CODE TABLES - APPENDIX - MedPAR L3K                                                                                                                   
                                                                                                                         
                                                                                                 
MEDPAR Beneficiary Age  

                                                     Age is grouped by the following values:   
         						 	 1 = less than 25                             
           							 2 = 25 - 44                                  
          					 		 3 = 45 - 64                                  
           							 4 = 65 - 69                                  
           							 5 = 70 - 74                                  
           							 6 = 75 - 79                                  
           							 7 = 80 - 84                                  
         							 8 = 85 - 89                                  
           							 9 = 90 and over                              

                                                    The beneficiary's age as of date of admission.
                                                             
                                                                                                                                                              
 BENE_MDCR_STUS_TB                       CWF Beneficiary Medicare Status Table

       10 = Aged without ESRD
       11 = Aged with ESRD
       20 = Disabled without ESRD
       21 = Disabled with ESRD
       31 = ESRD only



 BENE_RACE_TB                            Beneficiary Race Table

       0 = Unknown
       1 = White
       2 = Black
       3 = Other
       4 = Asian
       5 = Hispanic
       6 = North American Native



 BENE_SEX_IDENT_TB                       Beneficiary Sex Identification Table

       1 = Male
       2 = Female
       0 = Unknown



 CLM_ADMTG_DGNS_VRSN_TB                  Claim Admitting Diagnosis Version Code Table

      Valid Values:
      9 = ICD-9
      0 = ICD-10



 CLM_CARE_IMPRVMT_MODEL_TB               Claim Care Improvement Model Table


      61 = CLAIM CARE IMPROVEMENT MODEL 1
      62 = CLAIM CARE IMPROVEMENT MODEL 2
      63 = CLAIM CARE IMPROVEMENT MODEL 3
      64 = CLAIM CARE IMPROVEMENT MODEL 4



 CLM_DGNS_VRSN_TB                        Claim Diagnosis Version Code Table

      Valid Values:
      9 = ICD-9
      0 = ICD-10



 CLM_HRR_PRTCPNT_IND_TB                  Claim HRR Participant Indicator Code Table

      0 = Not participating
      1 = Participating and not equal to 1.0000
      2 = Participating and equal to 1.0000



 CLM_PRCDR_VRSN_TB                       Claim Procedure Version Code Table

      Valid Values:
      9 = ICD-9
      0 = ICD-10



 CLM_PTNT_RLTNSHP_TB                     Claim Patient Relationship Table

       01 = Spouse
       04 = Grandparent
       05 = Grandchild
       07 = Niece/Nephew
       10 = Foster child
       15 = Ward of the court
       17 = Step child
       18 = Patient is insured
       19 = Natural child/insured financial responsibility
       20 = Employee
       21 = Unknown
       22 = Handicapped dependent
       23 = Sponsored dependent
       24 = Minor dependent of a minor dependent
       32 = Mother
       33 = Father
       39 = Organ donor
       40 = Cadaver donor
       41 = Injured plaintiff
       43 = Natural child/insured does not have financial responsibility



 CLM_SRC_IP_ADMSN_TB                     Claim Source Of Inpatient Admission Table

              **For Inpatient/SNF Claims:**


       0 = ANOMALY: invalid value, if present,
           translate to '9'
       1 = Non-Health Care Facility Point of Origin
           (Physician Referral) - The patient was
           admitted to this facility upon an order
           of a physician.
       2 = Clinic referral - The patient was
           admitted upon the recommendation of
           this facility's clinic physician.
       3 = HMO referral - Reserved for national
           assignment. (eff. 3/08)
           Prior to 3/08, HMO referral - The patient
           was admitted upon the recommendation of
           an health maintenance organization (HMO)
           physician.
       4 = Transfer from hospital (Different Facility) -
           The patient was admitted to this facility
           as a hospital transfer from an acute care
           facility where he or she was an inpatient.
       5 = Transfer from a skilled nursing
           facility (SNF) or Intermediate Care Facility
           (ICF) - The patient was admitted to this
           facility as a transfer from a SNF or ICF
           where he or she was a resident.
       6 = Transfer from another health care
           facility - The patient was admitted
           to this facility as a transfer from
           another type of health care facility
           not defined elsewhere in this code list
           where he or she was an inpatient.
       7 = Emergency room - The patient was
           admitted to this facility after receiving
           services in this facility's emergency
           room department. Obsolete - eff. 7/1/10
       8 = Court/law enforcement - The patient was
           admitted upon the direction of a
           court of law or upon the request of
           a law enforcement agency's representative.
           Includes transfers from incarceration facilities.
       9 = Information not available -  The means
           by which the patient was admitted is
           not known.
       A = Reserved for National Assignment. (eff. 3/08)
           Prior to 3/08 defined as: Transfer from a Critical
           Access Hospital - patient was admitted/referred
           to this facility as a transfer from a Critical
           Access Hospital.
       B = Transfer from Another Home Health Agency -
           The patient was admitted to this home
           health agency as a transfer from another
           home health agency.(Discontinued July 1,2010-
           See Condition Code 47)
       C = Readmission to Same Home Health Agency -
           The patient was readmitted to this home
           health agency within the same home health
           episode period. (Discontinued July 1,2010)
       D = Transfer from hospital inpatient in the
           same facility resulting in a separate
           claim to the payer - The patient was
           admitted to this facility as a transfer
           from hospital inpatient within this
           facility resulting in a separate
           claim to the payer.
       E = Transfer from Ambulatory Surgery Center -
           The patient was admitted to this facility as
           a transfer from an ambulatory surgery center.
           (eff. 10/1/2007)
       F = Transfer from Hospice and is under a Hospice
           Plan of Care or Enrolled in a Hospice Program -
           The patient was admitted to this facility as a
           transfer from a hospice.
           (eff. 10/1/2007)
         ---------------------------------------
            **For Newborn Type of Admission**

       1 = Normal delivery - A baby delivered with
           out complications.  Obsolete eff. 10/1/07
       2 = Premature delivery - A baby delivered
           with time and/or weight factors
           qualifying it for premature status.
           Obsolete eff. 10/1/07
       3 = Sick baby - A baby delivered with
           medical complications, other than those
           relating to premature status. Obsolete eff. 10/1/07
       4 = Extramural birth - A baby delivered in
           a nonsterile environment.  Obsolete eff. 10/1/07
       5 = Born Inside this Hospital - eff. 10/1/07
       6 = Born Outside of this Hospital - eff. 10/1/07
       7-9 = Reserved for national assignment.



 CLM_VBP_PRTCPNT_IND_TB                  Claim VBP Participant Indicator Table

       Y = Participating in Hospital Value Based Purchasing
       N = Not participating in Hospital Value Based Purchasing
       Blank = same as 'N'



 CTGRY_EQTBL_BENE_IDENT_TB               Category Equatable Beneficiary Identification Code (BIC) Table

       NCH BIC              SSA Categories
       -------              --------------

       A  = A;J1;J2;J3;J4;M;M1;T;TA
       B  = B;B2;B6;D;D4;D6;E;E1;K1;K2;K3;K4;W;W6;
            TB(F);TD(F);TE(F);TW(F)
       B1 = B1;BR;BY;D1;D5;DC;E4;E5;W1;WR;TB(M)
            TD(M);TE(M);TW(M)
       B3 = B3;B5;B9;D2;D7;D9;E2;E3;K5;K6;K7;K8;W2
            W7;TG(F);TL(F);TR(F);TX(F)
       B4 = B4;BT;BW;D3;DM;DP;E6;E9;W3;WT;TG(M)
            TL(M);TR(M);TX(M)
       B8 = B8;B7;BN;D8;DA;DV;E7;EB;K9;KA;KB;KC;W4
            W8;TH(F);TM(F);TS(F);TY(F)
       BA = BA;BK;BP;DD;DL;DW;E8;EC;KD;KE;KF;KG;W9
            WC;TJ(F);TN(F);TT(F);TZ(F)
       BD = BD;BL;BQ;DG;DN;DY;EA;ED;KH;KJ;KL;KM;WF
            WJ;TK(F);TP(F);TU(F);TV(F)
       BG = BG;DH;DQ;DS;EF;EJ;W5;TH(M);TM(M);TS(M)
            TY(M)
       BH = BH;DJ;DR;DX;EG;EK;WB;TJ(M);TN(M);TT(M)
            TZ(M)
       BJ = BJ;DK;DT;DZ;EH;EM;WG;TK(M);TP(M);TU(M)
            TV(M)
       C1 = C1;TC
       C2 = C2;T2
       C3 = C3;T3
       C4 = C4;T4
       C5 = C5;T5
       C6 = C6;T6
       C7 = C7;T7
       C8 = C8;T8
       C9 = C9;T9
       F1 = F1;TF
       F2 = F2;TQ
       F3-F8 = Equatable only to itself (e.g., F3 IS
               equatable to F3)
       CA-CZ = Equatable only to itself.  (e.g., CA is
               only equatable to CA)

            ---------------------------------------
                       RRB Categories

       10 = 10
       11 = 11
       13 = 13;17
       14 = 14;16
       15 = 15
       43 = 43
       45 = 45
       46 = 46
       80 = 80
       83 = 83
       84 = 84;86
       85 = 85



