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This variable is contained in the following files:
SAS Name
CARR_LINE_RDCD_PMT_PHYS_ASTN_C
The code on the carrier (non-DMERC) line item that identifies the line items that have been paid a reduced fee schedule amount (65%, 75% or 85%) because a physician's assistant performed the service.
Code | Code value |
---|---|
BLANK | Adjustment situation (where CLM_DISP_CD equal 3) |
0 | N/A |
1 | 65% A) Physician assistants assisting in surgery B) Nurse midwives |
2 | 75% A) Physician assistants performing services in a hospital (other than assisting surgery) B) Nurse practitioners and clinical nurse specialists performing services in rural areas C) Clinical social worker services |
3 | 85% A) Physician assistant services for other than assisting surgery B) Nurse practitioners services |
Source: NCH