|
1 |
BENE_ID |
CCW Encrypted Beneficiary ID Number |
| 2 |
MEDPAR_ID |
MEDPAR ID Number |
| 3 |
MEDPAR_YR_NUM |
Year of MedPAR Record |
| 4 |
NCH_CLM_TYPE_CD |
MEDPAR NCH Claim Type Code |
| 5 |
BENE_IDENT_CD |
BIC reported on first claim included in stay |
| 6 |
EQTBL_BIC_CD |
Equated BIC |
| 7 |
BENE_AGE_CNT |
Age as of Date of Admission |
| 8 |
BENE_SEX_CD |
Sex of Beneficiary |
| 9 |
BENE_RACE_CD |
Race of Beneficiary |
| 10 |
BENE_MDCR_STUS_CD |
Reason for entitlement to Medicare benefits as of CLM_THRU_DT |
| 11 |
BENE_RSDNC_SSA_STATE_CD |
SSA standard state code of the beneficiary’s residence |
| 12 |
BENE_RSDNC_SSA_CNTY_CD |
SSA standard county code of the beneficiary’s residence |
| 13 |
BENE_MLG_CNTCT_ZIP_CD |
Zip code of the beneficiary’s residence |
| 14 |
BENE_DSCHRG_STUS_CD |
Code identifying status of patient as of CLM_THRU_DT |
| 15 |
FICARR_IDENT_NUM |
Fiscal Intermediary (FI) ID Number |
| 16 |
WRNG_IND_CD |
Warning indicators code specifying detailed billing info |
| 17 |
GHO_PD_CD |
Code indicating whether Group Health Organization (GHO) has paid provider for claim(s) |
| 18 |
PPS_IND_CD |
Prospective payment system (PPS) Indicator Code |
| 19 |
ORG_NPI_NUM |
Organization NPI Number (FFS) |
| 20 |
PRVDR_NUM |
MEDPAR Provider Number |
| 21 |
PRVDR_NUM_SPCL_UNIT_CD |
Provider Number Special Unit Code |
| 22 |
PRVDR_BASE_FAC_CCN_NUM |
Provider Base Facility CMS Certification Number (CCN) |
| 23 |
PRVDR_FULL_CCN_NUM |
Provider Full CMS Certification Number (CCN) |
| 24 |
SS_LS_SNF_IND_CD |
Short Stay/Long Stay/SNF Provider Indicator Code |
| 25 |
ACTV_XREF_IND |
MEDPAR Active Cross Reference Indicator |
| 26 |
SLCT_RSN_CD |
Specifies whether this record is a case or control record |
| 27 |
STAY_FINL_ACTN_CLM_CNT |
Number of claims (final action) included in stay |
| 28 |
LTST_CLM_ACRTN_DT |
Latest Claim Accretion Date |
| 29 |
BENE_MDCR_BNFT_EXHST_DT |
Beneficiary Medicare Benefit Exhausted Date |
| 30 |
SNF_QUALN_FROM_DT |
Beginning date of beneficiary's qualifying SNF stay |
| 31 |
SNF_QUALN_THRU_DT |
Ending date of beneficiary's qualifying SNF stay |
| 32 |
SRC_IP_ADMSN_CD |
Source of admission to an Inpatient facility — for newborn admit is type of delivery code |
| 33 |
IP_ADMSN_TYPE_CD |
Inpatient admission type code |
| 34 |
ADMSN_DAY_CD |
Code indicating day of week beneficiary was admitted to facility |
| 35 |
ADMSN_DT |
Date beneficiary admitted for Inpatient care or date care started |
| 36 |
DSCHRG_DT |
Date beneficiary was discharged or died |
| 37 |
DSCHRG_DSTNTN_CD |
Destination upon discharge from facility code |
| 38 |
CVRD_LVL_CARE_THRU_ DT |
Date covered level of care ended in a SNF |
| 39 |
BENE_DEATH_DT |
Date beneficiary died |
| 40 |
BENE_DEATH_DT_VRFY_CD |
Death Date Verification Code |
| 41 |
ADMSN_DEATH_DAY_CNT |
Days from date admitted to facility to date of death |
| 42 |
INTRNL_USE_SSI_IND_CD |
MEDPAR Internal Use SSI Indicator Code |
| 43 |
INTRNL_USE_SSI_DAY_CNT |
MEDPAR Internal Use SSI Day Count |
| 44 |
INTRNL_USE_SSI_DATA |
MEDPAR Internal Use SSI Data |
| 45 |
INTRNL_USE_IPSB_CD |
For internal Use Only. IPSB Code |
| 46 |
INTRNL_USE_FIL_DT_CD |
For internal use only. Fiscal year/calendar year segments. |
| 47 |
INTRNL_USE_SMPL_SIZE_CD |
For internal use. MEDPAR sample size. |
| 48 |
LOS_DAY_CNT |
Days of beneficiary’s stay in a hospital/SNF |
| 49 |
OUTLIER_DAY_CNT |
Days paid as outliers (either day or cost) under PPS beyond DRG threshold |
| 50 |
UTLZTN_DAY_CNT |
Covered days of care chargeable to Medicare utilization for stay |
| 51 |
TOT_COINSRNC_DAY_CNT |
MEDPAR Beneficiary Total Coinsurance Day Count |
| 52 |
BENE_LRD_USE_CNT |
