1
  CMS RIF REPORT FOR RECORD: MEDPAR_3000_REC,  STATUS: PROD, VERSION: 24009
  PRINTED: 08/28/2024,  USER: BDYG,  DATA SOURCE: CA REPOSITORY ON DB1V


       NAME                   LENGTH   BEG  END                                         CONTENTS
  -------------------------------------------------------------------------------------------------------------------------------
  ***  Medicare Provider Analysis and Review
                              3000      1   3000    REC

                                                    STANDARD ALIAS : MEDPAR_3000_REC
                                                    SYSTEM   ALIAS : MEDP3000

                                                    LIMITATIONS :

                                                      REFER TO :
                                                       CARR_LINE_DME_CVRG_STRT_LIM
                                                       CARR_LINE_DME_NCSTY_LIM
                                                       CLM_ACNT_NUM_LIM
                                                       MEDPAR_ADMSN_DEATH_DAY_CNT_LIM
                                                       MEDPAR_BLOOD_DDCTBL_AMT_LIM
                                                       MEDPAR_DOD_LIM
                                                       MEDPAR_DRG_PRICE_AMT_LIM
                                                       MEDPAR_MAR_QTRLY_UPDT_LIM

  1.   MEDPAR NCH Claim Type Code
                                 2      1      2    CHAR

                                                    The code used to identify the type of claim record being
                                                    processed in NCH.

                                                    NOTE1:  During the Version H conversion this field was
                                                    populated with data throughout history (back to
                                                    service year 1991).

                                                    NOTE2:  During the Version I conversion this field was
                                                    expanded to include inpatient 'full' encounter
                                                    claims (for service dates after 6/30/97).

                                                    NOTE3:  Effective with Version 'J', 3 new code values have
                                                    been added to include a type code for the Medicare
                                                    Advantage claims (IME/GME, no-pay and paid as FFS).
                                                    During the Version 'J' conversion, these type codes were
                                                    populated throughout history.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MCLMTYPE
                                                    STANDARD ALIAS : MEDPAR_NCH_CLM_TYPE_CD

                                                    LENGTH         : 2

                                                    DERIVATIONS :
                                                    FFS CLAIM TYPE CODES DERIVED FROM:
                                                    NCH CLM_NEAR_LINE_RIC_CD
                                                    NCH PMT_EDIT_RIC_CD
                                                    NCH CLM_TRANS_CD
                                                    NCH PRVDR_NUM

                                                    INPATIENT 'FULL' ENCOUNTER TYPE CODE DERIVED FROM:
                                                    (Pre-HDC processing -- AVAILABLE IN NCH)
                                                    CLM_MCO_PD_SW
                                                    CLM_RLT_COND_CD
                                                    MCO_CNTRCT_NUM
                                                    MCO_OPTN_CD
                                                    MCO_PRD_EFCTV_DT
                                                    MCO_PRD_TRMNTN_DT

                                                    DERIVATION RULES:

                                                    SET CLM_TYPE_CD TO 10 (HHA CLAIM) WHERE THE
                                                    FOLLOWING CONDITIONS ARE MET:
                                                    1.   CLM_NEAR_LINE_RIC_CD EQUAL 'V','W' OR 'U'
                                                    2.   PMT_EDIT_RIC_CD EQUAL 'F'
                                                    3.   CLM_TRANS_CD EQUAL '5'

                                                    SET CLM_TYPE_CD TO 20 (SNF NON-SWING BED CLAIM)
                                                    WHERE THE FOLLOWING CONDITIONS ARE MET:
                                                    1.   CLM_NEAR_LINE_RIC_CD EQUAL 'V'
                                                    2.   PMT_EDIT_RIC_CD EQUAL 'C' OR 'E'
                                                    3.   CLM_TRANS_CD EQUAL '0' OR '4'
                                                    4.   POSITION 3 OF PRVDR_NUM IS NOT 'U', 'W', 'Y'
                                                    OR 'Z'

                                                    SET CLM_TYPE_CD TO 30 (SNF SWING BED CLAIM)
                                                    WHERE THE FOLLOWING CONDITIONS ARE MET:
                                                    1.   CLM_NEAR_LINE_RIC_CD EQUAL 'V'
                                                    2.   PMT_EDIT_RIC_CD EQUAL 'C' OR 'E'
                                                    3.   CLM_TRANS_CD EQUAL '0' OR '4'
                                                    4.   POSITION 3 OF PRVDR_NUM EQUAL 'U', 'W', 'Y'
                                                    OR 'Z'

                                                    SET CLM_TYPE_CD TO 40 (OUTPATIENT CLAIM)
                                                    WHERE THE FOLLOWING CONDITIONS ARE MET:
                                                    1.   CLM_NEAR_LINE_RIC_CD EQUAL 'W'
                                                    2.   PMT_EDIT_RIC_CD EQUAL 'D'
                                                    3.   CLM_TRANS_CD EQUAL '6'

                                                    SET CLM_TYPE_CD TO 50 (HOSPICE CLAIM)
                                                    WHERE THE FOLLOWING CONDITIONS ARE MET:
                                                    1.   CLM_NEAR_LINE_RIC_CD EQUAL 'V'
                                                    2.   PMT_EDIT_RIC_CD EQUAL 'I'
                                                    3.   CLM_TRANS_CD EQUAL 'H'

                                                    SET CLM_TYPE_CD TO 60 (INPATIENT CLAIM)
                                                    WHERE THE FOLLOWING CONDITIONS ARE MET:
                                                    1.   CLM_NEAR_LINE_RIC_CD EQUAL 'V'
                                                    2.   PMT_EDIT_RIC_CD EQUAL 'C' OR 'E'
                                                    3.   CLM_TRANS_CD EQUAL '1' '2' OR '3'

                                                    SET CLM_TYPE_CD TO 61 (INPATIENT 'FULL' ENCOUNTER
                                                    CLAIM - PRIOR TO HDC PROCESSING - AFTER 6/30/97 -
                                                    12/4/00) WHERE THE FOLLOWING CONDITIONS ARE MET:
                                                    1.   CLM_MCO_PD_SW = '1'
                                                    2.   CLM_RLT_COND_CD = '04'
                                                    3.   MCO_CNTRCT_NUM
                                                    MCO_OPTN_CD = 'C'
                                                    CLM_FROM_DT & CLM_THRU_DT ARE WITHIN THE
                                                    MCO_PRD_EFCTV_DT & MCO_PRD_TRMNTN_DT
                                                    ENROLLMENT PERIODS

                                                    SET_CLM_TYPE_CD TO 61 (INPATIENT 'FULL' ENCOUNTER
                                                    CLAIM -- EFFECTIVE WITH HDC PROCESSING) WHERE THE
                                                    FOLLOWING CONDITIONS ARE MET:
                                                    1.   CLM_NEAR_LINE_RIC_CD EQUAL 'V'
                                                    2.   PMT_EDIT_RIC_CD EQUAL 'C' OR 'E'
                                                    3.   CLM_TRANS_CD EQUAL '1' '2' OR '3'
                                                    4.   FI_NUM = 80881

                                                    SET CLM_TYPE_CD TO 62 (Medicare Advantage IME/GME
                                                    CLAIMS - 10/1/05 - FORWARD)
                                                    WHERE THE FOLLOWING CONDITIONS ARE MET:
                                                    1.   CLM_MCO_PD_SW = '0'
                                                    2.   CLM_RLT_COND_CD = '04' & '69'
                                                    3.   MCO_CNTRCT_NUM
                                                    MCO_OPTN_CD = 'C'
                                                    CLM_FROM_DT & CLM_THRU_DT ARE WITHIN THE
                                                    MCO_PRD_EFCTV_DT & MCO_PRD_TRMNTN_DT
                                                    ENROLLMENT PERIODS

                                                    SET CLM_TYPE_CD TO 63 (HMO NO-PAY CLAIMS)
                                                    WHERE THE FOLLOWING CONDITIONS ARE MET:
                                                    CLAIMS PROCESSED ON OR AFTER 10/6/08
                                                    1.   CLM_THRU_DT ON OR AFTER 10/1/06
                                                    2.   CLM_MCO_PD_SW = '1'
                                                    3.   CLM_RLT_COND_CD = '04'
                                                    4.   MCO_CNTRCT_NUM
                                                    MCO_OPTN_CD = 'A', 'B' OR 'C'
                                                    CLM_FROM_DT & CLM_THRU_DT ARE WITHIN THE
                                                    MCO_PRD_EFCTV_DT & MCO_PRD_TRMNTN_DT
                                                    ENROLLMENT PERIODS
                                                    5.   ZERO REIMBURSEMENT (CLM_PMT_AMT)

                                                    SET CLM_TYPE_CD TO 63 (HMO NO-PAY CLAIMS)
                                                    WHERE THE FOLLOWING CONDITIONS ARE MET:
                                                    CLAIMS PROCESSED PRIOR to 10/6/08
                                                    1.   MCO_CNTRCT_NUM
                                                    MCO_OPTN_CD = 'A', 'B' OR 'C'
                                                    CLM_FROM_DT & CLM_THRU_DT ARE WITHIN THE
                                                    MCO_PRD_EFCTV_DT & MCO_PRD_TRMNTN_DT
                                                    ENROLLMENT PERIODS
                                                    2.   ZERO REIMBURSEMENT (CLM_PMT_AMT)

                                                    SET CLM_TYPE_CD TO 64 (HMO CLAIMS PAID AS FFS)
                                                    WHERE THE FOLLOWING CONDITIONS ARE MET:
                                                    CLAIMS PROCESSED PRIOR to 10/6/08
                                                    1.   MCO_CNTRCT_NUM
                                                    MCO_OPTN_CD = '1', '2' OR '4'
                                                    CLM_FROM_DT & CLM_THRU_DT ARE WITHIN THE
                                                    MCO_PRD_EFCTV_DT & MCO_PRD_TRMNTN_DT
                                                    ENROLLMENT PERIODS


                                                    SET CLM_TYPE_CD TO 64 (HMO CLAIMS PAID AS FFS)
                                                    WHERE THE FOLLOWING CONDITIONS ARE MET:
                                                    CLAIMS PROCESSED on or after 10/6/08
                                                    1.   CLM_RLT_COND_CD = '04'
                                                    2.   MCO_CNTRCT_NUM
                                                    MCO_OPTN_CD = '1', '2' OR '4'
                                                    CLM_FROM_DT & CLM_THRU_DT ARE WITHIN THE
                                                    MCO_PRD_EFCTV_DT & MCO_PRD_TRMNTN_DT
                                                    ENROLLMENT PERIODS

                                                    SET CLM_TYPE_CD TO 71 (RIC O non-DMEPOS CLAIM)
                                                    WHERE THE FOLLOWING CONDITIONS ARE MET:
                                                    1.   CLM_NEAR_LINE_RIC_CD EQUAL 'O'
                                                    2.   HCPCS_CD not on DMEPOS table

                                                    SET CLM_TYPE_CD TO 72 (RIC O DMEPOS CLAIM)
                                                    WHERE THE FOLLOWING CONDITIONS ARE MET:
                                                    1.   CLM_NEAR_LINE_RIC_CD EQUAL 'O'
                                                    2.   HCPCS_CD on DMEPOS table (NOTE: if one or
                                                    more line item(s) match the HCPCS on the
                                                    DMEPOS table).