 GEO_SSA_STATE_TB                        State Table

       01 = Alabama
       02 = Alaska
       03 = Arizona
       04 = Arkansas
       05 = California
       06 = Colorado
       07 = Connecticut
       08 = Delaware
       09 = District of Columbia
       10 = Florida
       11 = Georgia
       12 = Hawaii
       13 = Idaho
       14 = Illinois
       15 = Indiana
       16 = Iowa
       17 = Kansas
       18 = Kentucky
       19 = Louisiana
       20 = Maine
       21 = Maryland
       22 = Massachusetts
       23 = Michigan
       24 = Minnesota
       25 = Mississippi
       26 = Missouri
       27 = Montana
       28 = Nebraska
       29 = Nevada
       30 = New Hampshire
       31 = New Jersey
       32 = New Mexico
       33 = New York
       34 = North Carolina
       35 = North Dakota
       36 = Ohio
       37 = Oklahoma
       38 = Oregon
       39 = Pennsylvania
       40 = Puerto Rico
       41 = Rhode Island
       42 = South Carolina
       43 = South Dakota
       44 = Tennessee
       45 = Texas
       46 = Utah
       47 = Vermont
       48 = Virgin Islands
       49 = Virginia
       50 = Washington
       51 = West Virginia
       52 = Wisconsin
       53 = Wyoming
       54 = Africa
       55 = California
       56 = Canada & Islands
       57 = Central America and West Indies
       58 = Europe
       59 = Mexico
       60 = Oceania
       61 = Philippines
       62 = South America
       63 = U.S. Possessions
       64 = American Samoa
       65 = Guam
       66 = Commonwealth of the Northern Marianas Islands
       67 = Texas
       68 = Florida (eff. 10/2005)
       69 = Florida (eff. 10/2005)
       70 = Kansas (eff. 10/2005)
       71 = Louisiana (eff. 10/2005)
       72 = Ohio (eff. 10/2005)
       73 = Pennsylvania (eff. 10/2005)
       74 = Texas (eff. 10/2005)
       80 = Maryland (eff. 8/2000)
       97 = Northern Marianas
       98 = Guam
       99 = With 000 county code is American Samoa;
            otherwise unknown
       A0 = California (eff. 4/2019)
       A1 = California (eff. 4/2019)
       A2 = Florida (eff. 4/2019)
       A3 = Louisianna (eff. 4/2019)
       A4 = Michigan (eff. 4/2019)
       A5 = Mississippi (eff. 4/2019)
       A6 = Ohio (eff. 4/2019)
       A7 = Pennsylvania (eff. 4/2019)
       A8 = Tennessee (eff. 4/2019)
       A9 = Texas (eff. 4/2019)
       B0 = Kentucky (eff. 4/2020)
       B1 = West Virginia (eff. 4/2020)
       B2 = California (eff. 4/2020)



 MEDPAR_ADMSN_DAY_TB                     MEDPAR Admission Day Code Table

      1 = Sunday
      2 = Monday
      3 = Tuesday
      4 = Wednesday
      5 = Thursday
      6 = Friday
      7 = Saturday



 MEDPAR_BENE_DEATH_DT_VRFY_TB            MEDPAR Beneficiary Death Date Verified Code Table

      V = Date of death verified (EDB received DOD from SSA's
          MBR)
      B = Date of death taken from claim (EDB received DOD
          from claim)
      N = Date of death not verified (neither V or B
          applicable, but claim status code indicated death)
      Space = No date of death indicated



 MEDPAR_BENE_DSCHRG_STUS_TB              MEDPAR Beneficiary Discharge Status Code Table

      A = Discharged alive (claim status code other than 20 or
          30)
      B = Discharged dead
      C = Still a patient



 MEDPAR_BENE_PRMRY_PYR_TB                MEDPAR Beneficiary Primary Payer Code Table

      A = Working aged bene/spouse with eghp
      B = ESRD bene in 18-month coordination period with eghp
      C = Conditional Medicare payment; future reimbursement
       expected
      D = Auto no-fault or any liability insurance
      E = Worker's compensation
      F = Phs or other federal agency (other than dept of
      veterans affairs)
      G = Working disabled
      H = Black lung
      I = Dept of veterans affairs
      J = Any liability insurance
      Z/BLANK = Medicare is primary payer



 MEDPAR_CRED_RCVD_RPLCD_DVC_TB           MEDPAR Credit Received from Manufacturer for Replaced Medical Device Switch Table

      Y = The claim involved a credit from
          the device manufacturer for a
          Replaced Medical Device.
      N = The claim did not involve a credit from
          the device manufacturer for a
          Replaced Medical Device.



 MEDPAR_CRNRY_CARE_IND_TB                MEDPAR Coronary Care Indicator Code Table

      BLANK = No coronary care indication
      0 = General (revenue code 0210)
      1 = Myocardial (revenue code 0211)
      2 = Pulmonary care (revenue code 0212)
      3 = Heart transplant (revenue code 0213)
      4 = Intermediate CCU (revenue code 0214)



 MEDPAR_ESRD_COND_TB                     MEDPAR ESRD Condition Code Table

      00 = No ESRD Condition Codes
      70 = Self-Administered Epo
      71 = Full Care In Unit
      72 = Self-Care In Unit
      73 = Self-Care Training
      74 = Home Dialysis
      75 = Home Dialysis/100% Reimbursement
      76 = Backup-In-Facility Dialysis



 MEDPAR_ESRD_SETG_IND_TB                 MEDPAR ESRD Setting Indicator Code Table

      00 = Ip renal dialysis-general (revenue code 0800)
      01 = Ip renal dialysis-hemodialysis (revenue code 0801)
      02 = Ip renal dialysis-peritoneal (non-capd: revenue
      code 0802)
      03 = Ip renal dialysis-capd (revenue code 0803)
      04 = Ip renal dialysis-ccpd (revenue code 0804)
      09 = Ip renal dialysis-other (revenue code 0809)
      20 = Hemodialysis-op-general (revenue code 0820)
      21 = Hemodialysis-op-hemodialysis/composite (revenue code
       0821)
      22 = Hemodialysis-op-home supplies (revenue code 0822)
      23 = Hemodialysis-op-home equipment (revenue code 0823)
      24 = Hemodialysis-op-maintenance/100% (revenue code 0824)
      25 = Hemodialysis-op-support services (revenue code 0825)
      29 = Hemodialysis-op-other (revenue code 0829)
      30 = Peritoneal-op/home-general (revenue code 0830)
      31 = Peritoneal-op/home-peritoneal/composite (revenue
      32 = Peritoneal-op/home-home supplies (revenue code 0832)
      33 = Peritoneal-op/home-home equipment (revenue code
       0833)
      34 = Peritoneal-op/home-maintenance/100% (revenue code
      0834)
      35 = Peritoneal-op/home-support services (revenue code
       0835)
      39 = Peritoneal-op/home-other (revenue code 0839)
      40 = Capd-op-capd/general (revenue code 0840)
      41 = Capd-op-capd/composite (revenue code 0841)
      42 = Capd-op-home supplies (revenue code 0842)
      43 = Capd-op-home equipment (revenue code 0843)
      44 = Capd-op-maintenance/100% (revenue code 0844)
      45 = Capd-op-support services (revenue code 0845)
      49 = Capd-op-other (revenue code 0849)
      50 = Ccpd-op-ccpd/general (revenue code 0850)
      51 = Ccpd-op-ccpd/composite (revenue code 0851)
      52 = Ccpd-op-home supplies (revenue code 0852)
      53 = Ccpd-op-home equipment (revenue code 0853)
      54 = Ccpd-op-maintenance/100% (revenue code 0854)
      55 = Ccpd-op-support services (revenue code 0855)
      59 = Ccpd-op-other (revenue code 0859)
      80 = Miscellaneous dialysis-general (revenue code 0880)
      81 = Miscellaneous dialysis-ultrafiltration (revenue code
       0881)
      89 = Miscellaneous dialysis-other (revenue code 0889)
      BLANK = No ESRD setting indication



 MEDPAR_GHO_PD_TB                        MEDPAR GHO Paid Code Table

      1 = GHO has paid the provider
      Blank Or 0 = GHO has not paid the provider



 MEDPAR_ICU_IND_TB                       MEDPAR Intensive Care Unit (ICU) Indicator Code Table

      0 = General (revenue center 0200)
      1 = Surgical (revenue center 0201)
      2 = Medical (revenue center 0202)
      3 = Pediatric (revenue center 0203)
      4 = Psychiatric (revenue center 0204)



 MEDPAR_INFRMTL_ENCTR_IND_TB             MEDPAR Informational Encounter Indicator Code Table

      Y = Beneficiary enrolled in MCO
      N = Beneficiary not enrolled in MCO



 MEDPAR_MA_TCHNG_IND_TB                  MEDPAR MA Teaching Indicator Code Table

      Y = Claim includes request for supplemental
          IME/DGME/N&AH payment.
      N = Claim does not include request for supplemental
          IME/DGME/N&AH payment.



 MEDPAR_OBSRVTN_TB                       MEDPAR Observation Switch Table

      Y = The claim involved treatment or observation in
          an observation room.
      N = The claim did not involve treatment or
          observation in an observation room.



 MEDPAR_OP_SRVC_IND_TB                   MEDPAR Outpatient Services Indicator Code Table

      0 = No outpatient services/ambulatory surgical care
          (revenue code other than 049X, 050X)
      1 = Outpatient services (revenue code 050X)
      2 = Ambulatory surgical care (revenue code 049X)
      3 = Outpatient services and ambulatory surgical care
          (revenue codes 049X and 050X)



 MEDPAR_ORGN_ACQSTN_IND_TB               MEDPAR Organ Acquisition Indicator Code Table

      K1 = General classification (revenue code 0810)
      K2 = Living donor kidney (revenue code 0811)
      K3 = Cadaver donor kidney (revenue code 0812)
      K4 = Unknown donor kidney (revenue code 0813)
      K5 = Other kidney acquisition (revenue code 0814)
      H1 = Cadaver donor heart (revenue code 0815)
      H2 = Other heart acquisition (revenue code 0816)
      L1 = Donor liver (revenue code 0817)
      01 = Other organ acquisition (revenue code 0819)
      BLANK = No organ acquisition indication



 MEDPAR_PHRMCY_IND_TB                    MEDPAR Pharmacy Indicator Code Table

      0 = No drugs (revenue code other than those listed below)
      1 = General drugs and/pr IV therapy (revenue code 025x,
          026x)
      2 = Erythropoietin (epoetin:  revenue code 0630, 0635,
          0637, 0639)
      3 = Blood clotting drugs (revenue code 0636)
      4 = General drugs and/or IV therapy; and epoetin
          (combination of values 1 and 2)
      5 = General drugs and/or IV therapy; and blood clotting
          drugs (combination of values 1 and 3)



 MEDPAR_PPS_IND_TB                       MEDPAR PPS Indicator Code Table

      0 = Non PPS
      2 = PPS



 MEDPAR_PROD_RPLCMT_LIFECYC_TB           MEDPAR Product Replacement within Lifecycle Switch

      Y = Claim involves the replacement of a product
          earlier than scheduled due to apparent malfunction.
      N = Claim does not involve the replacement of a product
          earlier than scheduled due to apparent malfunction.



