45 NCH_PROFNL_CMPNT_CHRG_AMT Professional Component Charge Amount
46 NCH_IP_NCVRD_CHRG_AMT NCH Inpatient (or other Part A) Non-covered Charge Amount
47 NCH_IP_TOT_DDCTN_AMT NCH Inpatient (or other Part A) Total Deductible/Coinsurance Amount
48 CLM_TOT_PPS_CPTL_AMT Claim Total PPS Capital Amount
49 CLM_PPS_CPTL_FSP_AMT Claim PPS Capital Federal Specific Portion (FSP) Amount
50 CLM_PPS_CPTL_OUTLIER_AMT Claim PPS Capital Outlier Amount
51 CLM_PPS_CPTL_DSPRPRTNT_SHR_AMT Claim PPS Capital Disproportionate Share Amount
52 CLM_PPS_CPTL_IME_AMT Claim PPS Capital Indirect Medical Education (IME) Amount
53 CLM_PPS_CPTL_EXCPTN_AMT Claim PPS Capital Exception Amount
54 CLM_PPS_OLD_CPTL_HLD_HRMLS_AMT Claim PPS Old Capital Hold Harmless Amount
55 CLM_PPS_CPTL_DRG_WT_NUM Claim PPS Capital DRG Weight Number
56 CLM_UTLZTN_DAY_CNT Claim Medicare Utilization Day Count
57 BENE_TOT_COINSRNC_DAYS_CNT Beneficiary Total Coinsurance Days Count
58 BENE_LRD_USED_CNT Beneficiary Medicare Lifetime Reserve Days (LRD) Used Count
59 CLM_NON_UTLZTN_DAYS_CNT Claim Medicare Non Utilization Days Count
60 NCH_BLOOD_PNTS_FRNSHD_QTY NCH Blood Pints Furnished Quantity
61 NCH_VRFD_NCVRD_STAY_FROM_DT NCH Verified Non-covered Stay From Date
62 NCH_VRFD_NCVRD_STAY_THRU_DT NCH Verified Non-covered Stay Through Date
63 NCH_ACTV_OR_CVRD_LVL_CARE_THRU NCH Active or Covered Level Care Thru Date
64 NCH_BENE_MDCR_BNFTS_EXHTD_DT_I NCH Beneficiary Medicare Benefits Exhausted Date
65 NCH_BENE_DSCHRG_DT NCH Beneficiary Discharge Date
66 CLM_DRG_CD Claim Diagnosis Related Group Code (or MS-DRG Code)
67 CLM_DRG_OUTLIER_STAY_CD Claim Diagnosis Related Group Outlier Stay Code
68 NCH_DRG_OUTLIER_APRVD_PMT_AMT NCH DRG Outlier Approved Payment Amount
69 ADMTG_DGNS_CD Claim Admitting Diagnosis Code (FFS)
70 PRNCPAL_DGNS_CD Claim Principal Diagnosis Code (FFS)
71 ICD_DGNS_CD1 Claim Diagnosis Code I (FFS)
72 CLM_POA_IND_SW1 Claim Diagnosis Code I Diagnosis Present on Admission (POA) Indicator Code (FFS)
73 ICD_DGNS_CD2 Claim Diagnosis Code II (FFS)
74 CLM_POA_IND_SW2 Claim Diagnosis Code II Diagnosis Present on Admission (POA) Indicator Code (FFS)
75 ICD_DGNS_CD3 Claim Diagnosis Code III (FFS)
76 CLM_POA_IND_SW3 Claim Diagnosis Code III Diagnosis Present on Admission (POA) Indicator Code (FFS)
77 ICD_DGNS_CD4 Claim Diagnosis Code IV (FFS)
78 CLM_POA_IND_SW4 Claim Diagnosis Code IV Diagnosis Present on Admission (POA) Indicator Code (FFS)
79 ICD_DGNS_CD5 Claim Diagnosis Code V (FFS)
80 CLM_POA_IND_SW5 Claim Diagnosis Code V Diagnosis Present on Admission Indicator (POA) Code (FFS)
81 ICD_DGNS_CD6 Claim Diagnosis Code VI (FFS)
82 CLM_POA_IND_SW6 Claim Diagnosis Code VI Diagnosis Present on Admission (POA) Indicator Code (FFS)
83 ICD_DGNS_CD7 Claim Diagnosis Code VII (FFS)
84 CLM_POA_IND_SW7 Claim Diagnosis Code VII Diagnosis Present on Admission (POA) Indicator Code (FFS)
85 ICD_DGNS_CD8 Claim Diagnosis Code VIII (FFS)
86 CLM_POA_IND_SW8 Claim Diagnosis Code VIII Diagnosis Present on Admission (POA) Indicator Code (FFS)