                                                    SET CLM_TYPE_CD TO 81 (RIC M non-DMEPOS DMERC
                                                    CLAIM)
                                                    WHERE THE FOLLOWING CONDITIONS ARE MET:
                                                    1.   CLM_NEAR_LINE_RIC_CD EQUAL 'M'
                                                    2.   HCPCS_CD not on DMEPOS table

                                                    SET CLM_TYPE_CD TO 82 (RIC M DMEPOS DMERC CLAIM)
                                                    WHERE THE FOLLOWING CONDITIONS ARE MET:
                                                    1.   CLM_NEAR_LINE_RIC_CD EQUAL 'M'
                                                    2.   HCPCS_CD on DMEPOS table (NOTE: if one or
                                                    more line item(s) match the HCPCS on the
                                                    DMEPOS table).

                                                    SOURCE         : NCH

                                                    CODE TABLE     : NCH_CLM_TYPE_TB

  2.   MEDPAR Claim Locator Number Group
                                11      3     13    GRP


                                                    This number uniquely identifies the beneficiary.

  3.   MEDPAR Beneficiary Claim Account Number
                                 9      3     11    CHAR

                                                    The number identifying the primary beneficiary under the SSA
                                                    or RRB programs submitted.

                                                    NOTE:  This field comes from the CAN that is present on the
                                                    first claim record included in the stay.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MCAN
                                                    STANDARD ALIAS : MEDPAR_BENE_CLM_ACNT_NUM

                                                    LENGTH         : 9

                                                    SOURCE         : NCH

  4.   MEDPAR Category Equatable Beneficiary Identification Code
                                 2     12     13    CHAR

                                                    The code which categorizes groups of BICs representing
                                                    similar relationships between the beneficiary and the
                                                    primary wage earner.

                                                    The equatable BIC module electronically matches two records
                                                    that contain different BICs where it is apparent that both
                                                    are records for the same beneficiary.  It validates the BIC
                                                    and returns a base BIC under which to house the record in
                                                    the national claims history (NCH) databases.  (All records
                                                    for a beneficiary are stored under a single BIC.)

                                                    NOTE:  This field comes from the NCH category base BIC that
                                                    is present on the first claim record included in the
                                                    stay.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MEQBIC
                                                    STANDARD ALIAS : MEDPAR_CTGRY_EQTBL_BIC_CD

                                                    LENGTH         : 2

                                                    SOURCE         : NCH

                                                    CODE TABLE     : CTGRY_EQTBL_BENE_IDENT_TB

  5.   MEDPAR Beneficiary Age Count
                                 3     14     16    NUM

                                                    The beneficiary's age as of date of admission.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MAGECNT
                                                    STANDARD ALIAS : MEDPAR_BENE_AGE_CNT

                                                    LENGTH         : 3    SIGNED : N

                                                    DERIVATIONS :
                                                    This field is derived by subtracting the bene date of
                                                    birth from the admission date, present on the first
                                                    claim record included in the stay. Exception:  If the
                                                    resulting age is 64, and the MSC = 10 or 11, the age
                                                    is changed to 65.

                                                    SOURCE         : NCH

  6.   MEDPAR Beneficiary Sex Code
                                 1     17     17    CHAR

                                                    The sex of a beneficiary.

                                                    NOTE:  This field comes from the sex code that is present
                                                    on the first claim record included in the stay.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MSEX
                                                    STANDARD ALIAS : MEDPAR_BENE_SEX_CD

                                                    LENGTH         : 1

                                                    SOURCE         : NCH

                                                    CODE TABLE     : BENE_SEX_IDENT_TB

  7.   MEDPAR Beneficiary Race Code
                                 1     18     18    CHAR

                                                    The race of a beneficiary.

                                                    NOTE:  This field comes from the race code that is present
                                                    on the first claim record included in the stay.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MRACE
                                                    STANDARD ALIAS : MEDPAR_BENE_RACE_CD

                                                    LENGTH         : 1

                                                    SOURCE         : NCH

                                                    CODE TABLE     : BENE_RACE_TB

  8.   MEDPAR Beneficiary Medicare Status Code
                                 2     19     20    CHAR

                                                    The CWF-derived reason for a beneficiary's entitlement to
                                                    Medicare benefits, as of the reference date (CLM_THRU_DT).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MMSC
                                                    STANDARD ALIAS : MEDPAR_BENE_MDCR_STUS_CD

                                                    LENGTH         : 2

                                                    DERIVATIONS :
                                                    CWF derives MSC from the following:
                                                    1.  Date of birth
                                                    2.  Claim through date
                                                    3.  Original/Current reasons for entitlement
                                                    4.  ESRD indicator
                                                    5.  Beneficiary claim number

                                                    Items 1,3,4,5 come from the CWF beneficiary
                                                    master record; Item 2 comes from the FI/Carrier
                                                    claim record.  MSC is assigned as follows:

                                                    MSC   OASI   DIB    ESRD       AGE       BIC
                                                    _____ ______ _____  ______     _____     _____
                                                    10    YES    N/A    NO     65 AND OVER   N/A
                                                    11    YES    N/A    YES    65 AND OVER   N/A
                                                    20    NO     YES    NO     UNDER 65      N/A
                                                    21    NO     YES    YES    UNDER 65      N/A
                                                    31    NO     NO     YES    ANY AGE       T.

                                                    SOURCE         : NCH

                                                    CODE TABLE     : BENE_MDCR_STUS_TB

  9.   MEDPAR Beneficiary Residence SSA Standard State Code
                                 2     21     22    CHAR

                                                    The SSA standard state code of a beneficiary's residence.

                                                    NOTE:  This field comes from the state code that is present
                                                    on the first claim record included in the stay.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MSTATECD
                                                    STANDARD ALIAS : MEDPAR_BENE_RSDNC_SSA_STATE_CD

                                                    LENGTH         : 2

                                                    SOURCE         : NCH

                                                    CODE TABLE     : GEO_SSA_STATE_TB

  10.  MEDPAR Beneficiary Residence SSA Standard County Code
                                 3     23     25    CHAR

                                                    The SSA standard county code of a beneficiary's residence.

                                                    NOTE:  This field comes from the county code that is present
                                                    on the first claim record included in the stay.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MCNTYCD
                                                    STANDARD ALIAS : MEDPAR_BENE_RSDNC_SSA_CNTY_CD

                                                    LENGTH         : 3

                                                    SOURCE         : NCH

  11.  MEDPAR Beneficiary Mailing Contact Zip Code
                                 5     26     30    CHAR

                                                    The zip code of the mailing address where the beneficiary
                                                    may be contacted.

                                                    NOTE:  This field comes from the zip code that is present on
                                                    the first claim record included in the stay.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MZIPCD
                                                    STANDARD ALIAS : MEDPAR_BENE_MLG_CNTCT_ZIP_CD

                                                    LENGTH         : 5

                                                    SOURCE         : NCH

  12.  FILLER                                       CHAR
                                 4     31     34
                                                    DB2      ALIAS : UNDEFINED

                                                    LENGTH         : 4

  13.  MEDPAR Admission Day Code
                                 1     35     35    NUM

                                                    The code indicating the day of the week on which the
                                                    beneficiary was admitted to a facility.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MADMSNCD
                                                    STANDARD ALIAS : MEDPAR_ADMSN_DAY_CD

                                                    LENGTH         : 1    SIGNED : N

                                                    DERIVATIONS :
                                                    This field is derived from the admission date that
                                                    is present on the first claim record included in
                                                    the stay.

                                                    SOURCE         : NCH

                                                    CODE TABLE     : MEDPAR_ADMSN_DAY_TB

  14.  MEDPAR Beneficiary Discharge Status Code
                                 1     36     36    CHAR

                                                    The code used to identify the status of the patient as of
                                                    the CLM_THRU_DT.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MSTUSCD
                                                    STANDARD ALIAS : MEDPAR_BENE_DSCHRG_STUS_CD

                                                    LENGTH         : 1

                                                    DERIVATIONS :
                                                    This field is derived from the claim status code that is
                                                    present on the last claim record included in the stay.

                                                    SOURCE         : NCH

                                                    CODE TABLE     : MEDPAR_BENE_DSCHRG_STUS_TB

  15.  MEDPAR GHO Paid Code
                                 1     37     37    CHAR

                                                    The code indicating whether or not a GHO has paid the
                                                    provider for the claim(s).