Lifetime reserve days (LRD) used by beneficiary for stay |
| 53 |
BENE_PTA_COINSRNC_AMT |
Beneficiary’s liability for part A coinsurance for stay ($) |
| 54 |
BENE_IP_DDCTBL_AMT |
Beneficiary’s liability for deductible for stay ($) |
| 55 |
BENE_BLOOD_DDCTBL_AMT |
Beneficiary’s liability for blood deductible for stay ($) |
| 56 |
BENE_PRMRY_PYR_CD |
Primary Payer Responsibility Code |
| 57 |
BENE_PRMRY_PYR_AMT |
Primary Payer Paid Amount |
| 58 |
DRG_CD |
Diagnosis Related Group Code (or MS-DRG Code) |
| 59 |
DRG_OUTLIER_STAY_CD |
DRG Cost or Day Outlier code |
| 60 |
DRG_OUTLIER_PMT_AMT |
DRG Outlier Approved Payment Amount ($) |
| 61 |
DRG_PRICE_AMT |
DRG Price Amount ($) |
| 62 |
DRG_GRPR_VRSN_CD |
Medicare-Severity Diagnosis Related Group (MS-DRG) Grouper Version |
| 63 |
CLM_IP_INITL_MS_DRG_CD |
MedPAR Claim Inpatient Initial MS-DRG Code |
| 64 |
IP_DSPRPRTNT_SHR_AMT |
Inpatient Disproportionate Share (DSH) Amount ($) |
| 65 |
IME_AMT |
Indirect Medical Education (IME) Amount ($) |
| 66 |
PASS_THRU_AMT |
Pass Thru Per Diem Amount for Stay ($) |
| 67 |
TOT_PPS_CPTL_AMT |
Total PPS Capital Amount ($) |
| 68 |
IP_LOW_VOL_PYMT_AMT |
Inpatient Low Volume Payment Amount |
| 69 |
TOT_CHRG_AMT |
Total Charge Amount ($) |
| 70 |
TOT_CVR_CHRG_AMT |
Total Covered Charge Amount ($) |
| 71 |
MDCR_PMT_AMT |
Total Medicare Payment Amount ($) |
| 72 |
PPS_PRCR_VRSN_CD |
Prospective Payment System (PPS) Pricer Version |
| 73 |
ACMDTNS_TOT_CHRG_AMT |
Total Charge for All Accommodations ($) |
| 74 |
DPRTMNTL_TOT_CHRG_AMT |
Total charge for all ancillary departments related to beneficiary’s stay ($) |
| 75 |
PRVT_ROOM_DAY_CNT |
Private Room Day Count |
| 76 |
SEMIPRVT_ROOM_DAY_CNT |
Semi-Private Room Day Count |
| 77 |
WARD_DAY_CNT |
Ward Day Count |
| 78 |
INTNSV_CARE_DAY_CNT |
Intensive Care Day Count |
| 79 |
CRNRY_CARE_DAY_CNT |
Coronary Care Day Count |
| 80 |
PRVT_ROOM_CHRG_AMT |
Private Room Charge Amount ($) |
| 81 |
SEMIPRVT_ROOM_CHRG_AMT |
Semi-Private Room Charge Amount ($) |
| 82 |
WARD_CHRG_AMT |
Ward Charge Amount ($) |
| 83 |
INTNSV_CARE_CHRG_AMT |
Intensive Care Charge Amount ($) |
| 84 |
CRNRY_CARE_CHRG_AMT |
Coronary Care Charge Amount ($) |
| 85 |
OTHR_SRVC_CHRG_AMT |
Other Service Charge Amount ($) |
| 86 |
PHRMCY_CHRG_AMT |
Pharmacy Charge Amount ($) |
| 87 |
MDCL_SUPLY_CHRG_AMT |
Medical/Surgical Supplies Charge Amount ($) |
| 88 |
DME_CHRG_AMT |
Durable Medical Equipment (DME) Charge Amount ($) |
| 89 |
USED_DME_CHRG_AMT |
Used Durable Medical Equipment (DME) Charge Amount ($) |
| 90 |
PHYS_THRPY_CHRG_AMT |
Physical Therapy Charge Amount ($) |
| 91 |
OCPTNL_THRPY_CHRG_AMT |
Occupational Therapy Charge Amount ($) |
| 92 |
SPCH_PTHLGY_CHRG_AMT |
Speech Pathology Charge Amount ($) |
| 93 |
INHLTN_THRPY_CHRG_AMT |
Inhalation Therapy Charge Amount ($) |
| 94 |
BLOOD_CHRG_AMT |
Blood Charge Amount ($) |
| 95 |
BLOOD_ADMIN_CHRG_AMT |
Blood storage and processing charge amount ($) |
| 96 |
BLOOD_PT_FRNSH_QTY |
Blood Pints Furnished Quantity |
| 97 |
OPRTG_ROOM_CHRG_AMT |
Operating Room Charge Amount ($) |
| 98 |
LTHTRPSY_CHRG_AMT |
Lithotripsy Charge Amount ($) |
| 99 |
CRDLGY_CHRG_AMT |
Cardiology Charge Amount ($) |
| 100 |
ANSTHSA_CHRG_AMT |
Anesthesia Charge Amount ($) |
| 101 |
LAB_CHRG_AMT |
Laboratory Charge Amount ($) |
| 102 |
RDLGY_CHRG_AMT |
Radiology Charge Amount (excluding MRI) ($) |
| 103 |
MRI_CHRG_AMT |
Magnetic Resonance Imaging (MRI) charge amount ($) |
| 104 |
OP_SRVC_CHRG_AMT |
Outpatient Service Charge Amount ($) |
| 105 |
ER_CHRG_AMT |
Emergency Room (ER) Charge Amount ($) |
| 106 |
AMBLNC_CHRG_AMT |
Ambulance Charge Amount ($) |
| 107 |
PROFNL_FEES_CHRG_AMT |
Professional Fees Charge Amount ($) |