 MEDPAR_PROD_RPLCMT_RCLL_TB              MEDPAR Product Replacement for known Recall Switch Table

      Y = Claim involves the replacement of a product
          due to a recall of the product by the manufacturer
          or by the FDA.
      N = Claim does not involve the replacement of a product
          due to a recall of the product by the manufacturer
          or by the FDA.



 MEDPAR_PRVDR_NUM_SPCL_UNIT_TB           MEDPAR Provider Number Special Unit Code

      M = PPS-exempt psychiatric unit in CAH
      R = PPS-exempt rehabilitation unit in CAH
      S = PPS-exempt psychiatric unit
      T = PPS-exempt rehabilitation unit
      U = Swing-bed short-term/acute care hospital
      W = Swing-bed long-term hospital
      Y = Swing-bed rehabilitation hospital
      Z = Swing-bed rural primary care hospital; eff
      10/97 changed to critical access hospitals
      Blanks = Not PPS-exempt or swing-bed designation



 MEDPAR_RDLGY_CT_SCAN_IND_TB             MEDPAR Radiology CT Scan Indicator Code Table

      0 = No  radiology CT scan (revenue code not 035X)
      1 = Yes radiology CT scan (revenue code 035X)



 MEDPAR_RDLGY_DGNSTC_IND_TB              MEDPAR Radiology Diagnostic Indicator Code Table

      0 = No  radiology-diagnostic (revenue code not 032x)
      1 = Yes radiology-diagnostic (revenue code 032x)



 MEDPAR_RDLGY_NUCLR_MDCN_IND_TB          MEDPAR Radiology Nuclear Medicine Indicator Code Table

      0 = No  nuclear medicine (revenue code not 034x)
      1 = Yes nuclear medicine (revenue code 034x)



 MEDPAR_RDLGY_ONCLGY_IND_TB              MEDPAR Radiology Oncology Indicator Code Table

      0 = No  radiology-oncology (revenue code not 028x)
      1 = Yes radiology-oncology (revenue code 028x)



 MEDPAR_RDLGY_OTHR_IMGNG_IND_TB          MEDPAR Radiology Other Imaging Indicator Code Table

      0 = No  other imaging services (revenue code not 040x)
      1 = Yes other imaging services (revenue code 040x)



 MEDPAR_RDLGY_THRPTC_IND_TB              MEDPAR Radiology Therapeutic Indicator Code Table

      0 = No  radiology-therapeutic (revenue code not 033X)
      1 = Yes radiology-therapeutic (revenue code 033X)



 MEDPAR_SRGCL_PRCDR_IND_TB               MEDPAR Surgical Procedure Indicator Code Table

      0 = No  surgery indicated
      1 = Yes surgery indicated



 MEDPAR_SS_LS_SNF_IND_TB                 MEDPAR Short Stay/Long Stay/SNF Indicator Code Table

      N = SNF Stay (Prvdr3 = 5, 6, U, W, Y, or Z)
      S = Short-Stay (Prvdr3 = 0, M, R, S, T)
      L = Long-Stay (All Others)



 MEDPAR_TRNSPLNT_IND_TB                  MEDPAR Transplant Indicator Code Table

      0 = No organ or kidney transplant
          (revenue code not 0362 or 0367)
      2 = Organ transplant other than kidney (revenue code
          0362)
      7 = Kidney transplant (revenue code 0367)



 MEDPAR_WRNG_IND_TB                      MEDPAR Warning Indicators Code Table

      Warning indicator 1 ('adjustment indicator' derived
      from the presence of query code values noted below
      on any of the claim records included in the analysis):
      0 = No adjustment (no query code = 0 or 5)
      1 = Credit adjustment (query code = 0)
      2 = Debit adjustment (query code = 5)
      3 = Credit and debit adjustment (both query code = 0
      and 5)

      Warning indicator 2 ('error condition' derived from
      checking the edit code trailer on the final action
      claims(s) that comprise the stay):
      0 = No error
      1 = Error condition

      Warning indicator 3 ('reimbursement/total charge
      indicator' derived after summing up fields on the
      final action claim(s) that comprise the stay; checks
      resulting Medicare payment amount (commonly called
      reimbursement), total charge amount, as well as
      beneificiary primary payer amount and utilization day
      count):

      0 = Medicare payment amount and total charge amount >
      zeroes
      1 = Medicare payment amount and total charge amount <
      zeroes
      2 = Medicare payment amount is a credit
      3 = Total charge amount is a credit
      4 = Medicare payment amount, total charge amount,
      beneficiary primary payer claim payment amount,
      and utilization day count = zeroes

      Warning indicator 4 ('utilization day/los day indicator'
      derived after summing up fields on the final action
      claim(s) that comprise the stay; compares resulting
      utilization day count and length-of-stay count):

      0 = Utilization day count = los day count
      1 = Utilization day count < los day count
      2 = Utilization day count > los day count

      warning indicator 5 ('single/multiple claim indicator'
      derived when the stay record is created by checking
      the number of final action claims that comprise the
      stay):

      0 = Stay includes a single final action claim
      1 = Stay includes multiple final action claims
      2 = Stay includes multiple final action claims and
      beneficiary is still a patient (applicable to
      SNF stays only)

      Warning indicator 6 ('intermediary cancel indicator'
      derived from the presence of the values noted below
      for intermediary claim action code and intermediary-
      requested claim cancel reason code on any of the claims
      included in the analysis.   If multiple claims contain
      these values, latest claim is used.  If both specified
      action code and cancel reason code are present, cancel
      reason code takes priority.):

      0 = No cancel action
      1 = Cancel action by credit adjustment (action code =
      (2 or 6)
      2 = Cancel action only (action code = 4)
      3 = Coverage transfer (cancel reason code = C)
      4 = Plan transfer (cancel reason code = P)
      5 = Scramble (cancel reason code = S)
      6 = Duplicate billing (cancel reason code = D)
      7 = Other (cancel reason code = H)
      8 = Combining 2 spells or 2 beneficiary records
      (cancel reason code = L)

      Warning indicator 7 ('state/county numeric indicator'
      derived from checking the format of the beneficiary
      residence SSA state code and beneficiary residence
      county code on the final action claim(s) that comprise
      the stay; determine if in numeric range):

      0 = State and county codes are valid numeric values
      1 = State and county codes are not in numeric range
      2 = State code is not in numeric range
      3 = County code is not in numeric range

      Warning indicator 8 ('duplicate indicator' derived from
      the presence of two claim records with the same claim
      number, admission date, provider number, claim from/
      thru date, HCFA process date and query code; death/
      admission date indicator derived by comparing the
      admission date on the final claim(s) that comprise the
      stay to the beneficiary death date):

      0 = Do duplicate record
      1 = Duplicate record
      2 = Death date < admission date
      3 = Death date < admission date and duplicate record

      Warning indicator 9 ('pass-thru indicator' derived from
      the presence of a pass thru per diem amount on the final
      action claim(s) that comprise the stay):

      0 = No pass thru per diem present (Non-PPS)
      1 = Pass thru per diem present on final action claim

      Warning indicator 10 (eff 3/96 update) (rugs indicator
      applicable to 'nhcmq rugs III SNF demo' stay records
      derived from the presence of 9,000 series revenue
      center codes.)

      0 = No rugs 9,000 series revenue center codes
      2 = Rugs 9,000 series revenue center code(s) with
      service date 1/1/96 or later
      3 = Rugs 9,000 series revenue center code(s) with
      service date 7/1/96 or later
      4 = Rugs 9,000 series revenue center code(s) with
      service date 1/1/97 or later

      Warning indicators 11 - 17 (not yet assigned; zeroes
      will be present)



 NCH_CLM_TYPE_TB                         NCH Claim Type Table

       10 = HHA claim
       20 = Non swing bed SNF claim
       30 = Swing bed SNF claim
       40 = Outpatient claim
       50 = Hospice claim
       60 = Inpatient claim
       61 = Inpatient 'Full-Encounter' claim
       62 = Medicare Advantage IME/GME Claims
       63 = Medicare Advantage (no-pay) claims
       64 = Medicare Advantage (paid as FFS) claims
       71 = RIC O local carrier non-DMEPOS claim
       72 = RIC O local carrier DMEPOS claim
       81 = RIC M DMERC non-DMEPOS claim
       82 = RIC M DMERC DMEPOS claim

      NOTE:  In the data element NCH_CLM_TYPE_CD
      (derivation rules) the numbers for these claim
      types need to be changed - dictionary reflects
      61 for all three.



 NG_ACO_IND_TB                           Next Generation (NG) Accountable Care Organization (ACO) Indicator Code Table

      0 = Base record (no enhancements)
      1 = Population Based Payments (PBP)
      2 = Telehealth
      3 = Post Discharge Home Health Visits
      4 = 3-Day SNF Waiver
      5 = Capitation
      6 = CEC Telehealth
      7 = Care Management Home Visits