                                                    NOTE:  This field comes from the GHO-paid indicator that is
                                                    present on the first claim record included in the
                                                    stay.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MGHOPDCD
                                                    STANDARD ALIAS : MEDPAR_GHO_PD_CD

                                                    LENGTH         : 1

                                                    SOURCE         : NCH

                                                    CODE TABLE     : MEDPAR_GHO_PD_TB

  16.  MEDPAR PPS Indicator Code
                                 1     38     38    CHAR

                                                    The code indicating whether or not the facility is being
                                                    paid under the prospective payment system (PPS).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MPPSIND
                                                    STANDARD ALIAS : MEDPAR_PPS_IND_CD

                                                    LENGTH         : 1

                                                    DERIVATIONS :
                                                    If the condition code not equal 65 on all of the claims
                                                    included in the stay and the third position of the
                                                    provider number is numeric set MEDPAR_PPS_IND_CD to
                                                    2 (PPS).  Otherwise set it to 0 (Non PPS.)

                                                    SOURCE         : NCH

                                                    CODE TABLE     : MEDPAR_PPS_IND_TB

  17.  MEDPAR Organization NPI Number
                                10     39     48    CHAR

                                                    On an institutional claim, the National Provider
                                                    Identifier (NPI) number assigned to uniquely
                                                    identify the institutional provider certified by
                                                    Medicare to provide services to the beneficiary.

                                                    Note:  Effective may 23, 2007, the NPI became the
                                                    national standard identifier for covered health
                                                    care providers.  the NPI will replace current OSCAR
                                                    provider numbers, UPINs, NSC numbers, and local
                                                    contractor provider identification numbers (PINs) on
                                                    standard HIPPA claim transactions.

                                                    Note1:  CMS has determined that dual provider
                                                    identifiers (legacy numbers and new NPI) must be
                                                    available in the NCH.  After the 5/07 NPI imple-
                                                    mentation, the standard system maintainers will add
                                                    the legacy number to the claim when it is adjudicated.

                                                    Note:  This field comes from the organization NPI
                                                    that is present on the first claim record included in
                                                    the stay.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MORGNPI
                                                    STANDARD ALIAS : MEDPAR_ORG_NPI_NUM

                                                    LENGTH         : 10

  18.
                                 6     49     54

  19.  MEDPAR Provider State Code
                                 2     49     50    CHAR

                                                    The first two positions of the provider number, identifying
                                                    the state of the institutional provider that furnished
                                                    services to the beneficiary during the stay.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MPRVDRST
                                                    STANDARD ALIAS : MEDPAR_PRVDR_STATE_CD

                                                    LENGTH         : 2

                                                    DERIVATIONS :
                                                    This field comes from positions 1 & 2 of the provider
                                                    number that is present on the first claim record
                                                    included in the stay.

                                                    SOURCE         : NCH

                                                    CODE TABLE     : GEO_SSA_STATE_TB

  20.  MEDPAR Provider Number Third Position Code
                                 1     51     51    CHAR

                                                    The third position of the provider number, identifying
                                                    the category of institutional provider that furnished
                                                    services to the beneficiary during the stay. Applies to
                                                    IPPS Hospitals, Critical Access Hospitals, and
                                                    IPPS-Excluded Hospitals with IPPS-excluded rehabilitation
                                                    or psychiatric units or swing beds (as applicable).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : M3RDCD
                                                    STANDARD ALIAS : MEDPAR_PRVDR_NUM_3RD_CD

                                                    LENGTH         : 1

                                                    DERIVATIONS :
                                                    This field is position 3 of the provider number
                                                    from the first claim record included in the stay.

                                                    Note: Effective with CR#18, The value populated in this
                                                    field will be as it was received on the claim.
                                                    Refer to new field 'MEDPAR-PRVDR-BASE-FAC-CCN'
                                                    for the base facility provider number.

                                                    SOURCE         : NCH

  21.  MEDPAR Provider Number Serial Code
                                 3     52     54    CHAR

                                                    The last three positions of the provider number, identifying
                                                    the specific serial numbers of the institutional provider
                                                    that furnished services to the beneficiary during the stay.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MSRLCD
                                                    STANDARD ALIAS : MEDPAR_PRVDR_NUM_SRL_CD

                                                    LENGTH         : 3

                                                    DERIVATIONS :
                                                    This field comes from positions 4 - 6 of the provider
                                                    number on the first claim record included in the stay.

                                                    SOURCE         : NCH

  22.  MEDPAR Provider Number Special Unit Code
                                 1     55     55    CHAR

                                                    The code identifying the special numbering system for units
                                                    of hospitals that are excluded from PPS or hospitals with
                                                    SNF swing-bed designation.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MUNITCD
                                                    STANDARD ALIAS : MEDPAR_PRVDR_NUM_SPCL_UNIT_CD

                                                    LENGTH         : 1

                                                    DERIVATIONS :
                                                    If the third position of the provider number from the
                                                    first claim record included in the stay equals 'M',
                                                    'R', 'S', 'T', 'U', 'W', 'Y' OR 'Z', it is moved
                                                    to this field, otherwise it is blank.

                                                    SOURCE         : NCH

                                                    CODE TABLE     : MEDPAR_PRVDR_NUM_SPCL_UNIT_TB

  23.  MEDPAR Short Stay/Long Stay/SNF Indicator Code
                                 1     56     56    CHAR

                                                    The code indicating whether the stay is a short stay, long
                                                    stay, or SNF.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MSSLSIND
                                                    STANDARD ALIAS : MEDPAR_SS_LS_SNF_IND_CD

                                                    LENGTH         : 1

                                                    DERIVATIONS :
                                                    This field is derived from the third position of the
                                                    provider number that is present on the first claim
                                                    record included in the stay.

                                                    SOURCE         : NCH

                                                    CODE TABLE     : MEDPAR_SS_LS_SNF_IND_TB

  24.  MEDPAR Stay Final Action Claims Count
                                 2     57     58    PACK

                                                    The count of the number of claim records (final action)
                                                    included in the stay.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MFACNT
                                                    STANDARD ALIAS : MEDPAR_STAY_FINL_ACTN_CLM_CNT

                                                    LENGTH         : 3    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by counting the number of final
                                                    action claims used to create the stay.

                                                    SOURCE         : NCH

  25.  MEDPAR Latest Claim Accretion Date
                                 4     59     62    PACK

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

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MACRTNDT
                                                    STANDARD ALIAS : MEDPAR_LTST_CLM_ACRTN_DT

                                                    LENGTH         : 7    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field comes from the highest accretion date that
                                                    is present on the claim records included in the stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                          YYYYDDD

  26.  MEDPAR Beneficiary Medicare Benefit Exhausted Date
                                 4     63     66    PACK

                                                    The last date for which the beneficiary had Medicare
                                                    coverage. This field is completed only where benefits were
                                                    exhausted before the discharge date and during the period
                                                    covered by stay.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MEXHSTDT
                                                    STANDARD ALIAS : MEDPAR_BENE_MDCR_BNFT_EXHST_DT

                                                    LENGTH         : 7    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field comes from the highest benefits exhausted
                                                    date that is present on the claim records included in
                                                    the stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                          YYYYDDD

  27.  MEDPAR SNF Qualification From Date
                                 4     67     70    PACK

                                                    The beginning date of the beneficiary's qualifying stay.
                                                    For Inpatient claims, the date relates to the PPS portion of
                                                    the inlier for which there is no utilization to benefits.
                                                    For SNF claims, the date relates to the qualifying stay from
                                                    a hospital that is at least two days in a row if the source
                                                    of admission is an 'a', or at least three days in a row if
                                                    the source of admission is other than an 'a'.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MFQUALN
                                                    STANDARD ALIAS : MEDPAR_SNF_QUALN_FROM_DT

                                                    LENGTH         : 7    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field comes from occurrence span code = 70 and
                                                    related occurrence span from date, if present on any
                                                    of the claim records included in the stay.  If more
                                                    than one record has an occurrence span code = 70, with
                                                    different span dates, the date from the last claim
                                                    record included in the stay is used.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                          YYYYDDD

  28.  MEDPAR SNF Qualification Through Date
                                 4     71     74    PACK

                                                    The ending date of the beneficiary's qualifying stay.  For
                                                    Inpatient claims, the date relates to the PPS portion of the
                                                    inlier for which there is no utilization to benefits.  For
                                                    SNF claims, the date relates to the qualifying stay from a
                                                    hospital that is at least two days in a row if the source of
                                                    admission is an 'A', or at least three days in a row if the
                                                    source of admission is other than an 'A'.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MTQUALN
                                                    STANDARD ALIAS : MEDPAR_SNF_QUALN_THRU_DT

                                                    LENGTH         : 7    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field comes from the occurrence span code = 70 and
                                                    related occurrence span thru date, if present on any of
                                                    the claims included in the stay.  If more than one record
                                                    has an occurrence span code = 70, with different span
                                                    dates, the date from the last claim record included in
                                                    the stay is used.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                          YYYYDDD

  29.  MEDPAR Admission Date
                                 4     75     78    PACK

                                                    The date the beneficiary was admitted for Inpatient care or
                                                    the date that care started.

                                                    NOTE:  This field comes from the admission date that is
                                                    present on the first claim record included in the
                                                    stay.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MADMSNDT
                                                    STANDARD ALIAS : MEDPAR_ADMSN_DT

                                                    LENGTH         : 7    SIGNED : Y

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                          YYYYDDD

  30.  MEDPAR Discharge Date
                                 4     79     82    PACK

                                                    The date on which the beneficiary was discharged or died.

                                                    NOTE:  This field comes from the highest claim thru date
                                                    that is present on the claim records included in the stay,
                                                    where the claim status code is other than '30' (still
                                                    patient) on the last claim  record included in the stay.
                                                    Inpatient claims will always have a discharge date;  SNF
                                                    claims could have a zero date.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MDSCHRG
                                                    STANDARD ALIAS : MEDPAR_DSCHRG_DT

                                                    LENGTH         : 7    SIGNED : Y

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                          YYYYDDD

  31.  MEDPAR Covered Level Care Thru Date
                                 4     83     86    PACK

                                                    The date on which a covered level of care ended in a SNF.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MCAREDT
                                                    STANDARD ALIAS : MEDPAR_CVR_LVL_CARE_THRU_DT

                                                    LENGTH         : 7    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field comes from the date associated with
                                                    occurrence code = 22 if present on any of the claims
                                                    included in the stay. If multiple dates, the highest
                                                    date is used. This field is only applicable to SNF claims.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                          YYYYDDD

  32.  MEDPAR Beneficiary Death Date
                                 4     87     90    PACK

                                                    The date the beneficiary died.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MDEATHDT
                                                    STANDARD ALIAS : MEDPAR_BENE_DEATH_DT

                                                    LENGTH         : 7    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field comes from the beneficiary death date, if
                                                    present on the enrollment database, which is accessed
                                                    prior to creation of the quarterly MEDPAR file.

