Claim Outpatient Prospective Payment System (OPPS) Indicator

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