 PTNT_DSCHRG_STUS_TB                     Patient Discharge Status Table

       01 = Discharged to home/self care (routine
            charge).
       02 = Discharged/transferred to other short term
            general hospital for inpatient care.
       03 = Discharged/transferred to skilled
            nursing facility (SNF) with Medicare
            certification in anticipation of covered
            skilled care -- (For hospitals with an
            approved swing bed arrangement, use Code
            61 - swing bed.  For reporting discharges/
            transfers to a non-certified SNF, the
            hospital must use Code 04 - ICF.
       04 = Discharged/transferred to a facility that
            provides custodial or supportive care (includes
            intermediate care facilities (ICF).  Also used
            to designate patients that are dischared/trans-
            ferred to a nursing facility with neither
            Medicare nor Medicaid certification and for
            discharges/transfers to Assisted Living Facilities.
       05 = Discharged/transferred to a designated cancer
            center or children's hospital (eff. 10/09). Prior
            to 10/1/09, discharged/transferred to another type
            of institution for inpatient care (including
            distinct parts).  NOTE:  Effective 1/2005,
            psychiatric hospital or psychiatric distinct
            part unit of a hospital will no longer be
            identified by this code.  New code is '65'.
       06 = Discharged/transferred to home care of
            organized home health service organization
            in anticipation of covered skilled care.
       07 = Left against medical advice or discontinued
            care.
       08 = Discharged/transferred to home under
            care of a home IV drug therapy provider.
            (discontinued effective 10/1/05)
       09 = Admitted as an inpatient to this
            hospital (effective 3/1/91).  In situa-
            tions  where a patient is admitted before
            midnight of the third day following the
            day of an outpatient service, the out-
            patient services are considered inpatient.
       20 = Expired
       21 = Discharged/transferred to Court/Law
            Enforcement.
       30 = Still patient.
       40 = Expired at home (Hospice claims only).
       41 = Expired in a medical facility such as
            hospital, SNF, ICF, or freestanding
            hospice. (Hospice claims only)
       42 = Expired - place unknown (Hospice claims
            only)
       43 = Discharged/transferred to a federal hospital
            (eff. 10/1/03). Discharges and transfers to a
            government operated health facility such as a
            Department of Defense hospital, a Veteran's
            Administration hospital or a Veteran's Administration
            nursing facility. To be used whenever the destination
            at discharge is a federal health care facility,
            whether the patient lives there or not.
       50 = Hospice - home (eff. 10/96)
       51 = Hospice - medical facility (certified) providing
            hospice level of care
       61 = Discharged/transferred within this insti-
            tution to a hospital-based Medicare
            approved swing bed (eff. 9/01)
       62 = Discharged/transferred to an inpatient
            rehabilitation facility including distinct
            parts units of a hospital.
            (eff. 1/2002)
       63 = Discharged/transferred to a Medicare certified
            long term care hospital. (eff. 1/2002)
       64 = Discharged/transferred to a nursing facility
            certified under Medicaid but not certified under
            Medicare (eff. 10/2002)
       65 = Discharged/Transferred to a psychiatric
            hospital or psychiatric distinct unit of a
            hospital (these types of hospitals were
            pulled from patient/discharge status code
            '05' and given their own code). (eff. 1/2005).
       66 = Discharged/transferred to a Critical Access
            Hospital (CAH) (eff. 1/1/06)
       69 = Discharge/transfers to a Designated Disaster
            Alternative Care site (eff. 10/2013)
       70 = Discharged/transferred to another type of health
            care institution not defined elsewhere in code
            list.
       71 = Discharged/transferred/referred to another
            institution for outpatient services as
            specified by the discharge plan of care
            (eff. 9/01) (discontinued effective 10/1/05)
       72 = Discharged/transferred/referred to this
            institution for outpatient services as
            specified by the discharge plan of care
            (eff. 9/01) (discontinued effective 10/1/05)
       81 = Discharged to home or self-care with a planned
            acute care hospital inpatient (eff. 10/2013)
       82 = Discharged/transferred to a short term general hospital
            for inpatient care readmission (eff. 10/2013)
       83 = Discharged/transferred to a skilled nursing facility
            (SNF) with Medicare (eff. 10/2013)
       84 = Discharged/transferred to a facility that provides
            custodial supportative care with a planned acute
            care hospital inpatient readmission certification
            with a planned acute care hospital inpatient readmission
            (eff. 10/2013)
       85 = Discharged/transferred to a designated cancer center or
            children's hospital with a planned acute care hospital
            inpatient readmission (eff. 10/2013)
       86 = Discharged/transferred to home under care of organized
            home health service organization with a planned acute
            care hospital inpatient readmission (eff. 10/2013)
       87 = Discharged/transferred to court/law enforcement with a
            planned acute care hospital inpatient readmission (eff.
            10/2013)
       88 = Discharged/transferred to a Federal health care facility
            with a planned acute care hospital inpatient readmission
            (eff. 10/2013)
       89 = Discharged/transferred to a hospital-based Medicare approved
            swing bed with a planned acute care hosptial inpatient
            readmission (eff. 10/2013)
       90 = Discharged/transferred to an inpatient rehabilitation
            facility (IRF) including rehabilitation distinct units of
            a hospital with a planned acute care hospital inpatient
            readmission (eff. 10/2013)
       91 = Discharged/transferred to a Medicare certified Long Term
            Care Hospital (LTCH) with a planned acute care hospital
            inpatient readmission (eff. 10/2013)
       92 = Discharged/transferred to a nursing facility certified
            under Medicaid but not certified under Medicare with a
            planned acute care hospital inpatient readmission (eff.
            10/2013)
       93 = Discharged/transferred to a psychiatric hospital or
            psychiatric distinct part unit of a hospital with a
            planned acute care hospital inpatient readmission
            (eff. 10/2013)
       94 = Discharged/transferred to a critical access hospital (CAH)
            with a planned acute care hospital inpatient readmission
            (eff. 10/2013)
       95 = Discharged/transferred to another type of health care
            institution not defined elsewhere in this code list with a
            planned acute care hospital inpatient readmission. (eff. 10/2013)



 RP_IND_TB                               Claim Representative Payee (RP) Indicator Code Table

      R = bypass representative payee
      Space



 RSDL_PMT_IND_TB                         Claim Residual Payment Indicator Code Table

      X = Residual Payment
      Space



                                                           QUERY: RIFQQ11, RIFQQ21 ON DB2T
                                  *******END OF TOC APPENDIX FOR RECORD: MEDPAR_2000_REC********


1
  TABLE OF CODES APPENDIX FOR RECORD: MEDPAR_2000_REC,  STATUS: PROD, VERSION: 20021
  PRINTED: 03/06/2020,  USER: F43D,  DATA SOURCE: CA REPOSITORY ON DB2T


 BENE_IDENT_TB                           Beneficiary Identification Code (BIC) Table

       Social Security Administration:

       A  = Primary claimant
       B  = Aged wife, age 62 or over (1st
            claimant)
       B1 = Aged husband, age 62 or over (1st
            claimant)
       B2 = Young wife, with a child in her care
            (1st claimant)
       B3 = Aged wife (2nd claimant)
       B4 = Aged husband (2nd claimant)
       B5 = Young wife (2nd claimant)
       B6 = Divorced wife, age 62 or over (1st
            claimant)
       B7 = Young wife (3rd claimant)
       B8 = Aged wife (3rd claimant)
       B9 = Divorced wife (2nd claimant)
       BA = Aged wife (4th claimant)
       BD = Aged wife (5th claimant)
       BG = Aged husband (3rd claimant)
       BH = Aged husband (4th claimant)
       BJ = Aged husband (5th claimant)
       BK = Young wife (4th claimant)
       BL = Young wife (5th claimant)
       BN = Divorced wife (3rd claimant)
       BP = Divorced wife (4th claimant)
       BQ = Divorced wife (5th claimant)
       BR = Divorced husband (1st claimant)
       BT = Divorced husband (2nd claimant)
       BW = Young husband (2nd claimant)
       BY = Young husband (1st claimant)
       C1-C9,CA-CZ = Child (includes minor, student
                     or disabled child)
       D  = Aged widow, 60 or over (1st claimant)
       D1 = Aged widower, age 60 or over (1st
            claimant)
       D2 = Aged widow (2nd claimant)
       D3 = Aged widower (2nd claimant)
       D4 = Widow (remarried after attainment of
            age 60) (1st claimant)
       D5 = Widower (remarried after attainment of
            age 60) (1st claimant)
       D6 = Surviving divorced wife, age 60 or over
            (1st claimant)
       D7 = Surviving divorced wife (2nd claimant)
       D8 = Aged widow (3rd claimant)
       D9 = Remarried widow (2nd claimant)
       DA = Remarried widow (3rd claimant)
       DD = Aged widow (4th claimant)
       DG = Aged widow (5th claimant)
       DH = Aged widower (3rd claimant)
       DJ = Aged widower (4th claimant)
       DK = Aged widower (5th claimant)
       DL = Remarried widow (4th claimant)
       DM = Surviving divorced husband (2nd
            claimant)
       DN = Remarried widow (5th claimant)
       DP = Remarried widower (2nd claimant)
       DQ = Remarried widower (3rd claimant)
       DR = Remarried widower (4th claimant)
       DS = Surviving divorced husband (3rd
            claimant)
       DT = Remarried widower (5th claimant)
       DV = Surviving divorced wife (3rd claimant)
       DW = Surviving divorced wife (4th claimant)
       DX = Surviving divorced husband (4th
            claimant)
       DY = Surviving divorced wife (5th claimant)
       DZ = Surviving divorced husband (5th
            claimant)
       E  = Mother (widow) (1st claimant)
       E1 = Surviving divorced mother (1st
            claimant)
       E2 = Mother (widow) (2nd claimant)
       E3 = Surviving divorced mother (2nd
            claimant)
       E4 = Father (widower) (1st claimant)
       E5 = Surviving divorced father (widower)
            (1st claimant)
       E6 = Father (widower) (2nd claimant)
       E7 = Mother (widow) (3rd claimant)
       E8 = Mother (widow) (4th claimant)
       E9 = Surviving divorced father (widower)
            (2nd claimant)
       EA = Mother (widow) (5th claimant)
       EB = Surviving divorced mother (3rd
            claimant)
       EC = Surviving divorced mother (4th
            claimant)
       ED = Surviving divorced mother (5th
            claimant
       EF = Father (widower) (3rd claimant)
       EG = Father (widower) (4th claimant)
       EH = Father (widower) (5th claimant)
       EJ = Surviving divorced father (3rd
            claimant)
       EK = Surviving divorced father (4th
            claimant)
       EM = Surviving divorced father (5th
            claimant)
       F1 = Father
       F2 = Mother
       F3 = Stepfather
       F4 = Stepmother
       F5 = Adopting father
       F6 = Adopting mother
       F7 = Second alleged father
       F8 = Second alleged mother
       J1 = Primary prouty entitled to HIB
            (less than 3 Q.C.) (general fund)
       J2 = Primary prouty entitled to HIB
            (over 2 Q.C.) (RSI trust fund)
       J3 = Primary prouty not entitled to HIB
            (less than 3 Q.C.) (general fund)
       J4 = Primary prouty not entitled to HIB
            (over 2 Q.C.) (RSI trust fund)
       K1 = Prouty wife entitled to HIB (less than
            3 Q.C.) (general fund) (1st claimant)
       K2 = Prouty wife entitled to HIB (over 2
            Q.C.) (RSI trust fund) (1st claimant)
       K3 = Prouty wife not entitled to HIB (less
            than 3 Q.C.) (general fund) (1st
            claimant)
       K4 = Prouty wife not entitled to HIB (over
            2 Q.C.) (RSI trust fund) (1st
            claimant)
       K5 = Prouty wife entitled to HIB (less than
            3 Q.C.) (general fund) (2nd claimant)
       K6 = Prouty wife entitled to HIB (over 2
            Q.C.) (RSI trust fund) (2nd claimant)
       K7 = Prouty wife not entitled to HIB (less
            than 3 Q.C.) (general fund) (2nd
            claimant)
       K8 = Prouty wife not entitled to HIB (over
            2 Q.C.) (RSI trust fund) (2nd
            claimant)
       K9 = Prouty wife entitled to HIB (less than
            3 Q.C.) (general fund) (3rd claimant)
       KA = Prouty wife entitled to HIB (over 2
            Q.C.) (RSI trust fund) (3rd claimant)
       KB = Prouty wife not entitled to HIB (less
            than 3 Q.C.) (general fund) (3rd
            claimant)
       KC = Prouty wife not entitled to HIB (over
            2 Q.C.) (RSI trust fund) (3rd
            claimant)
       KD = Prouty wife entitled to HIB (less than
            3 Q.C.) (general fund) (4th claimant)
       KE = Prouty wife entitled to HIB (over 2 Q.C
            (4th claimant)
       KF = Prouty wife not entitled to HIB (less
            than 3 Q.C.)(4th claimant)
       KG = Prouty wife not entitled to HIB (over
            2 Q.C.)(4th claimant)
       KH = Prouty wife entitled to HIB (less than
            3 Q.C.)(5th claimant)
       KJ = Prouty wife entitled to HIB (over 2
            Q.C.) (5th claimant)
       KL = Prouty wife not entitled to HIB (less
            than 3 Q.C.)(5th claimant)
       KM = Prouty wife not entitled to HIB (over
            2 Q.C.) (5th claimant)
       M  = Uninsured-not qualified for deemed HIB
       M1 = Uninsured-qualified but refused HIB
       T  = Uninsured-entitled to HIB under deemed
            or renal provisions
       TA = MQGE (primary claimant)
       TB = MQGE aged spouse (first claimant)
       TC = MQGE disabled adult child (first claimant)
       TD = MQGE aged widow(er) (first claimant)
       TE = MQGE young widow(er) (first claimant)
       TF = MQGE parent (male)
       TG = MQGE aged spouse (second claimant)
       TH = MQGE aged spouse (third claimant)
       TJ = MQGE aged spouse (fourth claimant)
       TK = MQGE aged spouse (fifth claimant)
       TL = MQGE aged widow(er) (second claimant)
       TM = MQGE aged widow(er) (third claimant)
       TN = MQGE aged widow(er) (fourth claimant)
       TP = MQGE aged widow(er) (fifth claimant)
       TQ = MQGE parent (female)
       TR = MQGE young widow(er) (second claimant)
       TS = MQGE young widow(er) (third claimant)
       TT = MQGE young widow(er) (fourth claimant)
       TU = MQGE young widow(er) (fifth claimant)
       TV = MQGE disabled widow(er) fifth claimant
       TW = MQGE disabled widow(er) first claimant
       TX = MQGE disabled widow(er) second claimant
       TY = MQGE disabled widow(er) third claimant
       TZ = MQGE disabled widow(er) fourth claimant
       T2-T9 = Disabled child (second to ninth
               claimant)
       W  = Disabled widow, age 50 or over (1st
            claimant)
       W1 = Disabled widower, age 50 or over (1st
            claimant)
       W2 = Disabled widow (2nd claimant)
       W3 = Disabled widower (2nd claimant)
       W4 = Disabled widow (3rd claimant)
       W5 = Disabled widower (3rd claimant)
       W6 = Disabled surviving divorced wife (1st
            claimant)
       W7 = Disabled surviving divorced wife (2nd
            claimant)
       W8 = Disabled surviving divorced wife (3rd
            claimant)
       W9 = Disabled widow (4th claimant)
       WB = Disabled widower (4th claimant)
       WC = Disabled surviving divorced wife (4th
            claimant)
       WF = Disabled widow (5th claimant)
       WG = Disabled widower (5th claimant)
       WJ = Disabled surviving divorced wife (5th
            claimant)
       WR = Disabled surviving divorced husband
            (1st claimant)
       WT = Disabled surviving divorced husband
            (2nd claimant)