                                                    SOURCE         : EDB

                                                    LIMITATIONS :

                                                      REFER TO :
                                                       MEDPAR_DOD_LIM

                                                    EDIT RULES :
                                                          YYYYDDD

  33.  MEDPAR Beneficiary Death Date Verified Code
                                 1     91     91    CHAR

                                                    The code indicating whether the beneficiary's date of death
                                                    has been verified (SOURCE:  SSA's MBR) or originated from a
                                                    claim record.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MDVRFYCD
                                                    STANDARD ALIAS : MEDPAR_BENE_DEATH_DT_VRFY_CD

                                                    LENGTH         : 1

                                                    DERIVATIONS :
                                                    This field is derived from the enrollment database's
                                                    beneficiary source death date code, or from the presence
                                                    of a claim status code = '20' (expired) on the last
                                                    claim record included in the stay.

                                                    SOURCE         : EDB,NCH

                                                    CODE TABLE     : MEDPAR_BENE_DEATH_DT_VRFY_TB

  34.  MEDPAR Internal Use SSI Group
                                 5     92     96    GRP


  35.  MEDPAR Internal Use SSI Indicator Code
                                 1     92     92    CHAR

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MSSIIND
                                                    STANDARD ALIAS : MEDPAR_INTRNL_USE_SSI_IND_CD

                                                    LENGTH         : 1

                                                    COMMENTS :
                                                    Limited availability; for internal use only; applicable to
                                                    Inpatient claims only.  Where not available, this field is
                                                    blank.

  36.  MEDPAR Internal Use SSI Day Count
                                 3     93     95    PACK

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MSSIDAY
                                                    STANDARD ALIAS : MEDPAR_INTRNL_USE_SSI_DAY_CNT

                                                    LENGTH         : 5    SIGNED : Y

                                                    COMMENTS :
                                                    Limited availability; for internal use; applicable to
                                                    Inpatient claims only.  Where not available, this field
                                                    will contain zeroes.

                                                    NOTE: IN JUNE 2007, A CHANGE WAS MADE TO USE THE LENGTH
                                                    OF STAY COUNT IN THE CALCULATION OF THE SSI DAY COUNT.
                                                    PRIOR TO JUNE 2007, THE UTILIZATION (COVERED) DAY COUNT
                                                    WAS USED.

  37.  FILLER                                       CHAR
                                 1     96     96
                                                    DB2      ALIAS : UNDEFINED

                                                    LENGTH         : 1

  38.  MEDPAR Length of Stay Day Count
                                 3     97     99    PACK

                                                    The count in days of the total length of a beneficiary's
                                                    stay in a hospital or SNF.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MLOSDAY
                                                    STANDARD ALIAS : MEDPAR_LOS_DAY_CNT

                                                    LENGTH         : 5    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by subtracting the date of
                                                    discharge (or thru date in SNF cases where beneficiary
                                                    is still a patient) from the date of admission. If
                                                    difference is '0,' the value becomes a '1.'

                                                    SOURCE         : NCH

  39.  MEDPAR Outlier Day Count
                                 2    100    101    PACK

                                                    The count of the number of days paid as outliers (either a
                                                    day or cost outlier) under PPS beyond the DRG threshold.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MOUTLIER
                                                    STANDARD ALIAS : MEDPAR_OUTLIER_DAY_CNT

                                                    LENGTH         : 3    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by checking the MEDPAR utilization
                                                    day count against the DRG threshold table (DRG weights
                                                    file).

                                                    SOURCE         : MEDPAR

  40.  MEDPAR Utilization Day Count
                                 3    102    104    PACK

                                                    The count of the number of covered days of care that are
                                                    chargeable to Medicare utilization for the stay.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MUDAYCNT

                                                    LENGTH         : 5    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the utilization day
                                                    count that is present on any of the claim records
                                                    included in the stay (i.e., the sum of utilization days
                                                    reported on the claims that comprise the stay).

                                                    SOURCE         : NCH

  41.  MEDPAR Beneficiary Total Coinsurance Day Count
                                 2    105    106    PACK

                                                    The count of the total number of coinsurance days involved
                                                    with the beneficiary's stay in a facility.  For Inpatient
                                                    services, the beneficiary is liable for a daily coinsurance
                                                    amount after the 60th day and before the 91st day in a
                                                    single spell of illness; for SNF services, the beneficiary
                                                    is liable for a daily coinsurance amount after the 20th day
                                                    and before the 101st day in a single spell of illness.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MCDAYCNT
                                                    STANDARD ALIAS : MEDPAR_TOT_COINSRNC_DAY_CNT

                                                    LENGTH         : 3    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the coinsurance day
                                                    count that is present on any of the claim records
                                                    included in the stay (i.e., the sum of coinsurance days
                                                    reported on the claims that comprise the stay).

                                                    SOURCE         : NCH

  42.  MEDPAR Beneficiary LRD Used Count
                                 2    107    108    PACK

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

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MLRDUSE
                                                    STANDARD ALIAS : MEDPAR_BENE_LRD_USE_CNT

                                                    LENGTH         : 3    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the lifetime
                                                    reserve days used count that is present on any of the
                                                    claim records included in the stay (i.e., the sum of LRD
                                                    reported on the claims that comprise the stay).

                                                    SOURCE         : NCH

  43.  MEDPAR Beneficiary Part A Coinsurance Liability Amount
                                 5    109    113    PACK

                                                    The amount of money (rounded to whole dollars) identified
                                                    as the beneficiary's liability for part A coinsurance for
                                                    the stay.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MCOINAMT
                                                    STANDARD ALIAS : MEDPAR_BENE_PTA_COINSRNC_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    EDIT RULES :
                                                         +$$$$$$$$$
                                                         ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  44.  MEDPAR Beneficiary Inpatient Deductible Liability Amount
                                 5    114    118    PACK

                                                    The amount of money (rounded to whole dollars) identified as
                                                    the beneficiary's liability for the Inpatient deductible for
                                                    the stay.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    STANDARD ALIAS : MEDPAR_BENE_IP_DDCTBL_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    EDIT RULES :
                                                         +$$$$$$$$$
                                                         ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  45.  MEDPAR Beneficiary Blood Deductible Liability Amount
                                 5    119    123    PACK

                                                    The amount of money (rounded to whole dollars)
                                                    identified as the beneficiary's liability for the
                                                    blood deductible for the stay.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    STANDARD ALIAS : MEDPAR_BENE_BLOOD_DDCTBL_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the beneficiary
                                                    blood deductible liability amount that is present on any
                                                    of the claim records included in the stay (i.e., the sum
                                                    of the blood deductibles reported on the claims
                                                    that comprise the stay).

                                                    SOURCE         : NCH

                                                    LIMITATIONS :

                                                      REFER TO :
                                                       MEDPAR_BLOOD_DDCTBL_AMT_LIM

                                                    EDIT RULES :
                                                         +$$$$$$$$$
                                                         ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  46.  MEDPAR Beneficiary Primary Payer Amount
                                 5    124    128    PACK

                                                    The amount of payment (rounded to whole dollars) made on
                                                    behalf of the beneficiary by a primary payer other than
                                                    Medicare, which has been applied to the covered Medicare
                                                    charges for the stay.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MPRPYAMT
                                                    STANDARD ALIAS : MEDPAR_BENE_PRMRY_PYR_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the beneficiary
                                                    primary payer payment amount that is present on any of
                                                    the claim records included in the stay (i.e., the sum of
                                                    the primary payer amounts reported on the claims that
                                                    comprise the stay).

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                         +$$$$$$$$$
                                                         ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  47.  MEDPAR DRG Outlier Approved Payment Amount
                                 5    129    133    PACK

                                                    The amount of additional payment (rounded to whole dollars)
                                                    approved due to an outlier situation over the DRG allowance
                                                    for the stay.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MOPMTAMT
                                                    STANDARD ALIAS : MEDPAR_DRG_OUTLIER_PMT_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the DRG outlier
                                                    approved payment amount (value code = 17 amount) that is
                                                    present on any of the claim records included in the stay
                                                    (i.e., the sum of outlier amounts reported on the claims
                                                    that comprise the stay).

                                                    COMMENTS :
                                                    Last updated on 2007/10/20 at 14:01 by TS25
                                                    This amount is already included in the MEDPAR
                                                    Medicare payment amount.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                         +$$$$$$$$$
                                                         ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  48.  MEDPAR Inpatient Disproportionate Share Amount
                                 5    134    138    PACK

                                                    The amount paid over the DRG amount (rounded to whole
                                                    dollars) for the disproportionate share hospital for the
                                                    stay.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MDSHRAMT
                                                    STANDARD ALIAS : MEDPAR_IP_DSPRPRTNT_SHR_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the value amount
                                                    associated with value code = 18 that is present on any
                                                    of the claim records included in the stay (i.e., the sum
                                                    of value code 18 amounts reported on the claims that
                                                    comprise the stay).

                                                    COMMENTS :
                                                    This amount is already included in the MEDPAR
                                                    Medicare payment amount.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                         +$$$$$$$$$
                                                         ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  49.  MEDPAR Indirect Medical Education (IME) Amount
                                 5    139    143    PACK

                                                    The amount of additional payment (rounded to whole dollars)
                                                    made to teaching hospitals for IME for the stay.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MIMEAMT
                                                    STANDARD ALIAS : MEDPAR_IME_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the value amount
                                                    associated with value code = 19 that is present on any
                                                    of the claim records included in the stay (i.e., the
                                                    sum of IME amounts - value code 19 amounts -
                                                    reported on the claims that comprise the stay).

