Search Data Variables

Laboratory Provider Taxonomy Indicator — Ever in Calendar Year

Indicates whether the provider’s taxonomy value maps to the laboratory provider category; ever in the calendar year.

CODE INDICATING THE LANGUAGE SSA USES FOR BENEFICIARY NOTICES.

NOTE: IN MAX 2008, A CLARIFICATION NOTE WAS ADDED ABOUT THE VALUE ASSIGNED WHEN SOMEONE HAS CLAIMS BUT NO ELIGIBILITY INFORMATION.

Last Name of Provider Associated with the NPI

The last name of the provider associated with the National Provider Identifier (NPI).

Latest Claim Accretion Date

The date the latest claim record included in the stay was accreted (posted/processed) to the master record at the CWF host.

Latest Claim Indicator

This variable indicates if the record is the latest action.

LDS Age Category

The beneficiary's date of birth.

LDS Beneficiary ID

This field contains the key to link data for each beneficiary across all claim files.

LDS Claim Number

The unique number used to identify a unique claim.

LEADIS_COMBINED_EVER

Learning Disabilities and other Developmental Delays - Combined Medicare & Medicaid Claims, First Ever Occurrence Date

LEADIS_MEDICAID_EVER

Learning Disabilities and other Developmental Delays - Medicaid Only Claims, First Ever Occurrence Date

Learning Disabilities End-of-Year Indicator - Medicare Only Claims

This variable indicates whether a beneficiary met the condition criteria for learning disabilities as of the end of the calendar year.

Learning Disabilities First Ever Occurrence Date - Medicare Only Claims

This variable shows the date when the beneficiary first met the criteria for the learning disabilities indicator. The variable will be blank for beneficiaries that have never had the condition.

Learning Disabilities Indicator - Combined Data

This code specifies whether the enrollee met the chronic condition algorithm criteria, considering both Medicare and Medicaid data, for having Learning Disabilities.

Learning Disabilities Indicator - Medicaid-Only Data

This code specifies whether the enrollee met the chronic condition algorithm criteria, considering only Medicaid data, for having Learning Disabilities.

Learning Disabilities Indicator - Medicare-Only Data

This code specifies whether the enrollee met the chronic condition algorithm criteria, considering only Medicare data, for having Learning Disabilities.

Leave days

TOTAL NUMBER OF DAYS, DURING THE PERIOD COVERED BY MEDICAID, ON WHICH THE ELIGIBLE DID NOT RESIDE IN THE LONG TERM CARE FACILITY.

(DISPLAY SIGNED NUMERIC) (SAS USERS: ZONED DECIMAL - ZD3)

Legal Business Name Associated with the ACO Participant TIN

Length of Stay (LOS) - for discharges

TOTAL LENGTH OF STAY, IN DAYS, FOR INPATIENT HOSPITAL DISCHARGES, FOR THE CALENDAR YEAR.

(SAS USERS: ZONED DECIMAL - ZD3)

Length of Stay (LOS) - for stays

TOTAL LENGTH OF STAY, IN DAYS, FOR INPATIENT HOSPITAL STAYS, FOR THE CALENDAR YEAR.

(SAS USERS: ZONED DECIMAL - ZD3)

Length of Stay in Days

Total length of stay in days

Leukemias and Lymphomas - Combined Medicare & Medicaid Claims

This code specifies whether the enrollee met the chronic condition algorithm criteria, considering both Medicare and Medicaid data, for having Leukemias and Lymphomas.

Leukemias and Lymphomas - Medicaid Only Claims

This code specifies whether the enrollee met the chronic condition algorithm criteria, considering only Medicaid data, for having Leukemias and Lymphomas.

Leukemias and Lymphomas - Medicare Only Claims

This code specifies whether the enrollee met the chronic condition algorithm criteria, considering only Medicare data, for having Leukemias and Lymphomas.

Leukemias and Lymphomas End-of-Year Indicator - Medicare Only Claims

This variable indicates whether a beneficiary met the condition criteria for leukemias and lymphomas as of the end of the calendar year.

Leukemias and Lymphomas First Ever Occurrence Date - Medicare Only Claims

This variable shows the date when the beneficiary first met the criteria for the leukemias and lymphomas indicator. The variable will be blank for beneficiaries that have never had the condition.

LEUKLYMP_COMBINED_EVER

Leukemias and Lymphomas - Combined Medicare & Medicaid Claims, First Ever Occurrence Date

LEUKLYMP_MEDICAID_EVER

Leukemias and Lymphomas - Medicaid Only Claims, First Ever Occurrence Date

Level of Care Status Code for LTSS - April

The monthly status code indicating the level of care required to meet a beneficiary's needs and to determine Long-Term Services and Supports (LTSS) program eligibility. There are separate variables for each of the 12 months during the year.

Level of Care Status Code for LTSS - August

Level of Care Status Code for LTSS - December

Level of Care Status Code for LTSS - February

Level of Care Status Code for LTSS - January

Level of Care Status Code for LTSS - July

Level of Care Status Code for LTSS - June

Level of Care Status Code for LTSS - Latest in Year

The level of care required to meet a beneficiary's needs and to determine LTSS program eligibility; most recent in the calendar year.

Level of Care Status Code for LTSS - March

Level of Care Status Code for LTSS - May

Level of Care Status Code for LTSS - November

Level of Care Status Code for LTSS - October

Level of Care Status Code for LTSS - September

Lifetime reserve days (LRD) used by beneficiary for stay

The count of the number of lifetime reserve days (LRD), if any, used by the beneficiary for this stay.

Line Adjustment Group Code

Claim adjustment group code used to categorize a payment adjustment for a claim or claim line. This field is currently only populated for Direct Contracting (DC), Comprehensive Kidney Care Contracting (CKCC) and Kidney Care First (KCF) model claims.

Line Adjustment Reason Code

Claim adjustment reason code used to describe why a claim or claim line was paid differently than billed. This field is currently only populated for Direct Contracting (DC), Comprehensive Kidney Care Contracting (CKCC) and Kidney Care First (KCF) model claims.

This is not a comprehensive list of values; refer to website below for current values and descriptions:

Line Allowed Charge Amount

The amount of allowed charges for the line item service on the noninstitutional claim.

This charge is used to compute pay to providers or reimbursement to beneficiaries.

Line Beneficiary Coinsurance Amount

The beneficiary coinsurance liability amount for this line item service on the non-institutional claim.

This variable is the beneficiary’s liability for coinsurance for the service on the line item record.

Beneficiaries only face coinsurance once they have satisfied Part B’s annual deductible, which applies to both institutional (e.g., Hospital Outpatient) and non-institutional (e.g., Carrier and DME) services.

For most Part B services, coinsurance equals 20 percent of the allowed amount.

Line Beneficiary Copayment Amount

The copayment amount paid by an enrollee for the service, which does not include the amount paid by the insurance company.

Line Beneficiary Part B Deductible Amount

The amount of money for which the carrier has determined that the beneficiary is liable for the Part B cash deductible for the line item service on the non-institutional claim.

Line Berenson-Eggers Type of Service (BETOS) Code

The Berenson-Eggers type of service (BETOS) for the procedure code based on generally agreed upon clinically meaningful groupings of procedures and services.

This field is included as a line item on the non-institutional claim.

Line Billed Amount

The amount billed at the claim detail level as submitted by the provider.

Line CMS Provider Specialty Code

CMS (previously called HCFA) specialty code used for pricing the line item service on the non-institutional claim.

Assigned by the Medicare Administrative Contractor (MAC) based on the corresponding provider identification number (performing NPI or UPIN).