87 ICD_DGNS_CD9 Claim Diagnosis Code IX (FFS)
88 CLM_POA_IND_SW9 Claim Diagnosis Code IX Diagnosis Present on Admission (POA) Indicator Code (FFS)
89 ICD_DGNS_CD10 Claim Diagnosis Code X (FFS)
90 CLM_POA_IND_SW10 Claim Diagnosis Code X Diagnosis Present on Admission (POA) Indicator Code (FFS)
91 ICD_DGNS_CD11 Claim Diagnosis Code XI (FFS)
92 CLM_POA_IND_SW11 Claim Diagnosis Code XI Diagnosis Present on Admission (POA) Indicator Code (FFS)
93 ICD_DGNS_CD12 Claim Diagnosis Code XII (FFS)
94 CLM_POA_IND_SW12 Claim Diagnosis Code XII Diagnosis Present on Admission (POA) Indicator Code (FFS)
95 ICD_DGNS_CD13 Claim Diagnosis Code XIII (FFS)
96 CLM_POA_IND_SW13 Claim Diagnosis Code XIII Diagnosis Present on Admission (POA) Indicator Code (FFS)
97 ICD_DGNS_CD14 Claim Diagnosis Code XIV (FFS)
98 CLM_POA_IND_SW14 Claim Diagnosis Code XIV Diagnosis Present on Admission (POA) Indicator Code (FFS)
99 ICD_DGNS_CD15 Claim Diagnosis Code XV (FFS)
100 CLM_POA_IND_SW15 Claim Diagnosis Code XV Diagnosis Present on Admission (POA) Indicator Code (FFS)
101 ICD_DGNS_CD16 Claim Diagnosis Code XVI (FFS)
102 CLM_POA_IND_SW16 Claim Diagnosis Code XVI Diagnosis Present on Admission (POA) Indicator Code
103 ICD_DGNS_CD17 Claim Diagnosis Code XVII (FFS)
104 CLM_POA_IND_SW17 Claim Diagnosis Code XVII Diagnosis Present on Admission (POA) Indicator Code (FFS)
105 ICD_DGNS_CD18 Claim Diagnosis Code XVIII (FFS)
106 CLM_POA_IND_SW18 Claim Diagnosis Code XVIII Diagnosis Present on Admission (POA) Indicator Code (FFS)
107 ICD_DGNS_CD19 Claim Diagnosis Code XIX (FFS)
108 CLM_POA_IND_SW19 Claim Diagnosis Code XIX Diagnosis Present on Admission (POA) Indicator Code (FFS)
109 ICD_DGNS_CD20 Claim Diagnosis Code XX (FFS)
110 CLM_POA_IND_SW20 Claim Diagnosis Code XX Diagnosis Present on Admission (POA) Indicator Code
111 ICD_DGNS_CD21 Claim Diagnosis Code XXI (FFS)
112 CLM_POA_IND_SW21 Claim Diagnosis Code XXI Diagnosis Present on Admission (POA) Indicator Code (FFS)
113 ICD_DGNS_CD22 Claim Diagnosis Code XXII (FFS)
114 CLM_POA_IND_SW22 Claim Diagnosis Code XXII Diagnosis Present on Admission (POA) Indicator Code (FFS)
115 ICD_DGNS_CD23 Claim Diagnosis Code XXIII (FFS)
116 CLM_POA_IND_SW23 Claim Diagnosis Code XXIII Diagnosis Present on Admission (POA) Indicator Code (FFS)
117 ICD_DGNS_CD24 Claim Diagnosis Code XXIV (FFS)
118 CLM_POA_IND_SW24 Claim Diagnosis Code XXIV Diagnosis Present on Admission (POA) Indicator Code (FFS)
119 ICD_DGNS_CD25 Claim Diagnosis Code XXV (FFS)
120 CLM_POA_IND_SW25 Claim Diagnosis Code XXV Diagnosis Present on Admission (POA) Indicator Code (FFS)
121 FST_DGNS_E_CD First Claim Diagnosis E Code (FFS)
122 ICD_DGNS_E_CD1 Claim Diagnosis E Code I (FFS)
123 CLM_E_POA_IND_SW1 Claim Diagnosis E Code I Diagnosis Present on Admission (POA) Indicator Code (FFS)
124 ICD_DGNS_E_CD2 Claim Diagnosis E Code II (FFS)
125 CLM_E_POA_IND_SW2 Claim Diagnosis E Code II Diagnosis Present on Admission (POA) Indicator Code (FFS)
126 ICD_DGNS_E_CD3 Claim Diagnosis E Code III (FFS)