       Railroad Retirement Board:

          NOTE:
          Employee:  a Medicare beneficiary who is
                     still working or a worker who
                     died before retirement
          Annuitant: a person who retired under the
                     railroad retirement act on or
                     after 03/01/37
          Pensioner: a person who retired prior to
                     03/01/37 and was included in the
                     railroad retirement act

       10 = Retirement - employee or annuitant
       80 = RR pensioner (age or disability)
       14 = Spouse of RR employee or annuitant
            (husband or wife)
       84 = Spouse of RR pensioner
       43 = Child of RR employee
       13 = Child of RR annuitant
       17 = Disabled adult child of RR annuitant
       46 = Widow/widower of RR employee
       16 = Widow/widower of RR annuitant
       86 = Widow/widower of RR pensioner
       43 = Widow of employee with a child in her care
       13 = Widow of annuitant with a child in her care
       83 = Widow of pensioner with a child in her care
       45 = Parent of employee
       15 = Parent of annuitant
       85 = Parent of pensioner
       11 = Survivor joint annuitant
            (reduced benefits taken to insure benefits
            for surviving spouse)



 BENE_MDCR_STUS_TB                       CWF Beneficiary Medicare Status Table

       10 = Aged without ESRD
       11 = Aged with ESRD
       20 = Disabled without ESRD
       21 = Disabled with ESRD
       31 = ESRD only



 BENE_RACE_TB                            Beneficiary Race Table

       0 = Unknown
       1 = White
       2 = Black
       3 = Other
       4 = Asian
       5 = Hispanic
       6 = North American Native



 BENE_SEX_IDENT_TB                       Beneficiary Sex Identification Table

       1 = Male
       2 = Female
       0 = Unknown



 CLM_ADMTG_DGNS_VRSN_TB                  Claim Admitting Diagnosis Version Code Table

      Valid Values:
      9 = ICD-9
      0 = ICD-10



 CLM_CARE_IMPRVMT_MODEL_TB               Claim Care Improvement Model Table


      61 = CLAIM CARE IMPROVEMENT MODEL 1
      62 = CLAIM CARE IMPROVEMENT MODEL 2
      63 = CLAIM CARE IMPROVEMENT MODEL 3
      64 = CLAIM CARE IMPROVEMENT MODEL 4



 CLM_DGNS_VRSN_TB                        Claim Diagnosis Version Code Table

      Valid Values:
      9 = ICD-9
      0 = ICD-10



 CLM_HRR_PRTCPNT_IND_TB                  Claim HRR Participant Indicator Code Table

      0 = Not participating
      1 = Participating and not equal to 1.0000
      2 = Participating and equal to 1.0000



 CLM_PRCDR_VRSN_TB                       Claim Procedure Version Code Table

      Valid Values:
      9 = ICD-9
      0 = ICD-10



 CLM_PTNT_RLTNSHP_TB                     Claim Patient Relationship Table

       01 = Spouse
       04 = Grandparent
       05 = Grandchild
       07 = Niece/Nephew
       10 = Foster child
       15 = Ward of the court
       17 = Step child
       18 = Patient is insured
       19 = Natural child/insured financial responsibility
       20 = Employee
       21 = Unknown
       22 = Handicapped dependent
       23 = Sponsored dependent
       24 = Minor dependent of a minor dependent
       32 = Mother
       33 = Father
       39 = Organ donor
       40 = Cadaver donor
       41 = Injured plaintiff
       43 = Natural child/insured does not have financial responsibility



 CLM_SRC_IP_ADMSN_TB                     Claim Source Of Inpatient Admission Table

              **For Inpatient/SNF Claims:**


       0 = ANOMALY: invalid value, if present,
           translate to '9'
       1 = Non-Health Care Facility Point of Origin
           (Physician Referral) - The patient was
           admitted to this facility upon an order
           of a physician.
       2 = Clinic referral - The patient was
           admitted upon the recommendation of
           this facility's clinic physician.
       3 = HMO referral - Reserved for national
           assignment. (eff. 3/08)
           Prior to 3/08, HMO referral - The patient
           was admitted upon the recommendation of
           an health maintenance organization (HMO)
           physician.
       4 = Transfer from hospital (Different Facility) -
           The patient was admitted to this facility
           as a hospital transfer from an acute care
           facility where he or she was an inpatient.
       5 = Transfer from a skilled nursing
           facility (SNF) or Intermediate Care Facility
           (ICF) - The patient was admitted to this
           facility as a transfer from a SNF or ICF
           where he or she was a resident.
       6 = Transfer from another health care
           facility - The patient was admitted
           to this facility as a transfer from
           another type of health care facility
           not defined elsewhere in this code list
           where he or she was an inpatient.
       7 = Emergency room - The patient was
           admitted to this facility after receiving
           services in this facility's emergency
           room department. Obsolete - eff. 7/1/10
       8 = Court/law enforcement - The patient was
           admitted upon the direction of a
           court of law or upon the request of
           a law enforcement agency's representative.
           Includes transfers from incarceration facilities.
       9 = Information not available -  The means
           by which the patient was admitted is
           not known.
       A = Reserved for National Assignment. (eff. 3/08)
           Prior to 3/08 defined as: Transfer from a Critical
           Access Hospital - patient was admitted/referred
           to this facility as a transfer from a Critical
           Access Hospital.
       B = Transfer from Another Home Health Agency -
           The patient was admitted to this home
           health agency as a transfer from another
           home health agency.(Discontinued July 1,2010-
           See Condition Code 47)
       C = Readmission to Same Home Health Agency -
           The patient was readmitted to this home
           health agency within the same home health
           episode period. (Discontinued July 1,2010)
       D = Transfer from hospital inpatient in the
           same facility resulting in a separate
           claim to the payer - The patient was
           admitted to this facility as a transfer
           from hospital inpatient within this
           facility resulting in a separate
           claim to the payer.
       E = Transfer from Ambulatory Surgery Center -
           The patient was admitted to this facility as
           a transfer from an ambulatory surgery center.
           (eff. 10/1/2007)
       F = Transfer from Hospice and is under a Hospice
           Plan of Care or Enrolled in a Hospice Program -
           The patient was admitted to this facility as a
           transfer from a hospice.
           (eff. 10/1/2007)
         ---------------------------------------
            **For Newborn Type of Admission**

       1 = Normal delivery - A baby delivered with
           out complications.  Obsolete eff. 10/1/07
       2 = Premature delivery - A baby delivered
           with time and/or weight factors
           qualifying it for premature status.
           Obsolete eff. 10/1/07
       3 = Sick baby - A baby delivered with
           medical complications, other than those
           relating to premature status. Obsolete eff. 10/1/07
       4 = Extramural birth - A baby delivered in
           a nonsterile environment.  Obsolete eff. 10/1/07
       5 = Born Inside this Hospital - eff. 10/1/07
       6 = Born Outside of this Hospital - eff. 10/1/07
       7-9 = Reserved for national assignment.