                                                    COMMENTS :
                                                    This amount is already included in the MEDPAR Medicare payment
                                                    amount.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                         +$$$$$$$$$
                                                         ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  50.  MEDPAR DRG Price Amount
                                 5    144    148    PACK

                                                    The amount (called the 'DRG price' for purposes of MEDPAR
                                                    analysis) that would have been paid if no deductibles,
                                                    coinsurance, primary payers, or outliers were involved
                                                    (rounded to whole dollars).

                                                    NOTE: Low Volume Amount is not included.

                                                    NOTE1:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MDRGAMT
                                                    STANDARD ALIAS : MEDPAR_DRG_PRICE_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the following
                                                    amounts:  MEDPAR Medicare payment amount, MEDPAR
                                                    beneficiary primary payer payment amount, MEDPAR
                                                    beneficiary coinsurance liability amount, MEDPAR
                                                    beneficiary Inpatient deductible liability amount,
                                                    MEDPAR beneficiary blood deductible amount; and then
                                                    subtracting from the sum the MEDPAR DRG outlier
                                                    approved payment amount.

                                                    SOURCE         : NCH

                                                    LIMITATIONS :

                                                      REFER TO :
                                                       MEDPAR_DRG_PRICE_AMT_LIM

                                                    EDIT RULES :
                                                          +$$$$$$$
                                                          ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  51.  MEDPAR Total Pass Through Amount
                                 5    149    153    PACK

                                                    The total of all claim pass through amounts (rounded
                                                    to whole dollars) for the stay.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MPTHRU
                                                    STANDARD ALIAS : MEDPAR_PASS_THRU_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by multiplying the
                                                    pass thru per diem amount that is present on the last
                                                    claim record included in the stay times the MEDPAR
                                                    utilization day count (the sum of the utilization
                                                    (covered) days reported on the claims that comprise the
                                                    stay).

                                                    COMMENTS :
                                                    Items reimbursed as pass through include capital-related costs,
                                                    direct medical education costs, kidney acquisition costs for
                                                    hospitals approved as rtc's, and bad debts (per provider
                                                    reimbursement manual, part 1, section 2405.2).

                                                    The MEDPAR pass thru amount is not included in the MEDPAR
                                                    Medicare payment amount.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                          +$$$$$$$
                                                          ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  52.  MEDPAR Total PPS Capital Amount
                                 5    154    158    PACK

                                                    The total amount (rounded to whole dollars) that is payable
                                                    for capital PPS (e.g., reimbursement for depreciation, rent,
                                                    certain interest, real estate taxes for hospital
                                                    buildings/equipment subject to PPS).

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MPPSCPTL
                                                    STANDARD ALIAS : MEDPAR_TOT_PPS_CPTL_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the total PPS
                                                    capital amount that is present on any of the claim
                                                    records included in the stay (i.e., the sum of total PPS
                                                    capital amounts reported on the claims that comprise the
                                                    stay).

                                                    COMMENTS :
                                                    This field is already included in the MEDPAR Medicare payment
                                                    amount.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                         +$$$$$$$$$
                                                         ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  53.  MEDPAR Inpatient Low Volume Payment Amount
                                 5    159    163    PACK

                                                    The amount field used to identify a payment adjustment
                                                    given to hospitals to account for the higher costs per
                                                    discharge for low income hospitals under the Inpatient
                                                    Prospective Payment System (IPPS).

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MLOWVOL
                                                    STANDARD ALIAS : MEDPAR_IP_LOW_VOL_PMT_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the
                                                    IP Low Volume Amount that is present on any
                                                    of the claim records included in the stay
                                                    (i.e. the sum of the low volume amounts re-
                                                    ported on the claims that comprise the stay).

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                         +$$$$$$$$$
                                                         ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  54.  MEDPAR Total Charge Amount
                                 5    164    168    PACK

                                                    The total amount (rounded to whole dollars) of all charges
                                                    (covered and noncovered) for all services provided to the
                                                    beneficiary for the stay.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MTOTCHRG
                                                    STANDARD ALIAS : MEDPAR_TOT_CHRG_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the total charge
                                                    amount from all claim records included in the stay (i.e.
                                                    the sum of total charges reported on the claims that
                                                    comprise the stay).

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                         +$$$$$$$$$
                                                         ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  55.  MEDPAR Total Covered Charge Amount
                                 5    169    173    PACK

                                                    The portion of the total charges amount (rounded to whole
                                                    dollars) that is covered by Medicare for the stay.

                                                    NOTE1:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    NOTE2:  Effective with the June 2021 quarterly release,
                                                    this field will no longer include the amount associated
                                                    with the field: MEDPAR_ALGNC_STEM_CELL_AMT (derived
                                                    from revenue center code 0815).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MCVRCHRG
                                                    STANDARD ALIAS : MEDPAR_TOT_CVR_CHRG_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by calculating the covered charges
                                                    from all claim records included in the stay (i.e.,
                                                    subtract the revenue center noncovered charge amount from
                                                    the revenue center total charge amount for revenue center
                                                    code = 0001 that is reported on the claims that comprise
                                                    the stay; sum the results).  Exception:  if there exists
                                                    an erroneous condition relative to revenue center code
                                                    0001, the calculation will be made for each revenue
                                                    center code included on the claims that comprise the
                                                    stay with the results summed to create the total.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                         +$$$$$$$$$
                                                         ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  56.  MEDPAR Medicare Payment Amount
                                 5    174    178    PACK

                                                    Amount of payment made from the Medicare trust fund for the
                                                    services covered by the claim record.  Generally, the amount
                                                    is calculated by the fi; and represents what was paid to the
                                                    institutional provider, with the exceptions noted below.
                                                    **Note:  in some situations, a negative claim payment amount
                                                    May be present; e.g., (1) when a beneficiary is charged the
                                                    full deductible during a short stay and the deductible
                                                    exceeded the amount Medicare pays; or (2) when a beneficiary
                                                    is charged a coinsurance amount during a long stay and the
                                                    coinsurance amount exceeds the amount Medicare pays (most
                                                    prevalent situation involves psych hospitals who are paid a
                                                    daily per diem rate no matter what the charges are.)

                                                    Under IP PPS, Inpatient hospital services are paid based on
                                                    a predetermined rate per discharge, using the DRG patient
                                                    classification system and the pricer program.   On the ip
                                                    PPS claim, the payment amount includes the DRG outlier
                                                    approved payment amount, disproportionate share (since
                                                    5/1/86), in- direct medical education (since 10/1/88), total
                                                    PPS capital (since 10/1/91). After 4/1/03, the payment amount
                                                    could also include a "new technology" add-on amount.  After
                                                    7/5/2011, the payment amount could also include a payment
                                                    adjustment given to hospitals to account for the higher
                                                    costs per discharge for "low-income hospitals".  After 10/1/12,
                                                    the payment amount could also include adjustments for value
                                                    based purchasing, readmissions, and Model 1 bundled payments
                                                    for care improvement.  After 10/1/14, the amount could also
                                                    include the uncompensated care payment (UCP).

                                                    It does not include the pass-thru amounts (i.e., capital-
                                                    related costs, direct medical education codes, kidney
                                                    acquisition costs, bad debts); or any beneficiary-paid
                                                    amounts (i.e., deductibles and coinsurance); or any other payer
                                                    reimbursement.

                                                    Under SNF PPS, SNFs will classify beneficiaries using the
                                                    patient classification system known as rugs III.  For the
                                                    SNF PPS claim, the SNF pricer will calculate/return the rate
                                                    for each revenue center line item with revenue center code =
                                                    '0022'; multiply the rate times the units count; and then
                                                    sum the amount payable for all lines with revenue center
                                                    code '0022' to determine the total claim payment amount.

                                                    Exceptions:  For claims involving demos and bba encounter
                                                    data, the amount reported in this field May not just
                                                    represent the actual provider payment.

                                                    For demo ids '01','02','03','04' -- claims contain
                                                    amount paid to the provider, except that special
                                                    'differentials' paid outside the normal payment system
                                                    are not included.

                                                    For demo ids '05','15' -- encounter data 'claims'
                                                    contain amount Medicare would have paid under ffs,
                                                    instead of the actual pay- ment to the MCO.

                                                    For demo ids '06','07','08' -- claims contain actual
                                                    provider payment but represent a special negotiated
                                                    bundled payment for both part a and part B services.
                                                    To identify what the conventional provider part a
                                                    payment would have been, check value code = 'y4'.

                                                    For bba encounter data (non-demo) -- 'claims' contain
                                                    amount Medicare would have paid under ffs, instead of
                                                    the actual payment to the bba plan.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MMDCRPMT
                                                    STANDARD ALIAS : MEDPAR_MDCR_PMT_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the payment amount
                                                    that is present on all of the claim records included in
                                                    the stay (i.e, the sum of payment (reimbursement)
                                                    reported on the claims that comprise the stay).

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                         +$$$$$$$$$
                                                         ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  57.  MEDPAR All Accommodations Total Charge Amount
                                 5    179    183    PACK

                                                    The total charge amount (rounded to whole dollars) for all
                                                    accommodations (routine hospital room and board charges for
                                                    general care, coronary care and/or intensive care units)
                                                    related to a beneficiary's stay.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MACMDTNS
                                                    STANDARD ALIAS : MEDPAR_ACMDTNS_TOT_CHRG_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is the sum of MEDPAR private room charge
                                                    amount, MEDPAR semiprivate room charge amount, MEDPAR
                                                    ward charge amount, MEDPAR intensive care charge amount,
                                                    and MEDPAR coronary care charge amount (i.e., the
                                                    accumulation of the revenue center total charge amount
                                                    associated with revenue center codes 0100 - 0219 from   l
                                                    all claim records included in the stay).