| 108 |
ORGN_ACQSTN_CHRG_AMT |
Organ acquisition or other donor bank charge amount ($) |
| 109 |
ESRD_REV_SETG_CHRG_AMT |
End Stage Renal Disease (ESRD) charge amount ($) |
| 110 |
CLNC_VISIT_CHRG_AMT |
Clinic Visit Charge Amount ($) |
| 111 |
HOSP_AT_HOME_CHRG_AMT |
Hospital at Home Room and Board (R&B) Charge Amount |
| 112 |
HOSP_AT_HOME_FROM_DT |
Hospital at Home Care From Date |
| 113 |
HOSP_AT_HOME_THRU_DT |
Hospital at Home Care Through Date |
| 114 |
ICU_IND_CD |
Intensive Care Unit (ICU) Indicator Code |
| 115 |
CRNRY_CARE_IND_CD |
Coronary Care Unit (CCU) Indicator Code |
| 116 |
PHRMCY_IND_CD |
Pharmacy Indicator Code |
| 117 |
TRNSPLNT_IND_CD |
Organ Transplant Indicator Code |
| 118 |
RDLGY_ONCLGY_IND_SW |
Oncology Indicator |
| 119 |
RDLGY_DGNSTC_IND_SW |
Diagnostic Radiology Indicator |
| 120 |
RDLGY_THRPTC_IND_SW |
Therapeutic Radiology Indicator |
| 121 |
RDLGY_NUCLR_MDCN_IND_SW |
Radiology Nuclear Medicine Indicator |
| 122 |
RDLGY_CT_SCAN_IND_SW |
Radiology Computed Tomographic (CT) Scan Indicator |
| 123 |
RDLGY_OTHR_IMGNG_IND_SW |
Radiology Other Imaging Indicator |
| 124 |
OP_SRVC_IND_CD |
Outpatient services/ambulatory surgical care indicator code |
| 125 |
ORGN_ACQSTN_IND_CD |
Organ Acquisition Type Code |
| 126 |
ESRD_COND_CD |
End Stage Renal Disease (ESRD) Condition Indicator Code |
| 127 |
ESRD_SETG_IND_1_CD |
Dialysis service type code 1 |
| 128 |
ESRD_SETG_IND_2_CD |
Dialysis service type code 2 |
| 129 |
ESRD_SETG_IND_3_CD |
Dialysis service type code 3 |
| 130 |
ESRD_SETG_IND_4_CD |
Dialysis service type code 4 |
| 131 |
ESRD_SETG_IND_5_CD |
Dialysis service type code 5 |
| 132 |
RC_NDC_1_CD |
Revenue Center National Drug Code (NDC) 1 |
| 133 |
RC_NDC_2_CD |
Revenue Center National Drug Code (NDC) 2 |
| 134 |
RC_NDC_3_CD |
Revenue Center National Drug Code (NDC) 3 |
| 135 |
RC_NDC_4_CD |
Revenue Center National Drug Code (NDC) 4 |
| 136 |
RC_NDC_5_CD |
Revenue Center National Drug Code (NDC) 5 |
| 137 |
RC_NDC_6_CD |
Revenue Center National Drug Code (NDC) 6 |
| 138 |
RC_NDC_7_CD |
Revenue Center National Drug Code (NDC) 7 |
| 139 |
RC_NDC_8_CD |
Revenue Center National Drug Code (NDC) 8 |
| 140 |
RC_NDC_9_CD |
Revenue Center National Drug Code (NDC) 9 |
| 141 |
RC_NDC_10_CD |
Revenue Center National Drug Code (NDC) 10 |
| 142 |
NO_PSTV_TEST_SW |
No Positive Test Switch |
| 143 |
EXPNDD_ACS_SW |
Expanded Access Switch |
| 144 |
CLNCL_TRIL_SW |
Other Clinical Trial Switch |
| 145 |
EMER_USE_SW |
Emergency Use Switch |
| 146 |
ADMTG_DGNS_CD |
Initial diagnosis at time of admission |
| 147 |
ADMTG_DGNS_VRSN_CD |
MedPAR Admitting Diagnosis Version Code (ICD-9 or ICD-10) |
| 148 |
DGNS_CD_CNT |
Count of Diagnosis Codes |
| 149 |
DGNS_VRSN_CD |
MEDPAR Diagnosis Version Code (ICD-9 or ICD-10) |
| 150 |
DGNS_VRSN_CD_1 |
MedPAR Diagnosis Version Code 1 (ICD-9 or ICD-10) |
| 151 |
DGNS_VRSN_CD_2 |
MedPAR Diagnosis Version Code 2 (ICD-9 or ICD-10) |
| 152 |
DGNS_VRSN_CD_3 |
MedPAR Diagnosis Version Code 3 (ICD-9 or ICD-10) |
| 153 |
DGNS_VRSN_CD_4 |
MedPAR Diagnosis Version Code 4 (ICD-9 or ICD-10) |
| 154 |
DGNS_VRSN_CD_5 |
MedPAR Diagnosis Version Code 5 (ICD-9 or ICD-10) |
| 155 |
DGNS_VRSN_CD_6 |
MedPAR Diagnosis Version Code 6 (ICD-9 or ICD-10) |
| 156 |
DGNS_VRSN_CD_7 |
MedPAR Diagnosis Version Code 7 (ICD-9 or ICD-10) |
| 157 |
DGNS_VRSN_CD_8 |
MedPAR Diagnosis Version Code 8 (ICD-9 or ICD-10) |
| 158 |
DGNS_VRSN_CD_9 |
MedPAR Diagnosis Version Code 9 (ICD-9 or ICD-10) |
| 159 |
DGNS_VRSN_CD_10 |
MedPAR Diagnosis Version Code 10 (ICD-9 or ICD-10) |
| 160 |
DGNS_VRSN_CD_11 |
MedPAR Diagnosis Version Code 11 (ICD-9 or ICD-10) |
| 161 |
DGNS_VRSN_CD_12 |