 CLM_VBP_PRTCPNT_IND_TB                  Claim VBP Participant Indicator Table

       Y = Participating in Hospital Value Based Purchasing
       N = Not participating in Hospital Value Based Purchasing
       Blank = same as 'N'



 CTGRY_EQTBL_BENE_IDENT_TB               Category Equatable Beneficiary Identification Code (BIC) Table

       NCH BIC              SSA Categories
       -------              --------------

       A  = A;J1;J2;J3;J4;M;M1;T;TA
       B  = B;B2;B6;D;D4;D6;E;E1;K1;K2;K3;K4;W;W6;
            TB(F);TD(F);TE(F);TW(F)
       B1 = B1;BR;BY;D1;D5;DC;E4;E5;W1;WR;TB(M)
            TD(M);TE(M);TW(M)
       B3 = B3;B5;B9;D2;D7;D9;E2;E3;K5;K6;K7;K8;W2
            W7;TG(F);TL(F);TR(F);TX(F)
       B4 = B4;BT;BW;D3;DM;DP;E6;E9;W3;WT;TG(M)
            TL(M);TR(M);TX(M)
       B8 = B8;B7;BN;D8;DA;DV;E7;EB;K9;KA;KB;KC;W4
            W8;TH(F);TM(F);TS(F);TY(F)
       BA = BA;BK;BP;DD;DL;DW;E8;EC;KD;KE;KF;KG;W9
            WC;TJ(F);TN(F);TT(F);TZ(F)
       BD = BD;BL;BQ;DG;DN;DY;EA;ED;KH;KJ;KL;KM;WF
            WJ;TK(F);TP(F);TU(F);TV(F)
       BG = BG;DH;DQ;DS;EF;EJ;W5;TH(M);TM(M);TS(M)
            TY(M)
       BH = BH;DJ;DR;DX;EG;EK;WB;TJ(M);TN(M);TT(M)
            TZ(M)
       BJ = BJ;DK;DT;DZ;EH;EM;WG;TK(M);TP(M);TU(M)
            TV(M)
       C1 = C1;TC
       C2 = C2;T2
       C3 = C3;T3
       C4 = C4;T4
       C5 = C5;T5
       C6 = C6;T6
       C7 = C7;T7
       C8 = C8;T8
       C9 = C9;T9
       F1 = F1;TF
       F2 = F2;TQ
       F3-F8 = Equatable only to itself (e.g., F3 IS
               equatable to F3)
       CA-CZ = Equatable only to itself.  (e.g., CA is
               only equatable to CA)

            ---------------------------------------
                       RRB Categories

       10 = 10
       11 = 11
       13 = 13;17
       14 = 14;16
       15 = 15
       43 = 43
       45 = 45
       46 = 46
       80 = 80
       83 = 83
       84 = 84;86
       85 = 85



 GEO_SSA_STATE_TB                        State Table

       01 = Alabama
       02 = Alaska
       03 = Arizona
       04 = Arkansas
       05 = California
       06 = Colorado
       07 = Connecticut
       08 = Delaware
       09 = District of Columbia
       10 = Florida
       11 = Georgia
       12 = Hawaii
       13 = Idaho
       14 = Illinois
       15 = Indiana
       16 = Iowa
       17 = Kansas
       18 = Kentucky
       19 = Louisiana
       20 = Maine
       21 = Maryland
       22 = Massachusetts
       23 = Michigan
       24 = Minnesota
       25 = Mississippi
       26 = Missouri
       27 = Montana
       28 = Nebraska
       29 = Nevada
       30 = New Hampshire
       31 = New Jersey
       32 = New Mexico
       33 = New York
       34 = North Carolina
       35 = North Dakota
       36 = Ohio
       37 = Oklahoma
       38 = Oregon
       39 = Pennsylvania
       40 = Puerto Rico
       41 = Rhode Island
       42 = South Carolina
       43 = South Dakota
       44 = Tennessee
       45 = Texas
       46 = Utah
       47 = Vermont
       48 = Virgin Islands
       49 = Virginia
       50 = Washington
       51 = West Virginia
       52 = Wisconsin
       53 = Wyoming
       54 = Africa
       55 = California
       56 = Canada & Islands
       57 = Central America and West Indies
       58 = Europe
       59 = Mexico
       60 = Oceania
       61 = Philippines
       62 = South America
       63 = U.S. Possessions
       64 = American Samoa
       65 = Guam
       66 = Commonwealth of the Northern Marianas Islands
       67 = Texas
       68 = Florida (eff. 10/2005)
       69 = Florida (eff. 10/2005)
       70 = Kansas (eff. 10/2005)
       71 = Louisiana (eff. 10/2005)
       72 = Ohio (eff. 10/2005)
       73 = Pennsylvania (eff. 10/2005)
       74 = Texas (eff. 10/2005)
       80 = Maryland (eff. 8/2000)
       97 = Northern Marianas
       98 = Guam
       99 = With 000 county code is American Samoa;
            otherwise unknown
       A0 = California (eff. 4/2019)
       A1 = California (eff. 4/2019)
       A2 = Florida (eff. 4/2019)
       A3 = Louisianna (eff. 4/2019)
       A4 = Michigan (eff. 4/2019)
       A5 = Mississippi (eff. 4/2019)
       A6 = Ohio (eff. 4/2019)
       A7 = Pennsylvania (eff. 4/2019)
       A8 = Tennessee (eff. 4/2019)
       A9 = Texas (eff. 4/2019)
       B0 = Kentucky (eff. 4/2020)
       B1 = West Virginia (eff. 4/2020)
       B2 = California (eff. 4/2020)



 MEDPAR_ADMSN_DAY_TB                     MEDPAR Admission Day Code Table

      1 = Sunday
      2 = Monday
      3 = Tuesday
      4 = Wednesday
      5 = Thursday
      6 = Friday
      7 = Saturday



 MEDPAR_BENE_DEATH_DT_VRFY_TB            MEDPAR Beneficiary Death Date Verified Code Table

      V = Date of death verified (EDB received DOD from SSA's
          MBR)
      B = Date of death taken from claim (EDB received DOD
          from claim)
      N = Date of death not verified (neither V or B
          applicable, but claim status code indicated death)
      Space = No date of death indicated



 MEDPAR_BENE_DSCHRG_STUS_TB              MEDPAR Beneficiary Discharge Status Code Table

      A = Discharged alive (claim status code other than 20 or
          30)
      B = Discharged dead
      C = Still a patient



 MEDPAR_BENE_PRMRY_PYR_TB                MEDPAR Beneficiary Primary Payer Code Table

      A = Working aged bene/spouse with eghp
      B = ESRD bene in 18-month coordination period with eghp
      C = Conditional Medicare payment; future reimbursement
       expected
      D = Auto no-fault or any liability insurance
      E = Worker's compensation
      F = Phs or other federal agency (other than dept of
      veterans affairs)
      G = Working disabled
      H = Black lung
      I = Dept of veterans affairs
      J = Any liability insurance
      Z/BLANK = Medicare is primary payer



 MEDPAR_CRED_RCVD_RPLCD_DVC_TB           MEDPAR Credit Received from Manufacturer for Replaced Medical Device Switch Table

      Y = The claim involved a credit from
          the device manufacturer for a
          Replaced Medical Device.
      N = The claim did not involve a credit from
          the device manufacturer for a
          Replaced Medical Device.



 MEDPAR_CRNRY_CARE_IND_TB                MEDPAR Coronary Care Indicator Code Table

      BLANK = No coronary care indication
      0 = General (revenue code 0210)
      1 = Myocardial (revenue code 0211)
      2 = Pulmonary care (revenue code 0212)
      3 = Heart transplant (revenue code 0213)
      4 = Intermediate CCU (revenue code 0214)



 MEDPAR_ESRD_COND_TB                     MEDPAR ESRD Condition Code Table

      00 = No ESRD Condition Codes
      70 = Self-Administered Epo
      71 = Full Care In Unit
      72 = Self-Care In Unit
      73 = Self-Care Training
      74 = Home Dialysis
      75 = Home Dialysis/100% Reimbursement
      76 = Backup-In-Facility Dialysis