                                                    EDIT RULES :
                                                         +$$$$$$$$$
                                                         ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  58.  MEDPAR Departmental Total Charge Amount
                                 5    184    188    PACK

                                                    The total charge amount (rounded to whole dollars) for
                                                    all ancillary departments (other than routine room and
                                                    board, CCU, and ICU) related to a beneficiary's stay.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MDCHRG
                                                    STANDARD ALIAS : MEDPAR_DPRTMNTL_TOT_CHRG_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the revenue center
                                                    total charge amount associated with revenue center codes
                                                    0220 - 0999 from all claim records included in the stay
                                                    (i.e, the sum of charges for all revenue centers other
                                                    than accommodations 0100 - 0219).

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                         +$$$$$$$$$
                                                         ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  59.  MEDPAR Accommodations Days Group
                                10    189    198    GRP


  60.  MEDPAR Private Room Day Count
                                 2    189    190    PACK

                                                    The count of the number of private room days used by the
                                                    beneficiary for the stay.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MPRVTCNT
                                                    STANDARD ALIAS : MEDPAR_PRVT_ROOM_DAY_CNT

                                                    LENGTH         : 3    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the revenue center
                                                    unit count associated with accommodation revenue center
                                                    codes 011x and 014x from all claim records included in
                                                    the stay.

                                                    Exception for SNF rugs demo eff 3/96 SNF update:
                                                    field is derived from revenue center codes
                                                    in the 9033-9044 series.

                                                    SOURCE         : NCH

  61.  MEDPAR Semiprivate Room Day Count
                                 2    191    192    PACK

                                                    The count of the number of semi-private room days used by
                                                    the beneficiary for the stay.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MSPCNT
                                                    STANDARD ALIAS : MEDPAR_SEMIPRVT_ROOM_DAY_CNT

                                                    LENGTH         : 3    SIGNED : Y

                                                    DERIVATIONS :

                                                    This field is derived by accumulating the revenue
                                                    center unit count associated with accommodation
                                                    revenue center codes 010X, 012X, 013X, 0160 and 0162 -
                                                    019X from all claim records included in the stay.

                                                    Note: Effective with CR#18 - new revenue center code
                                                    0161 (Hospital at Home, R&B/Hospital at Home)
                                                    is excluded from this logic.

                                                    SOURCE         : NCH

  62.  MEDPAR Ward Day Count
                                 2    193    194    PACK

                                                    The count of the number of ward days used by the beneficiary
                                                    for the stay.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MWARDCNT
                                                    STANDARD ALIAS : MEDPAR_WARD_DAY_CNT

                                                    LENGTH         : 3    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the revenue center
                                                    unit count associated with accommodation revenue center
                                                    code 015x from all claim records included in the stay.

                                                    Exception for SNF rugs demo eff 3/96 SNF update:
                                                    field is derived from revenue center codes
                                                    in the 9000-9018 series.

                                                    SOURCE         : NCH

  63.  MEDPAR Intensive Care Day Count
                                 2    195    196    PACK

                                                    The count of the number of intensive care days used by the
                                                    beneficiary for the stay.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MICCNT
                                                    STANDARD ALIAS : MEDPAR_INTNSV_CARE_DAY_CNT

                                                    LENGTH         : 3    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the revenue center
                                                    unit count associated with accommodation revenue center
                                                    codes 020X (all 9 subcategories) from all claims
                                                    included in the stay.

                                                    LIMITATIONS:
                                                    There is approximately a 20% error rate in the revenue
                                                    center code category 0206 due to coders misunderstanding
                                                    the term 'post ICU' as including any day after an ICU
                                                    stay rather than just days in a step-down/lower case
                                                    version of an ICU.  'Post' was removed from the
                                                    revenue center code 0206 description, effective
                                                    10/1/96 (12/96 MEDPAR update).  0206 Is now defined
                                                    as 'intermediate ICU'.

                                                    SOURCE         : NCH

  64.  MEDPAR Coronary Care Day Count
                                 2    197    198    PACK

                                                    The count of the number of coronary care days used by the
                                                    beneficiary for the stay.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MCCCNT
                                                    STANDARD ALIAS : MEDPAR_CRNRY_CARE_DAY_CNT

                                                    LENGTH         : 3    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the revenue center
                                                    unit count associated with accommodation revenue center
                                                    code 021x (all six subcategories) from all claim
                                                    records included in the stay.

                                                    LIMITATIONS:
                                                    There is approximately a 20% error rate in the revenue
                                                    center code category 0214 due to coders misunderstanding
                                                    the term 'post ccu' as including any day after a ccu
                                                    stay rather than just days in a step-down/lower case
                                                    version of a ccu.  'Post' was removed from the
                                                    revenue center code 0214 description, effective
                                                    10/1/96 (12/96 MEDPAR update).  0214 Is now defined
                                                    as 'intermediate ccu'.

                                                    SOURCE         : NCH

  65.  MEDPAR Accommodations Charges Group
                                25    199    223    GRP


  66.  MEDPAR Private Room Charge Amount
                                 5    199    203    PACK

                                                    The charge amount (rounded to whole dollars) for private
                                                    room accommodations related to a beneficiary's stay.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MPRVTAMT
                                                    STANDARD ALIAS : MEDPAR_PRVT_ROOM_CHRG_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    THIS FIELD IS DERIVED BY ACCUMULATING THE REVENUE CENTER
                                                    TOTAL CHARGE AMOUNT ASSOCIATED WITH REVENUE CENTER CODES
                                                    011X AND 014X FROM ALL CLAIM RECORDS INCLUDED IN THE
                                                    STAY.

                                                    EXCEPTION FOR SNF RUGS DEMO EFF 3/96 SNF UPDATE:
                                                    FIELD IS DERIVED FROM REVENUE CENTER CODES
                                                    IN THE 9033-9044 SERIES.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                         +$$$$$$$$$
                                                         ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  67.  MEDPAR Semi-Private Room Charge Amount
                                 5    204    208    PACK

                                                    The charge amount (rounded to whole dollars) for semi-
                                                    private room accommodations related to a beneficiary's stay.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MSPAMT
                                                    STANDARD ALIAS : MEDPAR_SEMIPRVT_ROOM_CHRG_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the Revenue
                                                    Center Total Charge Amount associated with the Revenue
                                                    Center Codes 010X, 012X, 013X, 0160 and 0162 - 019X
                                                    from all claim records included in the stay.

                                                    Note: Effective with CR#18 - New Revenue Center Code
                                                    0161 (Hospital at Home, R&B/Hospital at Home) is
                                                    excluded from this logic.

                                                    Exception for SNF Rugs Demo, effective 3/96 SNF
                                                    Update: Field is derived from Revenue Center Codes in
                                                    the 9019-9032 series.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                         +$$$$$$$$$
                                                         ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  68.  MEDPAR Ward Charge Amount
                                 5    209    213    PACK

                                                    The charge amount (rounded to whole dollars) for ward
                                                    accommodations related to a beneficiary's stay.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MWARDAMT
                                                    STANDARD ALIAS : MEDPAR_WARD_CHRG_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the revenue
                                                    total charge amount associated with revenue cente       r
                                                    code 015x from all claim records included in the

                                                    Exception for SNF rugs demo eff 3/96 SNF update:
                                                    field is derived from revenue center codes
                                                    in the 9000-9018 series.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                         +$$$$$$$$$
                                                         ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  69.  MEDPAR Intensive Care Charge Amount
                                 5    214    218    PACK

                                                    The charge amount (rounded to whole dollars) for intensive
                                                    care accommodations related to a beneficiary's stay.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MICAMT
                                                    STANDARD ALIAS : MEDPAR_INTNSV_CARE_CHRG_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the revenue center
                                                    total charge amount associated with accommodation revenue
                                                    center code 020x from all claim records included in the
                                                    stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                         +$$$$$$$$$
                                                         ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  70.  MEDPAR Coronary Care Charge Amount
                                 5    219    223    PACK

                                                    The charge amount (rounded to whole dollars) for coronary
                                                    care accommodations related to a beneficiary's stay.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MCCAMT
                                                    STANDARD ALIAS : MEDPAR_CRNRY_CARE_CHRG_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the revenue center
                                                    total charge amount associated with accommodation revenue
                                                    center code 021X from all claim records included in the
                                                    stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                         +$$$$$$$$$
                                                         ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  71.  MEDPAR Service Charges Group
                               125    224    348    GRP


  72.  MEDPAR Other Service Charge Amount
                                 5    224    228    PACK

                                                    The charge amount (rounded to whole dollars) for
                                                    other services (revenue centers that do not fit
                                                    into other categories) related to a beneficiary's
                                                    stay.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MOSCHRG
                                                    STANDARD ALIAS : MEDPAR_OTHR_SRVC_CHRG_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the revenue center
                                                    total charge amount associated with the 'other' revenue
                                                    center codes from all claim records included in the stay
                                                    the 'other' codes include 0002-0099, 022x, 023x, 024x,
                                                    052x, 053x, 055x - 060x, 064x - 070x, 076x - 078x, 090x
                                                    095x, and 099x. (Some of these codes are not yet
                                                    assigned.)