MedPAR Diagnosis Version Code 12 (ICD-9 or ICD-10) |
| 162 |
DGNS_VRSN_CD_13 |
MedPAR Diagnosis Version Code 13 (ICD-9 or ICD-10) |
| 163 |
DGNS_VRSN_CD_14 |
MedPAR Diagnosis Version Code 14 (ICD-9 or ICD-10) |
| 164 |
DGNS_VRSN_CD_15 |
MedPAR Diagnosis Version Code 15 (ICD-9 or ICD-10) |
| 165 |
DGNS_VRSN_CD_16 |
MedPAR Diagnosis Version Code 16 (ICD-9 or ICD-10) |
| 166 |
DGNS_VRSN_CD_17 |
MedPAR Diagnosis Version Code 17 (ICD-9 or ICD-10) |
| 167 |
DGNS_VRSN_CD_18 |
MedPAR Diagnosis Version Code 18 (ICD-9 or ICD-10) |
| 168 |
DGNS_VRSN_CD_19 |
MedPAR Diagnosis Version Code 19 (ICD-9 or ICD-10) |
| 169 |
DGNS_VRSN_CD_20 |
MedPAR Diagnosis Version Code 20 (ICD-9 or ICD-10) |
| 170 |
DGNS_VRSN_CD_21 |
MedPAR Diagnosis Version Code 21 (ICD-9 or ICD-10) |
| 171 |
DGNS_VRSN_CD_22 |
MedPAR Diagnosis Version Code 22 (ICD-9 or ICD-10) |
| 172 |
DGNS_VRSN_CD_23 |
MedPAR Diagnosis Version Code 23 (ICD-9 or ICD-10) |
| 173 |
DGNS_VRSN_CD_24 |
MedPAR Diagnosis Version Code 24 (ICD-9 or ICD-10) |
| 174 |
DGNS_VRSN_CD_25 |
MedPAR Diagnosis Version Code 25 (ICD-9 or ICD-10) |
| 175 |
DGNS_1_CD |
MEDPAR Principal Diagnosis Code |
| 176 |
DGNS_2_CD |
MedPAR Diagnosis Code 2 |
| 177 |
DGNS_3_CD |
MedPAR Diagnosis Code 3 |
| 178 |
DGNS_4_CD |
MedPAR Diagnosis Code 4 |
| 179 |
DGNS_5_CD |
MedPAR Diagnosis Code 5 |
| 180 |
DGNS_6_CD |
MedPAR Diagnosis Code 6 |
| 181 |
DGNS_7_CD |
MedPAR Diagnosis Code 7 |
| 182 |
DGNS_8_CD |
MedPAR Diagnosis Code 8 |
| 183 |
DGNS_9_CD |
MedPAR Diagnosis Code 9 |
| 184 |
DGNS_10_CD |
MedPAR ICD-9-CM Diagnosis Code 10 |
| 185 |
DGNS_11_CD |
MedPAR ICD-9-CM Diagnosis Code 11 |
| 186 |
DGNS_12_CD |
MedPAR ICD-9-CM Diagnosis Code 12 |
| 187 |
DGNS_13_CD |
MedPAR ICD-9-CM Diagnosis Code 13 |
| 188 |
DGNS_14_CD |
MedPAR ICD-9-CM Diagnosis Code 14 |
| 189 |
DGNS_15_CD |
MedPAR ICD-9-CM Diagnosis Code 15 |
| 190 |
DGNS_16_CD |
MedPAR ICD-9-CM Diagnosis Code 16 |
| 191 |
DGNS_17_CD |
MedPAR ICD-9-CM Diagnosis Code 17 |
| 192 |
DGNS_18_CD |
MedPAR ICD-9-CM Diagnosis Code 18 |
| 193 |
DGNS_19_CD |
MedPAR ICD-9-CM Diagnosis Code 19 |
| 194 |
DGNS_20_CD |
MedPAR ICD-9-CM Diagnosis Code 20 |
| 195 |
DGNS_21_CD |
MedPAR ICD-9-CM Diagnosis Code 21 |
| 196 |
DGNS_22_CD |
MedPAR ICD-9-CM Diagnosis Code 22 |
| 197 |
DGNS_23_CD |
MedPAR ICD-9-CM Diagnosis Code 23 |
| 198 |
DGNS_24_CD |
MedPAR ICD-9-CM Diagnosis Code 24 |
| 199 |
DGNS_25_CD |
MedPAR ICD-9-CM Diagnosis Code 25 |
| 200 |
DGNS_POA_CD |
Diagnosis Code POA Array |
| 201 |
POA_DGNS_CD_CNT |
Count of Present on Admission (POA) Diagnosis Codes |
| 202 |
POA_DGNS_1_IND_CD |
Diagnosis 1 Present on Admission (POA) Indicator Code |
| 203 |
POA_DGNS_2_IND_CD |
MedPAR Diagnosis Present on Admission Indicator 2 |
| 204 |
POA_DGNS_3_IND_CD |
MedPAR Diagnosis Present on Admission Indicator 3 |
| 205 |
POA_DGNS_4_IND_CD |
MedPAR Diagnosis Present on Admission Indicator 4 |
| 206 |
POA_DGNS_5_IND_CD |
MedPAR Diagnosis Present on Admission Indicator 5 |
| 207 |
POA_DGNS_6_IND_CD |
MedPAR Diagnosis Present on Admission Indicator 6 |
| 208 |
POA_DGNS_7_IND_CD |
MedPAR Diagnosis Present on Admission Indicator 7 |
| 209 |
POA_DGNS_8_IND_CD |
MedPAR Diagnosis Present on Admission Indicator 8 |
| 210 |
POA_DGNS_9_IND_CD |
MedPAR Diagnosis Present on Admission Indicator 9 |
| 211 |
POA_DGNS_10_IND_CD |
MedPAR Diagnosis Present on Admission Indicator 10 |
| 212 |
POA_DGNS_11_IND_CD |
MedPAR Diagnosis Present on Admission Indicator 11 |
| 213 |
POA_DGNS_12_IND_CD |
MedPAR Diagnosis Present on Admission Indicator 12 |
| 214 |
POA_DGNS_13_IND_CD |
MedPAR Diagnosis Present on Admission Indicator 13 |
| 215 |
POA_DGNS_14_IND_CD |
MedPAR Diagnosis Present on Admission Indicator 14 |
| 216 |