127 CLM_E_POA_IND_SW3 Claim Diagnosis E Code III Diagnosis Present on Admission (POA) Indicator Code (FFS)
128 ICD_DGNS_E_CD4 Claim Diagnosis E Code IV (FFS)
129 CLM_E_POA_IND_SW4 Claim Diagnosis E Code IV Diagnosis Present on Admission (POA) Indicator Code (FFS)
130 ICD_DGNS_E_CD5 Claim Diagnosis E Code V (FFS)
131 CLM_E_POA_IND_SW5 Claim Diagnosis E Code V Diagnosis Present on Admission (POA) Indicator Code (FFS)
132 ICD_DGNS_E_CD6 Claim Diagnosis E Code VI (FFS)
133 CLM_E_POA_IND_SW6 Claim Diagnosis E Code VI Diagnosis Present on Admission (POA) Indicator Code (FFS)
134 ICD_DGNS_E_CD7 Claim Diagnosis E Code VII (FFS)
135 CLM_E_POA_IND_SW7 Claim Diagnosis E Code VII Diagnosis Present on Admission (POA) Indicator Code (FFS)
136 ICD_DGNS_E_CD8 Claim Diagnosis E Code VIII (FFS)
137 CLM_E_POA_IND_SW8 Claim Diagnosis E Code VIII Diagnosis Present on Admission (POA) Indicator Code (FFS)
138 ICD_DGNS_E_CD9 Claim Diagnosis E Code IX (FFS)
139 CLM_E_POA_IND_SW9 Claim Diagnosis E Code IX Diagnosis Present on Admission (POA) Indicator Code (FFS)
140 ICD_DGNS_E_CD10 Claim Diagnosis E Code X (FFS)
141 CLM_E_POA_IND_SW10 Claim Diagnosis E Code X Diagnosis Present on Admission (POA) Indicator Code (FFS)
142 ICD_DGNS_E_CD11 Claim Diagnosis E Code XI
143 CLM_E_POA_IND_SW11 Claim Diagnosis E Code XI Diagnosis Present on Admission (POA) Indicator Code
144 ICD_DGNS_E_CD12 Claim Diagnosis E Code XII
145 CLM_E_POA_IND_SW12 Claim Diagnosis E Code XII Diagnosis Present on Admission (POA) Indicator Code
146 ICD_PRCDR_CD1 Claim Procedure Code I (FFS)
147 PRCDR_DT1 Claim Procedure Code I Date (FFS)
148 ICD_PRCDR_CD2 Claim Procedure Code II (FFS)
149 PRCDR_DT2 Claim Procedure Code II Date (FFS)
150 ICD_PRCDR_CD3 Claim Procedure Code III (FFS)
151 PRCDR_DT3 Claim Procedure Code III Date (FFS)
152 ICD_PRCDR_CD4 Claim Procedure Code IV (FFS)
153 PRCDR_DT4 Claim Procedure Code IV Date (FFS)
154 ICD_PRCDR_CD5 Claim Procedure Code V (FFS)
155 PRCDR_DT5 Claim Procedure Code V Date (FFS)
156 ICD_PRCDR_CD6 Claim Procedure Code VI (FFS)
157 PRCDR_DT6 Claim Procedure Code VI Date (FFS)
158 ICD_PRCDR_CD7 Claim Procedure Code VII (FFS)
159 PRCDR_DT7 Claim Procedure Code VII Date (FFS)
160 ICD_PRCDR_CD8 Claim Procedure Code VIII (FFS)
161 PRCDR_DT8 Claim Procedure Code VIII Date (FFS)
162 ICD_PRCDR_CD9 Claim Procedure Code IX (FFS)
163 PRCDR_DT9 Claim Procedure Code IX Date (FFS)
164 ICD_PRCDR_CD10 Claim Procedure Code X (FFS)
165 PRCDR_DT10 Claim Procedure Code X Date (FFS)
166 ICD_PRCDR_CD11 Claim Procedure Code XI (FFS)
167 PRCDR_DT11 Claim Procedure Code XI Date (FFS)
168 ICD_PRCDR_CD12 Claim Procedure Code XII (FFS)
169 PRCDR_DT12 Claim Procedure Code XII Date (FFS)
170 ICD_PRCDR_CD13 Claim Procedure Code XIII (FFS)
171 PRCDR_DT13 Claim Procedure Code XIII Date (FFS)
172 ICD_PRCDR_CD14 Claim Procedure Code XIV
173 PRCDR_DT14 Claim Procedure Code XIV Date
174 ICD_PRCDR_CD15 Claim Procedure Code XV
175 PRCDR_DT15 Claim Procedure Code XV Date
176 ICD_PRCDR_CD16 Claim Procedure Code XVI