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                         +$$$$$$$$$
                                                         ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  73.  MEDPAR Pharmacy Charge Amount
                                 5    229    233    PACK

                                                    The charge amount (rounded to whole dollars) for
                                                    pharmaceutical costs related to the beneficiary's stay.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MPCHRG
                                                    STANDARD ALIAS : MEDPAR_PHRMCY_CHRG_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the revenue center
                                                    total charge amount associated with revenue center codes
                                                    025x, 026x, and 063x from all claims records included in
                                                    the stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                         +$$$$$$$$$
                                                         ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  74.  MEDPAR Medical/Surgical Supple Charge Amount
                                 5    234    238    PACK

                                                    The charge amount (rounded to whole dollars) for
                                                    medical/surgical supplies related to the beneficiary's stay.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MMSCHRG
                                                    STANDARD ALIAS : MEDPAR_MDCL_SUPLY_CHRG_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the revenue center
                                                    total charge amount associated with revenue center codes
                                                    027x and 062x from all claim records included in the
                                                    stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                         +$$$$$$$$$
                                                         ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  75.  MEDPAR DME Charge Amount
                                 5    239    243    PACK

                                                    The charge amount (rounded to whole dollars) for DME
                                                    (purchase of new DME and rentals) related to the
                                                    beneficiary's stay.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MDMEAMT
                                                    STANDARD ALIAS : MEDPAR_DME_CHRG_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the revenue center
                                                    total charge amount associated with revenue center codes
                                                    0290, 0291, 0292, and 0294 - 0299 from all claim records
                                                    included in the stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                         +$$$$$$$$$
                                                         ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  76.  MEDPAR Used DME Charge Amount
                                 5    244    248    PACK

                                                    The charge amount (rounded to whole dollars) for used DME
                                                    (purchase of used DME) related to the beneficiary's stay.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MUDMEAMT
                                                    STANDARD ALIAS : MEDPAR_USED_DME_CHRG_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the revenue center
                                                    total charge amount associated with revenue center code
                                                    0293 from all claim records included in the stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                         +$$$$$$$$$
                                                         ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  77.  MEDPAR Physical Therapy Charge Amount
                                 5    249    253    PACK

                                                    The charge amount (rounded to whole dollars) for physical
                                                    therapy services provided during the beneficiary's stay.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MPTAMT
                                                    STANDARD ALIAS : MEDPAR_PHYS_THRPY_CHRG_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the revenue center
                                                    total charge amount associated with revenue center code
                                                    042x from all claims records included in the stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                         +$$$$$$$$$
                                                         ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  78.  MEDPAR Occupational Therapy Charge Amount
                                 5    254    258    PACK

                                                    The charge amount (rounded to whole dollars) for
                                                    occupational therapy services provided during the
                                                    beneficiary's stay.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MOTAMT
                                                    STANDARD ALIAS : MEDPAR_OCPTNL_THRPY_CHRG_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the revenue center
                                                    total charge amount associated with revenue center code
                                                    043x from all claims records included in the stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                         +$$$$$$$$$
                                                         ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  79.  MEDPAR Speech Pathology Charge Amount
                                 5    259    263    PACK

                                                    The charge amount (rounded to whole dollars) for speech
                                                    pathology services (speech, language, audiology) provided
                                                    during the beneficiary's stay.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MSPAMT
                                                    STANDARD ALIAS : MEDPAR_SPCH_PTHLGY_CHRG_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the revenue center
                                                    total charge amount associated with revenue center code
                                                    044x and 047x from all claim records included in the
                                                    stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                         +$$$$$$$$$
                                                         ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  80.  MEDPAR Inhalation Therapy Charge Amount
                                 5    264    268    PACK

                                                    The charge amount (rounded to whole dollars) for inhalation
                                                    therapy services (respiratory and pulmonary function)
                                                    provided during the beneficiary's stay.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MITAMT
                                                    STANDARD ALIAS : MEDPAR_INHLTN_THRPY_CHRG_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the revenue center
                                                    total charge amount associated with revenue center codes
                                                    041x and 046x from all claim records included in the
                                                    stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                         +$$$$$$$$$
                                                         ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  81.  MEDPAR Blood Charge Amount
                                 5    269    273    PACK

                                                    The charge amount (rounded to whole dollars) for blood
                                                    provided during the beneficiary's stay.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MBLDAMT
                                                    STANDARD ALIAS : MEDPAR_BLOOD_CHRG_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the revenue center
                                                    total charge amount associated with revenue center code
                                                    038x from all claim records included in the stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                         +$$$$$$$$$
                                                         ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  82.  MEDPAR Blood Administration Charge Amount
                                 5    274    278    PACK

                                                    The charge amount (rounded to whole dollars) for blood
                                                    storage and processing related to the beneficiary's stay.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MBLDADM
                                                    STANDARD ALIAS : MEDPAR_BLOOD_ADMIN_CHRG_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the revenue center
                                                    total charge amount associated with revenue center code
                                                    039x from all claim records included in the stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                         +$$$$$$$$$
                                                         ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  83.  MEDPAR Operating Room Charge Amount
                                 5    279    283    PACK

                                                    The charge amount (rounded to whole dollars) for the
                                                    operating room, recovery room, and labor room delivery used
                                                    by the beneficiary during the stay.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MORAMT
                                                    STANDARD ALIAS : MEDPAR_OPRTG_ROOM_CHRG_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the revenue center
                                                    total charge amount associated with revenue center codes
                                                    036X, 071X, and 072X from all claim records included in
                                                    the stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                         +$$$$$$$$$
                                                         ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  84.  MEDPAR Lithotripsy Charge Amount
                                 5    284    288    PACK

                                                    The charge amount (rounded to whole dollars) for lithotripsy
                                                    services provided during the beneficiary's stay.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MLCAMT
                                                    STANDARD ALIAS : MEDPAR_LTHTRPSY_CHRG_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the revenue center
                                                    total charge amount associated with revenue center code
                                                    079X from all claim records included in the stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                         +$$$$$$$$$
                                                         ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  85.  MEDPAR Cardiology Charge Amount
                                 5    289    293    PACK

                                                    The charge amount (rounded to whole dollars) for cardiology
                                                    services and electrocardiogram(s) provided during the
                                                    beneficiary's stay.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MCRDLGY
                                                    STANDARD ALIAS : MEDPAR_CRDLGY_CHRG_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the revenue center
                                                    total charge amount associated with revenue center codes
                                                    048X and 073X from all claim records included in the
                                                    stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                         +$$$$$$$$$
                                                         ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  86.  MEDPAR Anesthesia Charge Amount
                                 5    294    298    PACK

                                                    The charge amount (rounded to whole dollars) for anesthesia
                                                    services provided during the beneficiary's stay.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MANSTHSA
                                                    STANDARD ALIAS : MEDPAR_ANSTHSA_CHRG_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the revenue center
                                                    total charge amount associated with revenue center code
                                                    037X from all claim records included in the stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                         +$$$$$$$$$
                                                         ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  87.  MEDPAR Laboratory Charge Amount
                                 5    299    303    PACK

                                                    The charge amount (rounded to whole dollars) for laboratory
                                                    costs related to the beneficiary's stay.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MLABAMT
                                                    STANDARD ALIAS : MEDPAR_LAB_CHRG_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the revenue center
                                                    total charge amount associated with revenue center codes
                                                    030x, 031x, 074x, and 075x from all claim records
                                                    included in the stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                         +$$$$$$$$$
                                                         ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  88.  MEDPAR Radiology Charge Amount
                                 5    304    308    PACK

                                                    The charge amount (rounded to whole dollars) for radiology
                                                    costs (including oncology, excluding MRI) related to a
                                                    beneficiary's stay.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MRDLGY
                                                    STANDARD ALIAS : MEDPAR_RDLGY_CHRG_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating revenue center
                                                    total charge amount associated with revenue center codes
                                                    028x, 032x, 033x, 034x, 035x, and 040x from all claim
                                                    records included in the stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                         +$$$$$$$$$
                                                         ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  89.  MEDPAR MRI Charge Amount
                                 5    309    313    PACK

                                                    The charge amount (rounded to whole dollars) for MRI
                                                    services provided during the beneficiary's stay.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MMRIAMT
                                                    STANDARD ALIAS : MEDPAR_MRI_CHRG_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the revenue center
                                                    total charge amount associated with revenue center 061x
                                                    from all claim records included in the stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                         +$$$$$$$$$
                                                         ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  90.  MEDPAR Outpatient Service Charge Amount
                                 5    314    318    PACK

                                                    The charge amount (rounded to whole dollars) for outpatient
                                                    services provided during the beneficiary's stay.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MOPSRVC
                                                    STANDARD ALIAS : MEDPAR_OP_SRVC_CHRG_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the revenue center
                                                    total charge amount associated with revenue center code
                                                    049x and 050x from all claim records included in the
                                                    stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                         +$$$$$$$$$
                                                         ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  91.  MEDPAR Emergency Room Charge Amount
                                 5    319    323    PACK

                                                    The charge amount (rounded to whole dollars) for emergency
                                                    room services provided during the beneficiary's stay.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MERAMT
                                                    STANDARD ALIAS : MEDPAR_ER_CHRG_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the revenue center
                                                    total charge amount associated with revenue center code
                                                    045X from all claim records included in the stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                         +$$$$$$$$$
                                                         ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  92.  MEDPAR Ambulance Charge Amount
                                 5    324    328    PACK

                                                    The charge amount (rounded to whole dollars) for ambulance
                                                    services related to a beneficiary's stay.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MAMBLNC
                                                    STANDARD ALIAS : MEDPAR_AMBLNC_CHRG_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the revenue center
                                                    total charge amount associated with revenue center code
                                                    054x from all claim records included in the stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                         +$$$$$$$$$
                                                         ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  93.  MEDPAR Professional Fees Charge Amount
                                 5    329    333    PACK

                                                    The charge amount (rounded to whole dollars) for
                                                    professional fees related to a beneficiary's stay.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MPROFNL
                                                    STANDARD ALIAS : MEDPAR_PROFNL_FEES_CHRG_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the revenue center
                                                    total charge amount associated with revenue center codes
                                                    096x, 097x, and 098x from all claims records included in
                                                    the stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                         +$$$$$$$$$
                                                         ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  94.  MEDPAR Organ Acquisition Charge Amount
                                 5    334    338    PACK

                                                    The charge amount (rounded to whole dollars) for organ
                                                    acquisition or other donor bank services related to a
                                                    beneficiary's stay.

                                                    NOTE1:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    NOTE2: Effective with the June 2021 quarterly update, this
                                                    field will no longer include the amount associated with the
                                                    revenue center codes 0891 and 0892.  The amount associated
                                                    with revenue center codes 0891 and 0892 is now reflected
                                                    in the fields: MEDPAR_CELL_THRPY_DRUG_AMT and MEDPAR_GENE_
                                                    THRPY_DRUG_AMT (these fields were added to the MEDPAR
                                                    copybook with the June 2020 quarterly release).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MORGNAMT
                                                    STANDARD ALIAS : MEDPAR_ORGN_ACQSTN_CHRG_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the revenue center
                                                    total charge amount associated with revenue center codes
                                                    081x (except for 0815) and 089x from all claim records
                                                    included in the stay. NOTE: the code was changed with
                                                    CR#15 release (June 2020) to remove 0815.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                         +$$$$$$$$$
                                                         ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  95.  MEDPAR ESRD Revenue Setting Charge Amount
                                 5    339    343    PACK

                                                    The charge amount (rounded to whole dollars) for ESRD
                                                    services (other than organ acquisition and other donor bank)
                                                    related to a beneficiary's stay.