POA_DGNS_15_IND_CD |
MedPAR Diagnosis Present on Admission Indicator 15 |
| 217 |
POA_DGNS_16_IND_CD |
MedPAR Diagnosis Present on Admission Indicator 16 |
| 218 |
POA_DGNS_17_IND_CD |
MedPAR Diagnosis Present on Admission Indicator 17 |
| 219 |
POA_DGNS_18_IND_CD |
MedPAR Diagnosis Present on Admission Indicator 18 |
| 220 |
POA_DGNS_19_IND_CD |
MedPAR Diagnosis Present on Admission Indicator 19 |
| 221 |
POA_DGNS_20_IND_CD |
MedPAR Diagnosis Present on Admission Indicator 20 |
| 222 |
POA_DGNS_21_IND_CD |
MedPAR Diagnosis Present on Admission Indicator 21 |
| 223 |
POA_DGNS_22_IND_CD |
MedPAR Diagnosis Present on Admission Indicator 22 |
| 224 |
POA_DGNS_23_IND_CD |
MedPAR Diagnosis Present on Admission Indicator 23 |
| 225 |
POA_DGNS_24_IND_CD |
MedPAR Diagnosis Present on Admission Indicator 24 |
| 226 |
POA_DGNS_25_IND_CD |
MedPAR Diagnosis Present on Admission Indicator 25 |
| 227 |
DGNS_E_CD_CNT |
Count of Diagnosis E Codes |
| 228 |
DGNS_E_VRSN_CD |
Diagnosis E Version Code (Earlier Version) |
| 229 |
DGNS_E_VRSN_CD_1 |
Diagnosis E Version Code 1 |
| 230 |
DGNS_E_VRSN_CD_2 |
Diagnosis E Version Code 2 |
| 231 |
DGNS_E_VRSN_CD_3 |
Diagnosis E Version Code 3 |
| 232 |
DGNS_E_VRSN_CD_4 |
Diagnosis E Version Code 4 |
| 233 |
DGNS_E_VRSN_CD_5 |
Diagnosis E Version Code 5 |
| 234 |
DGNS_E_VRSN_CD_6 |
Diagnosis E Version Code 6 |
| 235 |
DGNS_E_VRSN_CD_7 |
Diagnosis E Version Code 7 |
| 236 |
DGNS_E_VRSN_CD_8 |
Diagnosis E Version Code 8 |
| 237 |
DGNS_E_VRSN_CD_9 |
Diagnosis E Version Code 9 |
| 238 |
DGNS_E_VRSN_CD_10 |
Diagnosis E Version Code 10 |
| 329 |
DGNS_E_VRSN_CD_11 |
Diagnosis E Version Code 11 |
| 240 |
DGNS_E_VRSN_CD_12 |
Diagnosis E Version Code 12 |
| 241 |
DGNS_E_1_CD |
Diagnosis E Code 1 |
| 242 |
DGNS_E_2_CD |
Diagnosis E Code 2 |
| 243 |
DGNS_E_3_CD |
Diagnosis E Code 3 |
| 244 |
DGNS_E_4_CD |
Diagnosis E Code 4 |
| 245 |
DGNS_E_5_CD |
Diagnosis E Code 5 |
| 246 |
DGNS_E_6_CD |
Diagnosis E Code 6 |
| 247 |
DGNS_E_7_CD |
Diagnosis E Code 7 |
| 248 |
DGNS_E_8_CD |
Diagnosis E Code 8 |
| 249 |
DGNS_E_9_CD |
Diagnosis E Code 9 |
| 250 |
DGNS_E_10_CD |
Diagnosis E Code 10 |
| 251 |
DGNS_E_11_CD |
Diagnosis E Code 11 |
| 252 |
DGNS_E_12_CD |
Diagnosis E Code 12 |
| 253 |
POA_DGNS_E_CD_CNT |
Count of Present on Admission (POA) Diagnosis E Codes |
| 254 |
POA_DGNS_E_1_IND_CD |
Diagnosis E Code Present on Admission Indicator 1 |
| 255 |
POA_DGNS_E_2_IND_CD |
Diagnosis E Code Present on Admission Indicator 2 |
| 256 |
POA_DGNS_E_3_IND_CD |
Diagnosis E Code Present on Admission Indicator 3 |
| 257 |
POA_DGNS_E_4_IND_CD |
Diagnosis E Code Present on Admission Indicator 4 |
| 258 |
POA_DGNS_E_5_IND_CD |
Diagnosis E Code Present on Admission Indicator 5 |
| 259 |
POA_DGNS_E_6_IND_CD |
Diagnosis E Code Present on Admission Indicator 6 |
| 260 |
POA_DGNS_E_7_IND_CD |
Diagnosis E Code Present on Admission Indicator 7 |
| 261 |
POA_DGNS_E_8_IND_CD |
Diagnosis E Code Present on Admission Indicator 8 |
| 262 |
POA_DGNS_E_9_IND_CD |
Diagnosis E Code Present on Admission Indicator 9 |
| 263 |
POA_DGNS_E_10_IND_CD |
Diagnosis E Code Present on Admission Indicator 10 |
| 264 |
POA_DGNS_E_11_IND_CD |
Diagnosis E Code Present on Admission Indicator 11 |
| 265 |
POA_DGNS_E_12_IND_CD |
Diagnosis E Code Present on Admission Indicator 12 |
| 266 |
SRGCL_PRCDR_IND_SW |
Surgical Procedure Indicator |
| 267 |
SRGCL_PRCDR_CD_CNT |
Surgical procedure codes included in stay |
| 268 |
SRGCL_PRCDR_VRSN_CD |
Surgical Procedure Version Code (Earlier Version) |
| 269 |
SRGCL_PRCDR_VRSN_CD_1 |
MEDPAR Surgical Procedure Version Code 1 (ICD-9-CM or ICD-10-PCS) |
| 270 |
SRGCL_PRCDR_VRSN_CD_2 |
MEDPAR Surgical Procedure Version Code 2 |
