Prospective payment system (PPS) Indicator Code

SAS Name
PPS_IND_CD

The code indicating whether the facility is being paid under the prospective payment system (PPS).

Comments

This value is calculated by determining if the condition code is not equal 65 on all the claims included in the stay and the third position of the provider number is numeric, then the value of this field = 2 (PPS); otherwise, the value = 0 (non-PPS.)

Source: NCH

Code Code value
0 facility is not PPS
2 facility is PPS