Claim Outpatient Prospective Payment System (OPPS) Indicator

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This variable is contained in the following files:

Original Medicare (Fee-for-Service) Outpatient

SAS Name

CLM_OP_PPS_IND

The code indicating the type and priority of an inpatient admission associated with the service on an intermediary submitted claim.

Comments

A blank, zero or any other value is defaulted to 1. This field is not populated prior to 2021.

Source: NCH

Code	Code value
1	OPPS
2	Non-OPPS