| 271 |
SRGCL_PRCDR_VRSN_CD_3 |
MEDPAR Surgical Procedure Version Code 3 |
| 272 |
SRGCL_PRCDR_VRSN_CD_4 |
MEDPAR Surgical Procedure Version Code 4 |
| 273 |
SRGCL_PRCDR_VRSN_CD_5 |
MEDPAR Surgical Procedure Version Code 5 |
| 274 |
SRGCL_PRCDR_VRSN_CD_6 |
MEDPAR Surgical Procedure Version Code 6 |
| 275 |
SRGCL_PRCDR_VRSN_CD_7 |
MEDPAR Surgical Procedure Version Code 7 |
| 276 |
SRGCL_PRCDR_VRSN_CD_8 |
MEDPAR Surgical Procedure Version Code 8 |
| 277 |
SRGCL_PRCDR_VRSN_CD_9 |
MEDPAR Surgical Procedure Version Code 9 |
| 278 |
SRGCL_PRCDR_VRSN_CD_10 |
MEDPAR Surgical Procedure Version Code 10 |
| 279 |
SRGCL_PRCDR_VRSN_CD_11 |
MEDPAR Surgical Procedure Version Code 11 |
| 280 |
SRGCL_PRCDR_VRSN_CD_12 |
MEDPAR Surgical Procedure Version Code 12 |
| 281 |
SRGCL_PRCDR_VRSN_CD_13 |
MEDPAR Surgical Procedure Version Code 13 |
| 282 |
SRGCL_PRCDR_VRSN_CD_14 |
MEDPAR Surgical Procedure Version Code 14 |
| 283 |
SRGCL_PRCDR_VRSN_CD_15 |
MEDPAR Surgical Procedure Version Code 15 |
| 284 |
SRGCL_PRCDR_VRSN_CD_16 |
MEDPAR Surgical Procedure Version Code 16 |
| 285 |
SRGCL_PRCDR_VRSN_CD_17 |
MEDPAR Surgical Procedure Version Code 17 |
| 286 |
SRGCL_PRCDR_VRSN_CD_18 |
MEDPAR Surgical Procedure Version Code 18 |
| 287 |
SRGCL_PRCDR_VRSN_CD_19 |
MEDPAR Surgical Procedure Version Code 19 |
| 288 |
SRGCL_PRCDR_VRSN_CD_20 |
MEDPAR Surgical Procedure Version Code 20 |
| 289 |
SRGCL_PRCDR_VRSN_CD_21 |
MEDPAR Surgical Procedure Version Code 21 |
| 290 |
SRGCL_PRCDR_VRSN_CD_22 |
MEDPAR Surgical Procedure Version Code 22 |
| 291 |
SRGCL_PRCDR_VRSN_CD_23 |
MEDPAR Surgical Procedure Version Code 23 |
| 292 |
SRGCL_PRCDR_VRSN_CD_24 |
MEDPAR Surgical Procedure Version Code 24 |
| 293 |
SRGCL_PRCDR_VRSN_CD_25 |
MEDPAR Surgical Procedure Version Code 25 |
| 294 |
SRGCL_PRCDR_1_CD |
Principal Procedure Code |
| 295 |
SRGCL_PRCDR_2_CD |
MedPAR Procedure Code 2 |
| 296 |
SRGCL_PRCDR_3_CD |
MedPAR Procedure Code 3 |
| 297 |
SRGCL_PRCDR_4_CD |
MedPAR Procedure Code 4 |
| 298 |
SRGCL_PRCDR_5_CD |
MedPAR Procedure Code 5 |
| 299 |
SRGCL_PRCDR_6_CD |
MedPAR Procedure Code 6 |
| 300 |
SRGCL_PRCDR_7_CD |
MedPAR Procedure Code 7 |
| 301 |
SRGCL_PRCDR_8_CD |
MedPAR Procedure Code 8 |
| 302 |
SRGCL_PRCDR_9_CD |
MedPAR Procedure Code 9 |
| 303 |
SRGCL_PRCDR_10_CD |
MedPAR Procedure Code 10 |
| 304 |
SRGCL_PRCDR_11_CD |
MedPAR Procedure Code 11 |
| 305 |
SRGCL_PRCDR_12_CD |
MedPAR Procedure Code 12 |
| 306 |
SRGCL_PRCDR_13_CD |
MedPAR Procedure Code 13 |
| 307 |
SRGCL_PRCDR_14_CD |
MedPAR Procedure Code 14 |
| 308 |
SRGCL_PRCDR_15_CD |
MedPAR Procedure Code 15 |
| 309 |
SRGCL_PRCDR_16_CD |
MedPAR Procedure Code 16 |
| 310 |
SRGCL_PRCDR_17_CD |
MedPAR Procedure Code 17 |
| 311 |
SRGCL_PRCDR_18_CD |
MedPAR Procedure Code 18 |
| 312 |
SRGCL_PRCDR_19_CD |
MedPAR Procedure Code 19 |
| 313 |
SRGCL_PRCDR_20_CD |
MedPAR Procedure Code 20 |
| 314 |
SRGCL_PRCDR_21_CD |
MedPAR Procedure Code 21 |
| 315 |
SRGCL_PRCDR_22_CD |
MedPAR Procedure Code 22 |
| 316 |
SRGCL_PRCDR_23_CD |
MedPAR Procedure Code 23 |
| 317 |
SRGCL_PRCDR_24_CD |
MedPAR Procedure Code 24 |
| 318 |
SRGCL_PRCDR_25_CD |
MedPAR Procedure Code 25 |
| 319 |
SRGCL_PRCDR_DT_CNT |
Dates associated with surgical procedures included in stay |
| 320 |
SRGCL_PRCDR_PRFRM_1_DT |
Principal Procedure Date |
| 321 |
SRGCL_PRCDR_PRFRM_2_DT |
Procedure Date 2 |
| 322 |
SRGCL_PRCDR_PRFRM_3_DT |
Procedure Date 3 |
| 323 |
SRGCL_PRCDR_PRFRM_4_DT |
Procedure Date 4 |
| 324 |
SRGCL_PRCDR_PRFRM_5_DT |
Procedure Date 5 |
| 325 |
SRGCL_PRCDR_PRFRM_6_DT |
Procedure Date 6 |
| 326 |
SRGCL_PRCDR_PRFRM_7_DT |
Procedure Date 7 |
| 327 |
SRGCL_PRCDR_PRFRM_8_DT |
Procedure Date 8 |
| 328 |
SRGCL_PRCDR_PRFRM_9_DT |