177 PRCDR_DT16 Claim Procedure Code XVI Date
178 ICD_PRCDR_CD17 Claim Procedure Code XVII
179 PRCDR_DT17 Claim Procedure Code XVII Date
180 ICD_PRCDR_CD18 Claim Procedure Code XVIII
181 PRCDR_DT18 Claim Procedure Code XVIII Date
182 ICD_PRCDR_CD19 Claim Procedure Code XIX
183 PRCDR_DT19 Claim Procedure Code XIX Date
184 ICD_PRCDR_CD20 Claim Procedure Code XX
185 PRCDR_DT20 Claim Procedure Code XX Date
186 ICD_PRCDR_CD21 Claim Procedure Code XXI
187 PRCDR_DT21 Claim Procedure Code XXI Date
188 ICD_PRCDR_CD22 Claim Procedure Code XXII
189 PRCDR_DT22 Claim Procedure Code XXII Date
190 ICD_PRCDR_CD23 Claim Procedure Code XXIII
191 PRCDR_DT23 Claim Procedure Code XXIII Date
192 ICD_PRCDR_CD24 Claim Procedure Code XXIV
193 PRCDR_DT24 Claim Procedure Code XXIV Date
194 ICD_PRCDR_CD25 Claim Procedure Code XXV
195 PRCDR_DT25 Claim Procedure Code XXV Date
196 IME_OP_CLM_VAL_AMT Operating Indirect Medical Education (IME) Amount
197 DSH_OP_CLM_VAL_AMT Operating Disproportionate Share (DSH) Amount
198 DOB_DT Date of Birth from Claim
199 GNDR_CD Gender Code from Claim
200 BENE_RACE_CD Beneficiary Race Code (FFS)
201 BENE_CNTY_CD County Code from Claim (SSA)
202 BENE_STATE_CD Beneficiary Residence (SSA) State Code (FFS)
203 BENE_MLG_CNTCT_ZIP_CD Zip Code of Residence from Claim
204 CLM_MDCL_REC Claim Medical Record Number (FFS)
205 CLM_TRTMT_AUTHRZTN_NUM Claim Treatment Authorization Number
206 CLM_PRCR_RTRN_CD Claim Pricer Return Code
207 CLM_SRVC_FAC_ZIP_CD Claim service facility ZIP code (where service was provided)
208 CLM_IP_LOW_VOL_PMT_AMT Claim Inpatient Low Volume Payment Amount
209 CLM_CARE_IMPRVMT_MODEL_CD1 Claim Care Improvement Model 1 Code (bundled payment)
210 CLM_CARE_IMPRVMT_MODEL_CD2 Claim Care Improvement Model 2 Code
211 CLM_CARE_IMPRVMT_MODEL_CD3 Claim Care Improvement Model 3 Code
212 CLM_CARE_IMPRVMT_MODEL_CD4 Claim Care Improvement Model 4 Code
213 CLM_BNDLD_MODEL_1_DSCNT_PCT Claim Bundled Model 1 Discount Percent
214 CLM_BASE_OPRTG_DRG_AMT Claim Base Operating DRG Amount
215 CLM_VBP_PRTCPNT_IND_CD Claim Value-Based Purchasing (VBP) Participant Indicator Code
216 CLM_VBP_ADJSTMT_PCT Claim VBP Adjustment Percent
217 CLM_HRR_PRTCPNT_IND_CD Claim Hospital Readmission Reduction (HRR) Participant Indicator Code
218 CLM_HRR_ADJSTMT_PCT Claim HRR Adjustment Percent
219 CLM_MODEL_4_READMSN_IND_CD Claim Model 4 Readmission Indicator Code
220 CLM_UNCOMPD_CARE_PMT_AMT Claim Uncompensated Care Payment Amount
221 CLM_BNDLD_ADJSTMT_PMT_AMT Claim Bundled Adjustment Payment Amount
222 CLM_VBP_ADJSTMT_PMT_AMT Claim Value-Based Purchasing Adjustment Payment Amount
223 CLM_HRR_ADJSTMT_PMT_AMT Claim Hospital Readmission Reduction (HRR) Adjustment Payment Amount
224 EHR_PYMT_ADJSTMT_AMT Claim Electronic Health Record (EHR) Payment Adjustment Amount
225 PPS_STD_VAL_PYMT_AMT Standard Payment Amount
226 FINL_STD_AMT Claim Final Standard Payment Amount
227 CLM_FULL_STD_PYMT_AMT Claim Full Standard Payment Amount
228 CLM_SS_OUTLIER_STD_PYMT_AMT Claim Short Stay Outlier (SSO) Standard Payment Amount