 MEDPAR_ESRD_SETG_IND_TB                 MEDPAR ESRD Setting Indicator Code Table

      00 = Ip renal dialysis-general (revenue code 0800)
      01 = Ip renal dialysis-hemodialysis (revenue code 0801)
      02 = Ip renal dialysis-peritoneal (non-capd: revenue
      code 0802)
      03 = Ip renal dialysis-capd (revenue code 0803)
      04 = Ip renal dialysis-ccpd (revenue code 0804)
      09 = Ip renal dialysis-other (revenue code 0809)
      20 = Hemodialysis-op-general (revenue code 0820)
      21 = Hemodialysis-op-hemodialysis/composite (revenue code
       0821)
      22 = Hemodialysis-op-home supplies (revenue code 0822)
      23 = Hemodialysis-op-home equipment (revenue code 0823)
      24 = Hemodialysis-op-maintenance/100% (revenue code 0824)
      25 = Hemodialysis-op-support services (revenue code 0825)
      29 = Hemodialysis-op-other (revenue code 0829)
      30 = Peritoneal-op/home-general (revenue code 0830)
      31 = Peritoneal-op/home-peritoneal/composite (revenue
      32 = Peritoneal-op/home-home supplies (revenue code 0832)
      33 = Peritoneal-op/home-home equipment (revenue code
       0833)
      34 = Peritoneal-op/home-maintenance/100% (revenue code
      0834)
      35 = Peritoneal-op/home-support services (revenue code
       0835)
      39 = Peritoneal-op/home-other (revenue code 0839)
      40 = Capd-op-capd/general (revenue code 0840)
      41 = Capd-op-capd/composite (revenue code 0841)
      42 = Capd-op-home supplies (revenue code 0842)
      43 = Capd-op-home equipment (revenue code 0843)
      44 = Capd-op-maintenance/100% (revenue code 0844)
      45 = Capd-op-support services (revenue code 0845)
      49 = Capd-op-other (revenue code 0849)
      50 = Ccpd-op-ccpd/general (revenue code 0850)
      51 = Ccpd-op-ccpd/composite (revenue code 0851)
      52 = Ccpd-op-home supplies (revenue code 0852)
      53 = Ccpd-op-home equipment (revenue code 0853)
      54 = Ccpd-op-maintenance/100% (revenue code 0854)
      55 = Ccpd-op-support services (revenue code 0855)
      59 = Ccpd-op-other (revenue code 0859)
      80 = Miscellaneous dialysis-general (revenue code 0880)
      81 = Miscellaneous dialysis-ultrafiltration (revenue code
       0881)
      89 = Miscellaneous dialysis-other (revenue code 0889)
      BLANK = No ESRD setting indication



 MEDPAR_GHO_PD_TB                        MEDPAR GHO Paid Code Table

      1 = GHO has paid the provider
      Blank Or 0 = GHO has not paid the provider



 MEDPAR_ICU_IND_TB                       MEDPAR Intensive Care Unit (ICU) Indicator Code Table

      0 = General (revenue center 0200)
      1 = Surgical (revenue center 0201)
      2 = Medical (revenue center 0202)
      3 = Pediatric (revenue center 0203)
      4 = Psychiatric (revenue center 0204)



 MEDPAR_INFRMTL_ENCTR_IND_TB             MEDPAR Informational Encounter Indicator Code Table

      Y = Beneficiary enrolled in MCO
      N = Beneficiary not enrolled in MCO



 MEDPAR_MA_TCHNG_IND_TB                  MEDPAR MA Teaching Indicator Code Table

      Y = Claim includes request for supplemental
          IME/DGME/N&AH payment.
      N = Claim does not include request for supplemental
          IME/DGME/N&AH payment.



 MEDPAR_OBSRVTN_TB                       MEDPAR Observation Switch Table

      Y = The claim involved treatment or observation in
          an observation room.
      N = The claim did not involve treatment or
          observation in an observation room.



 MEDPAR_OP_SRVC_IND_TB                   MEDPAR Outpatient Services Indicator Code Table

      0 = No outpatient services/ambulatory surgical care
          (revenue code other than 049X, 050X)
      1 = Outpatient services (revenue code 050X)
      2 = Ambulatory surgical care (revenue code 049X)
      3 = Outpatient services and ambulatory surgical care
          (revenue codes 049X and 050X)



 MEDPAR_ORGN_ACQSTN_IND_TB               MEDPAR Organ Acquisition Indicator Code Table

      K1 = General classification (revenue code 0810)
      K2 = Living donor kidney (revenue code 0811)
      K3 = Cadaver donor kidney (revenue code 0812)
      K4 = Unknown donor kidney (revenue code 0813)
      K5 = Other kidney acquisition (revenue code 0814)
      H1 = Cadaver donor heart (revenue code 0815)
      H2 = Other heart acquisition (revenue code 0816)
      L1 = Donor liver (revenue code 0817)
      01 = Other organ acquisition (revenue code 0819)
      02 = General acquisition (revenue code 0890)
      B1 = Bone donor bank (revenue code 0891)
      03 = Organ donor bank other than kidney (revenue code 0892)
      S1 = Skin donor bank (revenue code 0893)
      04 = Other donor bank (revenue code 0899)
      BLANK = No organ acquisition indication



 MEDPAR_PHRMCY_IND_TB                    MEDPAR Pharmacy Indicator Code Table

      0 = No drugs (revenue code other than those listed below)
      1 = General drugs and/pr IV therapy (revenue code 025x,
          026x)
      2 = Erythropoietin (epoetin:  revenue code 0630, 0635,
          0637, 0639)
      3 = Blood clotting drugs (revenue code 0636)
      4 = General drugs and/or IV therapy; and epoetin
          (combination of values 1 and 2)
      5 = General drugs and/or IV therapy; and blood clotting
          drugs (combination of values 1 and 3)



 MEDPAR_PPS_IND_TB                       MEDPAR PPS Indicator Code Table

      0 = Non PPS
      2 = PPS



 MEDPAR_PROD_RPLCMT_LIFECYC_TB           MEDPAR Product Replacement within Lifecycle Switch

      Y = Claim involves the replacement of a product
          earlier than scheduled due to apparent malfunction.
      N = Claim does not involve the replacement of a product
          earlier than scheduled due to apparent malfunction.



 MEDPAR_PROD_RPLCMT_RCLL_TB              MEDPAR Product Replacement for known Recall Switch Table

      Y = Claim involves the replacement of a product
          due to a recall of the product by the manufacturer
          or by the FDA.
      N = Claim does not involve the replacement of a product
          due to a recall of the product by the manufacturer
          or by the FDA.



 MEDPAR_PRVDR_NUM_SPCL_UNIT_TB           MEDPAR Provider Number Special Unit Code

      M = PPS-exempt psychiatric unit in CAH
      R = PPS-exempt rehabilitation unit in CAH
      S = PPS-exempt psychiatric unit
      T = PPS-exempt rehabilitation unit
      U = Swing-bed short-term/acute care hospital
      W = Swing-bed long-term hospital
      Y = Swing-bed rehabilitation hospital
      Z = Swing-bed rural primary care hospital; eff
      10/97 changed to critical access hospitals
      Blanks = Not PPS-exempt or swing-bed designation



 MEDPAR_RDLGY_CT_SCAN_IND_TB             MEDPAR Radiology CT Scan Indicator Code Table

      0 = No  radiology CT scan (revenue code not 035X)
      1 = Yes radiology CT scan (revenue code 035X)



 MEDPAR_RDLGY_DGNSTC_IND_TB              MEDPAR Radiology Diagnostic Indicator Code Table

      0 = No  radiology-diagnostic (revenue code not 032x)
      1 = Yes radiology-diagnostic (revenue code 032x)



 MEDPAR_RDLGY_NUCLR_MDCN_IND_TB          MEDPAR Radiology Nuclear Medicine Indicator Code Table

      0 = No  nuclear medicine (revenue code not 034x)
      1 = Yes nuclear medicine (revenue code 034x)



 MEDPAR_RDLGY_ONCLGY_IND_TB              MEDPAR Radiology Oncology Indicator Code Table

      0 = No  radiology-oncology (revenue code not 028x)
      1 = Yes radiology-oncology (revenue code 028x)



 MEDPAR_RDLGY_OTHR_IMGNG_IND_TB          MEDPAR Radiology Other Imaging Indicator Code Table

      0 = No  other imaging services (revenue code not 040x)
      1 = Yes other imaging services (revenue code 040x)



 MEDPAR_RDLGY_THRPTC_IND_TB              MEDPAR Radiology Therapeutic Indicator Code Table

      0 = No  radiology-therapeutic (revenue code not 033X)
      1 = Yes radiology-therapeutic (revenue code 033X)



 MEDPAR_SRGCL_PRCDR_IND_TB               MEDPAR Surgical Procedure Indicator Code Table

      0 = No  surgery indicated
      1 = Yes surgery indicated



 MEDPAR_SS_LS_SNF_IND_TB                 MEDPAR Short Stay/Long Stay/SNF Indicator Code Table

      N = SNF Stay (Prvdr3 = 5, 6, U, W, Y, or Z)
      S = Short-Stay (Prvdr3 = 0, M, R, S, T)
      L = Long-Stay (All Others)



 MEDPAR_TRNSPLNT_IND_TB                  MEDPAR Transplant Indicator Code Table

      0 = No organ or kidney transplant
          (revenue code not 0362 or 0367)
      2 = Organ transplant other than kidney (revenue code
          0362)
      7 = Kidney transplant (revenue code 0367)



 MEDPAR_WRNG_IND_TB                      MEDPAR Warning Indicators Code Table

      Warning indicator 1 ('adjustment indicator' derived
      from the presence of query code values noted below
      on any of the claim records included in the analysis):
      0 = No adjustment (no query code = 0 or 5)
      1 = Credit adjustment (query code = 0)
      2 = Debit adjustment (query code = 5)
      3 = Credit and debit adjustment (both query code = 0
      and 5)

      Warning indicator 2 ('error condition' derived from
      checking the edit code trailer on the final action
      claims(s) that comprise the stay):
      0 = No error
      1 = Error condition

      Warning indicator 3 ('reimbursement/total charge
      indicator' derived after summing up fields on the
      final action claim(s) that comprise the stay; checks
      resulting Medicare payment amount (commonly called
      reimbursement), total charge amount, as well as
      beneificiary primary payer amount and utilization day
      count):

      0 = Medicare payment amount and total charge amount >
      zeroes
      1 = Medicare payment amount and total charge amount <
      zeroes
      2 = Medicare payment amount is a credit
      3 = Total charge amount is a credit
      4 = Medicare payment amount, total charge amount,
      beneficiary primary payer claim payment amount,
      and utilization day count = zeroes

      Warning indicator 4 ('utilization day/los day indicator'
      derived after summing up fields on the final action
      claim(s) that comprise the stay; compares resulting
      utilization day count and length-of-stay count):

      0 = Utilization day count = los day count
      1 = Utilization day count < los day count
      2 = Utilization day count > los day count

      warning indicator 5 ('single/multiple claim indicator'
      derived when the stay record is created by checking
      the number of final action claims that comprise the
      stay):