Procedure Date 9 |
| 329 |
SRGCL_PRCDR_PRFRM_10_DT |
Procedure Date 10 |
| 330 |
SRGCL_PRCDR_PRFRM_11_DT |
Procedure Date 11 |
| 331 |
SRGCL_PRCDR_PRFRM_12_DT |
Procedure Date 12 |
| 332 |
SRGCL_PRCDR_PRFRM_13_DT |
Procedure Date 13 |
| 333 |
SRGCL_PRCDR_PRFRM_14_DT |
Procedure Date 14 |
| 334 |
SRGCL_PRCDR_PRFRM_15_DT |
Procedure Date 15 |
| 335 |
SRGCL_PRCDR_PRFRM_16_DT |
Procedure Date 16 |
| 336 |
SRGCL_PRCDR_PRFRM_17_DT |
Procedure Date 17 |
| 337 |
SRGCL_PRCDR_PRFRM_18_DT |
Procedure Date 18 |
| 338 |
SRGCL_PRCDR_PRFRM_19_DT |
Procedure Date 19 |
| 339 |
SRGCL_PRCDR_PRFRM_20_DT |
Procedure Date 20 |
| 340 |
SRGCL_PRCDR_PRFRM_21_DT |
Procedure Date 21 |
| 341 |
SRGCL_PRCDR_PRFRM_22_DT |
Procedure Date 22 |
| 342 |
SRGCL_PRCDR_PRFRM_23_DT |
Procedure Date 23 |
| 343 |
SRGCL_PRCDR_PRFRM_24_DT |
Procedure Date 24 |
| 344 |
SRGCL_PRCDR_PRFRM_25_DT |
Procedure Date 25 |
| 345 |
CLM_PTNT_RLTNSHP_CD |
Claim Patient Relationship Code |
| 346 |
CARE_IMPRVMT_MODEL_1_CD |
Care Improvement Model 1 Code |
| 347 |
CARE_IMPRVMT_MODEL_2_CD |
Care Improvement Model 2 Code |
| 348 |
CARE_IMPRVMT_MODEL_3_CD |
Care Improvement Model 3 Code |
| 349 |
CARE_IMPRVMT_MODEL_4_CD |
Care Improvement Model 4 Code |
| 350 |
VBP_PRTCPNT_IND_CD |
Value-Based Purchasing (VBP) Participant Indicator Code |
| 351 |
HRR_PRTCPNT_IND_CD |
Hospital Readmission Reduction (HRR) Participant Indicator Code |
| 352 |
BNDLD_MODEL_DSCNT_PCT |
Bundled Payment Model Discount Percent |
| 353 |
VBP_ADJSTMT_PCT |
Value Based Purchasing (VBP) Adjustment Percent |
| 354 |
HRR_ADJSTMT_PCT |
Hospital Readmission Reduction (HRR) Adjustment Percent |
| 355 |
INFRMTL_ENCTR_IND_SW |
Informational Encounter Indicator |
| 356 |
MA_TCHNG_IND_SW |
MA Teaching Indicator |
| 357 |
PROD_RPLCMT_LIFECYC_SW |
Product Replacement within Product Lifecycle (early) |
| 358 |
PROD_RPLCMT_RCLL_SW |
Product Replacement for Recall of Product |
| 359 |
CRED_RCVD_RPLCD_DVC_SW |
Credit Received Replaced Device |
| 360 |
OBSRVTN_SW |
Observation Unit Indicator |
| 361 |
NEW_TCHNLGY_ADD_ON_AMT |
New Technology Add On Amount |
| 362 |
BASE_OPRTG_DRG_AMT |
Base Operating DRG Amount |
| 363 |
OPRTG_HSP_AMT |
Operating Hospital Amount |
| 364 |
SQSTRTN_RDCTN_AMT |
Sequestration Reduction Amount |
| 365 |
UNCOMPD_CARE_PYMT_AMT |
Uncompensated Care Payment Amount |
| 366 |
BNDLD_ADJSTMT_AMT |
Bundled Payment Adjustment Amount |
| 367 |
VBP_ADJSTMT_AMT |
Hospital Value Based Purchasing (VBP) Amount |
| 368 |
HRR_ADJSTMT_AMT |
Hospital Readmission Reduction (HRR) Adjustment Amount |
| 369 |
EHR_PYMT_ADJSTMT_AMT |
Electronic Health Record (EHR) Payment Adjustment Amount |
| 370 |
PPS_STD_VAL_PYMT_AMT |
Standard Payment Amount |
| 371 |
FINL_STD_AMT |
Final Standard Payment Amount |
| 372 |
IPPS_FLEX_PYMT_6_AMT |
Flexible Payment Amount (6th) - renamed to Hospital Acquired Conditions (HAC) Reduction Payment Amount |
| 373 |
HAC_RDCTN_PMT_AMT |
Hospital Acquired Conditions (HAC) Reduction Payment Amount |
| 374 |
IPPS_FLEX_PYMT_7_AMT |
Flexible Payment Amount — 7th (placeholder) |
| 375 |
PTNT_ADD_ON_PYMT_AMT |
Patient Add-On Payment Amount (new patient) |
| 376 |
HAC_PGM_RDCTN_IND_SW |
Hospital Acquired Conditions (HAC) Program Reduction Indicator |
| 377 |
PGM_RDCTN_IND_SW |
Electronic Health Records (EHR) Program Reduction Indicator |
| 378 |
PA_IND_CD |
Prior Authorization Indicator Code |
| 379 |
UNIQ_TRKNG_NUM |
Unique Tracking Number |
| 380 |
STAY_2_IND_SW |
Two Midnight Stay Indicator |
| 381 |
CLM_SITE_NTRL_PYMT_CST_AMT |
Claim Site Neutral Payment Based on Cost Amount |
| 382 |
CLM_SITE_NTRL_PYMT_IPPS_AMT |
Claim Site Neutral Payment Based on IPPS Amount |
| 383 |