229 HAC_PGM_RDCTN_IND_SW Claim Hospital Acquired Condition (HAC) Program Reduction Indicator Switch
230 EHR_PGM_RDCTN_IND_SW Claim Electronic Health Records (EHR) Program Reduction Indicator Switch
231 CLM_SITE_NTRL_PYMT_CST_AMT Claim Site Neutral Payment Based on Cost Amount
232 CLM_SITE_NTRL_PYMT_IPPS_AMT Claim Site Neutral Payment Based on Inpatient Prospective Payment System (IPPS) Amounts
234 CLM_NEXT_GNRTN_ACO_IND_CD1 Claim Next Generation (NG) Accountable Care Organization (ACO) Indicator Code - Population-Based Payment (PBP)
235 CLM_NEXT_GNRTN_ACO_IND_CD2 Claim Next Generation (NG) Accountable Care Organization (ACO) Indicator Code - Telehealth
236 CLM_NEXT_GNRTN_ACO_IND_CD3 Claim Next Generation (NG) Accountable Care Organization (ACO) Indicator Code - Post Discharge HH visits
237 CLM_NEXT_GNRTN_ACO_IND_CD4 Claim Next Generation (NG) Accountable Care Organization (ACO) Indicator Code - 3-day SNF waiver
238 CLM_NEXT_GNRTN_ACO_IND_CD5 Claim Next Generation (NG) Accountable Care Organization (ACO) Indicator Code - Capitation
239 ACO_ID_NUM Claim Accountable Care Organization (ACO) Identification Number
240 CLM_BENE_ID_TYPE_CD Claim Beneficiary Identifier Type Code
241 CLM_RSDL_PYMT_IND_CD Claim Residual Payment Indicator Code
242 CLM_RP_IND_CD Claim Representative Payee (RP) Indicator Code
243 PRVDR_VLDTN_TYPE_CD Provider Validation Type Code
244 RR_BRD_EXCLSN_IND_SW Railroad Board Exclusion Indicator Switch
245 CLM_IP_INITL_MS_DRG_CD Claim Inpatient Initial MS DRG Code
246 CLM_MODEL_REIMBRSMT_AMT Claim Model Reimbursement Amount
247 LTCH_DSCHRG_PYMT_ADJSTMT_AMT LTCH Discharge Payment Adjustment 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 HCPCS_CD Healthcare Common Procedure Coding System (HCPCS) Code (FFS)
8 HCPCS_1st_mdfr_cd HCPCS Initial Modifier Code (FFS)
9 HCPCS_2ND_MDFR_CD HCPCS Second Modifier Code (FFS)
10 HCPCS_3RD_MDFR_CD HCPCS Third Modifier Code (FFS)
11 REV_CNTR_UNIT_CNT Revenue Center Unit Count (FFS)
12 REV_CNTR_RATE_AMT Revenue Center Rate Amount
13 REV_CNTR_TOT_CHRG_AMT Revenue Center Total Charge Amount
14 REV_CNTR_NCVRD_CHRG_AMT Revenue Center Non-Covered Charge Amount
15 REV_CNTR_DDCTBL_COINSRNC_CD Revenue Center Deductible Coinsurance Code
16 REV_CNTR_NDC_QTY Revenue Center National Drug Code (NDC) Quantity (FFS)
17 REV_CNTR_NDC_QTY_QLFR_CD Revenue Center NDC Quantity Qualifier Code (FFS)
18 RNDRNG_PHYSN_UPIN Revenue Center Rendering Physician UPIN
19 RNDRNG_PHYSN_NPI Rendering Physician NPI (FFS)
20 RNDRNG_PHYSN_SPCLTY_CD Claim or Revenue Center Rendering Physician Specialty Code
21 REV_CNTR_IDE_NDC_UPC_NUM Revenue Center IDE, NDC, or UPC Number (FFS)
22 REV_CNTR_PRCNG_IND_CD Revenue Center Pricing Indicator Code
23 THRPY_CAP_IND_CD1 Therapy cap Indicator 1 Code
24 THRPY_CAP_IND_CD2 Therapy cap Indicator 2 Code
25 RC_MODEL_REIMBRSMT_AMT Revenue Center Model Reimbursement Amount

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)

Occurrence 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