      0 = Stay includes a single final action claim
      1 = Stay includes multiple final action claims
      2 = Stay includes multiple final action claims and
      beneficiary is still a patient (applicable to
      SNF stays only)

      Warning indicator 6 ('intermediary cancel indicator'
      derived from the presence of the values noted below
      for intermediary claim action code and intermediary-
      requested claim cancel reason code on any of the claims
      included in the analysis.   If multiple claims contain
      these values, latest claim is used.  If both specified
      action code and cancel reason code are present, cancel
      reason code takes priority.):

      0 = No cancel action
      1 = Cancel action by credit adjustment (action code =
      (2 or 6)
      2 = Cancel action only (action code = 4)
      3 = Coverage transfer (cancel reason code = C)
      4 = Plan transfer (cancel reason code = P)
      5 = Scramble (cancel reason code = S)
      6 = Duplicate billing (cancel reason code = D)
      7 = Other (cancel reason code = H)
      8 = Combining 2 spells or 2 beneficiary records
      (cancel reason code = L)

      Warning indicator 7 ('state/county numeric indicator'
      derived from checking the format of the beneficiary
      residence SSA state code and beneficiary residence
      county code on the final action claim(s) that comprise
      the stay; determine if in numeric range):

      0 = State and county codes are valid numeric values
      1 = State and county codes are not in numeric range
      2 = State code is not in numeric range
      3 = County code is not in numeric range

      Warning indicator 8 ('duplicate indicator' derived from
      the presence of two claim records with the same claim
      number, admission date, provider number, claim from/
      thru date, HCFA process date and query code; death/
      admission date indicator derived by comparing the
      admission date on the final claim(s) that comprise the
      stay to the beneficiary death date):

      0 = Do duplicate record
      1 = Duplicate record
      2 = Death date < admission date
      3 = Death date < admission date and duplicate record

      Warning indicator 9 ('pass-thru indicator' derived from
      the presence of a pass thru per diem amount on the final
      action claim(s) that comprise the stay):

      0 = No pass thru per diem present (Non-PPS)
      1 = Pass thru per diem present on final action claim

      Warning indicator 10 (eff 3/96 update) (rugs indicator
      applicable to 'nhcmq rugs III SNF demo' stay records
      derived from the presence of 9,000 series revenue
      center codes.)

      0 = No rugs 9,000 series revenue center codes
      2 = Rugs 9,000 series revenue center code(s) with
      service date 1/1/96 or later
      3 = Rugs 9,000 series revenue center code(s) with
      service date 7/1/96 or later
      4 = Rugs 9,000 series revenue center code(s) with
      service date 1/1/97 or later

      Warning indicators 11 - 17 (not yet assigned; zeroes
      will be present)



 NCH_CLM_TYPE_TB                         NCH Claim Type Table

       10 = HHA claim
       20 = Non swing bed SNF claim
       30 = Swing bed SNF claim
       40 = Outpatient claim
       50 = Hospice claim
       60 = Inpatient claim
       61 = Inpatient 'Full-Encounter' claim
       62 = Medicare Advantage IME/GME Claims
       63 = Medicare Advantage (no-pay) claims
       64 = Medicare Advantage (paid as FFS) claims
       71 = RIC O local carrier non-DMEPOS claim
       72 = RIC O local carrier DMEPOS claim
       81 = RIC M DMERC non-DMEPOS claim
       82 = RIC M DMERC DMEPOS claim

      NOTE:  In the data element NCH_CLM_TYPE_CD
      (derivation rules) the numbers for these claim
      types need to be changed - dictionary reflects
      61 for all three.



 NG_ACO_IND_TB                           Next Generation (NG) Accountable Care Organization (ACO) Indicator Code Table

      0 = Base record (no enhancements)
      1 = Population Based Payments (PBP)
      2 = Telehealth
      3 = Post Discharge Home Health Visits
      4 = 3-Day SNF Waiver
      5 = Capitation
      6 = CEC Telehealth
      7 = Care Management Home Visits



 PTNT_DSCHRG_STUS_TB                     Patient Discharge Status Table

       01 = Discharged to home/self care (routine
            charge).
       02 = Discharged/transferred to other short term
            general hospital for inpatient care.
       03 = Discharged/transferred to skilled
            nursing facility (SNF) with Medicare
            certification in anticipation of covered
            skilled care -- (For hospitals with an
            approved swing bed arrangement, use Code
            61 - swing bed.  For reporting discharges/
            transfers to a non-certified SNF, the
            hospital must use Code 04 - ICF.
       04 = Discharged/transferred to a facility that
            provides custodial or supportive care (includes
            intermediate care facilities (ICF).  Also used
            to designate patients that are dischared/trans-
            ferred to a nursing facility with neither
            Medicare nor Medicaid certification and for
            discharges/transfers to Assisted Living Facilities.
       05 = Discharged/transferred to a designated cancer
            center or children's hospital (eff. 10/09). Prior
            to 10/1/09, discharged/transferred to another type
            of institution for inpatient care (including
            distinct parts).  NOTE:  Effective 1/2005,
            psychiatric hospital or psychiatric distinct
            part unit of a hospital will no longer be
            identified by this code.  New code is '65'.
       06 = Discharged/transferred to home care of
            organized home health service organization
            in anticipation of covered skilled care.
       07 = Left against medical advice or discontinued
            care.
       08 = Discharged/transferred to home under
            care of a home IV drug therapy provider.
            (discontinued effective 10/1/05)
       09 = Admitted as an inpatient to this
            hospital (effective 3/1/91).  In situa-
            tions  where a patient is admitted before
            midnight of the third day following the
            day of an outpatient service, the out-
            patient services are considered inpatient.
       20 = Expired
       21 = Discharged/transferred to Court/Law
            Enforcement.
       30 = Still patient.
       40 = Expired at home (Hospice claims only).
       41 = Expired in a medical facility such as
            hospital, SNF, ICF, or freestanding
            hospice. (Hospice claims only)
       42 = Expired - place unknown (Hospice claims
            only)
       43 = Discharged/transferred to a federal hospital
            (eff. 10/1/03). Discharges and transfers to a
            government operated health facility such as a
            Department of Defense hospital, a Veteran's
            Administration hospital or a Veteran's Administration
            nursing facility. To be used whenever the destination
            at discharge is a federal health care facility,
            whether the patient lives there or not.
       50 = Hospice - home (eff. 10/96)
       51 = Hospice - medical facility (certified) providing
            hospice level of care
       61 = Discharged/transferred within this insti-
            tution to a hospital-based Medicare
            approved swing bed (eff. 9/01)
       62 = Discharged/transferred to an inpatient
            rehabilitation facility including distinct
            parts units of a hospital.
            (eff. 1/2002)
       63 = Discharged/transferred to a Medicare certified
            long term care hospital. (eff. 1/2002)
       64 = Discharged/transferred to a nursing facility
            certified under Medicaid but not certified under
            Medicare (eff. 10/2002)
       65 = Discharged/Transferred to a psychiatric
            hospital or psychiatric distinct unit of a
            hospital (these types of hospitals were
            pulled from patient/discharge status code
            '05' and given their own code). (eff. 1/2005).
       66 = Discharged/transferred to a Critical Access
            Hospital (CAH) (eff. 1/1/06)
       69 = Discharge/transfers to a Designated Disaster
            Alternative Care site (eff. 10/2013)
       70 = Discharged/transferred to another type of health
            care institution not defined elsewhere in code
            list.
       71 = Discharged/transferred/referred to another
            institution for outpatient services as
            specified by the discharge plan of care
            (eff. 9/01) (discontinued effective 10/1/05)
       72 = Discharged/transferred/referred to this
            institution for outpatient services as
            specified by the discharge plan of care
            (eff. 9/01) (discontinued effective 10/1/05)
       81 = Discharged to home or self-care with a planned
            acute care hospital inpatient (eff. 10/2013)
       82 = Discharged/transferred to a short term general hospital
            for inpatient care readmission (eff. 10/2013)
       83 = Discharged/transferred to a skilled nursing facility
            (SNF) with Medicare (eff. 10/2013)
       84 = Discharged/transferred to a facility that provides
            custodial supportative care with a planned acute
            care hospital inpatient readmission certification
            with a planned acute care hospital inpatient readmission
            (eff. 10/2013)
       85 = Discharged/transferred to a designated cancer center or
            children's hospital with a planned acute care hospital
            inpatient readmission (eff. 10/2013)
       86 = Discharged/transferred to home under care of organized
            home health service organization with a planned acute
            care hospital inpatient readmission (eff. 10/2013)
       87 = Discharged/transferred to court/law enforcement with a
            planned acute care hospital inpatient readmission (eff.
            10/2013)
       88 = Discharged/transferred to a Federal health care facility
            with a planned acute care hospital inpatient readmission
            (eff. 10/2013)
       89 = Discharged/transferred to a hospital-based Medicare approved
            swing bed with a planned acute care hosptial inpatient
            readmission (eff. 10/2013)
       90 = Discharged/transferred to an inpatient rehabilitation
            facility (IRF) including rehabilitation distinct units of
            a hospital with a planned acute care hospital inpatient
            readmission (eff. 10/2013)
       91 = Discharged/transferred to a Medicare certified Long Term
            Care Hospital (LTCH) with a planned acute care hospital
            inpatient readmission (eff. 10/2013)
       92 = Discharged/transferred to a nursing facility certified
            under Medicaid but not certified under Medicare with a
            planned acute care hospital inpatient readmission (eff.
            10/2013)
       93 = Discharged/transferred to a psychiatric hospital or
            psychiatric distinct part unit of a hospital with a
            planned acute care hospital inpatient readmission
            (eff. 10/2013)
       94 = Discharged/transferred to a critical access hospital (CAH)
            with a planned acute care hospital inpatient readmission
            (eff. 10/2013)
       95 = Discharged/transferred to another type of health care
            institution not defined elsewhere in this code list with a
            planned acute care hospital inpatient readmission. (eff. 10/2013)



 RP_IND_TB                               Claim Representative Payee (RP) Indicator Code Table

      R = bypass representative payee
      Space



 RSDL_PMT_IND_TB                         Claim Residual Payment Indicator Code Table

      X = Residual Payment
      Space