CLM_FULL_STD_PYMT_AMT |
Claim Full Standard Payment Amount |
| 384 |
CLM_SS_OUTLIER_STD_PYMT_AMT |
Claim Short Stay Outlier (SSO) Standard Payment Amount |
| 385 |
CLM_NGACO_IND_1_CD |
Claim Next Generation (NG) Accountable Care Organization (ACO) Indicator Code 1 |
| 386 |
CLM_NGACO_IND_2_CD |
Claim Next Generation (NG) Accountable Care Organization (ACO) Indicator Code 2 |
| 387 |
CLM_NGACO_IND_3_CD |
Claim Next Generation (NG) Accountable Care Organization (ACO) Indicator Code 3 |
| 388 |
CLM_NGACO_IND_4_CD |
Claim Next Generation (NG) Accountable Care Organization (ACO) Indicator Code 4 |
| 389 |
CLM_NGACO_IND_5_CD |
Claim Next Generation (NG) Accountable Care Organization (ACO) Indicator Code 5 |
| 390 |
CLM_RSDL_PYMT_IND_CD |
MedPAR Claim Residual Payment Indicator Code |
| 391 |
CLM_RP_IND_CD |
MedPAR Claim Representative Payee (RP) Indicator Code |
| 392 |
RC_RP_IND_CD |
MedPAR Revenue Center Representative Payee (RP) Indicator Code |
| 393 |
ACO_ID_NUM |
Accountable Care Organization (ACO) Identification Number |
| 394 |
LTCH_DPP_ADJSTMT_AMT |
Long-Term Care Hospital Discharge Payment Percentage Adjustment Amount |
| 395 |
VAL_CD_Q1_PYMT_RDCTN_AMT |
Value Code Q1 Payment Reduction Amount |
| 396 |
CLM_MODEL_REIMBRSMT_AMT |
MedPAR Claim Model Reimbursement Amount |
| 397 |
RC_MODEL_REIMBRSMT_AMT |
MedPAR Revenue Center Model Reimbursement Amount |
| 398 |
VAL_CD_QB_OCM_PYMT_ADJSTMT_AMT |
Value Code QB OCM + Payment Adjustment Amount |
| 399 |
RC_ALLOGENEIC_STEM_CELL_AMT |
Revenue Center Allogeneic Stem Cell Acquisition/Donor Services Amount |
| 400 |
ISLET_ADD_ON_PYMT_AMT |
Islet Add-On Payment Amount |
| 401 |
MDCL_SRGCL_GNRL_AMT |
Medical/Surgical General Amount ($) |
| 402 |
MDCL_SRGCL_NSTRL_AMT |
Medical/Surgical Non-Sterile Supplies Amount ($) |
| 403 |
MDCL_SRGCL_STRL_AMT |
Medical/Surgical Sterile Supplies Amount ($) |
| 404 |
TAKE_HOME_AMT |
Medical/Surgical Supplies Take Home Amount ($) |
| 405 |
PRSTHTC_ORTHTC_AMT |
Medical/Surgical Supplies Prosthetic Orthotic Amount ($) |
| 406 |
MDCL_SRGCL_PCMKR_AMT |
Medical/Surgical Pacemaker Amount ($) |
| 407 |
INTRAOCULAR_LENS_AMT |
Medical/Surgical Supplies Intraocular Lens Amount ($) |
| 408 |
OXYGN_TAKE_HOME_AMT |
Medical/Surgical Supplies Oxygen Take Home Amount ($) |
| 409 |
OTHR_IMPLANTS_AMT |
Medical/Surgical Supplies Other Implants Amount ($) |
| 410 |
OTHR_SUPLIES_DVC_AMT |
Medical/Surgical Supplies Other Device Amount ($) |
| 411 |
INCDNT_RDLGY_AMT |
Medical/Surgical Supplies Incident Radiology Amount ($) |
| 412 |
INCDNT_DGNSTC_SRVCS_AMT |
Medical/Surgical Supplies Incident Diagnostic Services Amount ($) |
| 413 |
MDCL_SRGCL_DRSNG_AMT |
Medical/Surgical Dressing Amount ($) |
| 414 |
INVSTGTNL_DVC_AMT |
Medical/Surgical Supplies Investigational Device Amount ($) |
| 415 |
MDCL_SRGCL_MISC_AMT |
Medical Surgical Miscellaneous Amount ($) |
| 416 |
RDLGY_ONCOLOGY_AMT |
Oncology Amount ($) |
| 417 |
RDLGY_DGNSTC_AMT |
Radiology Diagnostic Amount ($) |
| 418 |
RDLGY_THRPTC_AMT |
Radiology Therapeutic Amount ($) |
| 419 |
RDLGY_NUCLR_MDCN_AMT |
Radiology Nuclear Medicine Amount ($) |
| 420 |
RDLGY_CT_SCAN_AMT |
Radiology CT Scan Amount ($) |
| 421 |
RDLGY_OTHR_IMGNG_AMT |
Radiology Other Imaging Amount ($) |
| 422 |
OPRTG_ROOM_AMT |
Operating and Recovery Room Amount ($) |
| 423 |
OR_LABOR_DLVRY_AMT |
Labor Room and Delivery Amount ($) |
| 424 |
CRDC_CATHRZTN_AMT |
Cardiac Catheterization Lab Amount ($) |
| 425 |
CELL_GENE_THRPY_PRCDRS_TOT_AMT |
Cell/Gene Therapy Procedures Total Charge Amount |
| 426 |
CELL_THRPY_DRUGS_TOT_AMT |
Cell Therapy Drugs Total Charge Amount |
| 427 |
GENE_THRPY_DRUGS_TOT_AMT |
Gene Therapy Drugs Total Charge Amount |