                                                    NOTE1:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    NOTE2: Effective with the June 2021 quarterly update, this
                                                    field will no longer include the amount associated with the
                                                    revenue center 087X.  The amount associated with revenue
                                                    center 087X is now reflected in the field:
                                                    MEDPAR_CELL_GENE_PRCDRS_AMT (field added with the June 2020
                                                    quarterly release).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MESRDAMT
                                                    STANDARD ALIAS : MEDPAR_ESRD_REV_SETG_CHRG_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the revenue center
                                                    total charge amount associated with revenue center codes
                                                    080x, 082x - 088x from all claim records included in the
                                                    stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                         +$$$$$$$$$
                                                         ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  96.  MEDPAR Clinic Visit Charge Amount
                                 5    344    348    PACK

                                                    The charge amount (rounded to whole dollars) for clinic
                                                    visits (e.g., visits to chronic pain or dental centers or
                                                    to clinics providing psychiatric, ob-gyn, pediatric
                                                    services) related to the beneficiary's stay.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MCVAMT
                                                    STANDARD ALIAS : MEDPAR_CLNC_VISIT_CHRG_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the revenue center
                                                    total charge amount associated with revenue center code
                                                    051x from all claim records included in the stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                         +$$$$$$$$$
                                                         ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  97.  MEDPAR Accommodations/Services Indicator Group
                                23    349    371    GRP


  98.  MEDPAR Intensive Care Unit (ICU) Indicator Code
                                 1    349    349    CHAR

                                                    The code indicating that the beneficiary has spent time
                                                    under intensive care during the stay.  It also specifies the
                                                    type of ICU.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MICUIND
                                                    STANDARD ALIAS : MEDPAR_ICU_IND_CD

                                                    LENGTH         : 1

                                                    DERIVATIONS :
                                                    This field is derived by checking for the presence of icu
                                                    revenue center codes (listed below) on any of the claim
                                                    records included in the stay. If more than one of the
                                                    revenue center codes listed below are included on these
                                                    claims, the code with the highest revenue center total
                                                    charge amount is used.

                                                    LIMITATIONS:
                                                    There is approximately a 20% error rate in the revenue
                                                    center code category 0206 due to coders misunderstanding
                                                    the term 'post ICU' as including any day after an ICU
                                                    stay rather than just days in a step-down/lower case
                                                    version of an ICU.  'Post' was removed from the
                                                    revenue center code 0206 description, effective
                                                    10/1/96 (12/96 MEDPAR update).  0206 Is now defined
                                                    as 'intermediate ICU'.

                                                    SOURCE         : NCH

                                                    CODE TABLE     : MEDPAR_ICU_IND_TB

  99.  MEDPAR Coronary Care Indicator Code
                                 1    350    350    CHAR

                                                    The code indicating that the beneficiary has spent time
                                                    under coronary care during the stay.  It also specifies
                                                    the type of coronary care unit.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MCCIND
                                                    STANDARD ALIAS : MEDPAR_CRNRY_CARE_IND_CD

                                                    LENGTH         : 1

                                                    DERIVATIONS :
                                                    This field is derived by checking for the presence of
                                                    coronary care revenue center codes (listed below) on any
                                                    of the claim records included in the stay.  If more than
                                                    one of the revenue center codes listed below are included
                                                    on these claims, the code with the highest revenue center
                                                    total charge amount is used.

                                                    LIMITATIONS:
                                                    There is approximately a 20% error rate in the revenue
                                                    center code category 0214 due to coders misunderstanding
                                                    the term 'post CCU' as including any day after a CCU
                                                    stay rather than just days in a step-down/lower case
                                                    version of a CCU.  'Post' was removed from the
                                                    revenue center code 0214 description, effective
                                                    10/1/96 (12/96 MEDPAR update).  0214 Is now defined
                                                    as 'intermediate CCU'.

                                                    SOURCE         : NCH

                                                    CODE TABLE     : MEDPAR_CRNRY_CARE_IND_TB

  100. MEDPAR Pharmacy Indicator Code
                                 1    351    351    NUM

                                                    The code indicating whether or not the beneficiary received
                                                    drugs during the stay.  It also specifies the type of drugs.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MPINDCD
                                                    STANDARD ALIAS : MEDPAR_PHRMCY_IND_CD

                                                    LENGTH         : 1    SIGNED : N

                                                    DERIVATIONS :
                                                    This field is derived by checking for the presence of
                                                    drug-specific revenue center codes (listed below) on any
                                                    of the claim records included in the stay.

                                                    SOURCE         : NCH

                                                    CODE TABLE     : MEDPAR_PHRMCY_IND_TB

  101. MEDPAR Transplant Indicator Code
                                 1    352    352    NUM

                                                    The code indicating whether or not the beneficiary received
                                                    a organ transplant during the stay.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MTINDCD
                                                    STANDARD ALIAS : MEDPAR_TRNSPLNT_IND_CD

                                                    LENGTH         : 1    SIGNED : N

                                                    DERIVATIONS :
                                                    This field is derived by checking for the presence of the
                                                    transplant revenue center code (listed below) on any of
                                                    the claim records included in the stay.

                                                    SOURCE         : NCH

                                                    CODE TABLE     : MEDPAR_TRNSPLNT_IND_TB

  102. MEDPAR Radiology Indicators Group
                                 6    353    358    GRP


  103. MEDPAR Radiology Oncology Indicator Switch
                                 1    353    353    NUM

                                                    The switch indicating whether or not the beneficiary
                                                    received radiology oncology services during the stay.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MROINDSW
                                                    STANDARD ALIAS : MEDPAR_RDLGY_ONCLGY_IND_SW

                                                    LENGTH         : 1    SIGNED : N

                                                    DERIVATIONS :
                                                    This field is derived by checking for revenue center code
                                                    028X on any of the claim records included in the stay.

                                                    SOURCE         : NCH

                                                    CODE TABLE     : MEDPAR_RDLGY_ONCLGY_IND_TB

  104. MEDPAR Radiology Diagnostic Indicator Switch
                                 1    354    354    NUM

                                                    The switch indicating whether or not the beneficiary
                                                    received radiology diagnostic services during the stay.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MRDINDSW
                                                    STANDARD ALIAS : MEDPAR_RDLGY_DGNSTC_IND_SW

                                                    LENGTH         : 1    SIGNED : N

                                                    DERIVATIONS :
                                                    This field is derived by checking for revenue center code
                                                    032x on any of the claim records included in the stay.

                                                    SOURCE         : NCH

                                                    CODE TABLE     : MEDPAR_RDLGY_DGNSTC_IND_TB

  105. MEDPAR Radiology Therapeutic Indicator Switch
                                 1    355    355    NUM

                                                    The switch indicating whether or not the beneficiary
                                                    received radiology therapeutic services during the stay.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MRTINDSW
                                                    STANDARD ALIAS : MEDPAR_RDLGY_THRPTC_IND_SW

                                                    LENGTH         : 1    SIGNED : N

                                                    DERIVATIONS :
                                                    This field is derived by checking for revenue center code
                                                    033X on any of the claim records included in the stay.

                                                    SOURCE         : NCH

                                                    CODE TABLE     : MEDPAR_RDLGY_THRPTC_IND_TB

  106. MEDPAR Radiology Nuclear Medicine Indicator Switch
                                 1    356    356    NUM

                                                    The switch indicating whether or not the beneficiary
                                                    received radiology nuclear medicine services during the
                                                    stay.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MRNMSW
                                                    STANDARD ALIAS : MEDPAR_RDLGY_NUCLR_MDCN_IND_SW

                                                    LENGTH         : 1    SIGNED : N

                                                    DERIVATIONS :
                                                    This field is derived by checking for revenue center code
                                                    034x on any of the claim records included in the stay.

                                                    SOURCE         : NCH

                                                    CODE TABLE     : MEDPAR_RDLGY_NUCLR_MDCN_IND_TB

  107. MEDPAR Radiology CT Scan Indicator Switch
                                 1    357    357    NUM

                                                    The switch indicating whether or not the beneficiary
                                                    received radiology computed tomographic (CT) scan services
                                                    during the stay.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MRCTIND
                                                    STANDARD ALIAS : MEDPAR_RDLGY_CT_SCAN_IND_SW

                                                    LENGTH         : 1    SIGNED : N

                                                    DERIVATIONS :
                                                    This field is derived by checking for revenue center code
                                                    035X on any of the claim records included in the stay.

                                                    SOURCE         : NCH

                                                    CODE TABLE     : MEDPAR_RDLGY_CT_SCAN_IND_TB

  108. MEDPAR Radiology Other Imaging Indicator Switch
                                 1    358    358    NUM

                                                    The switch indicating whether or not the beneficiary
                                                    received radiology other imaging services during the stay.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MROISW
                                                    STANDARD ALIAS : MEDPAR_RDLGY_OTHR_IMGNG_IND_SW

                                                    LENGTH         : 1    SIGNED : N

                                                    DERIVATIONS :
                                                    This field is derived by checking for revenue center code
                                                    040X on any of the claim records included in the stay.

                                                    SOURCE         : NCH

                                                    CODE TABLE     : MEDPAR_RDLGY_OTHR_IMGNG_IND_TB

  109. MEDPAR Outpatient Services Indicator Code
                                 1    359    359    NUM

                                                    The code indicating whether or not the beneficiary has
                                                    received outpatient services, ambulatory surgical care, or
                                                    both.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MOPINDSW
                                                    STANDARD ALIAS : MEDPAR_OP_SRVC_IND_CD

                                                    LENGTH         : 1    SIGNED : N

                                                    DERIVATIONS :
                                                    This field is derived by checking for the presence of the
                                                    outpatient services revenue center codes listed below on
                                                    any of the claim records included in the stay.

                                                    SOURCE         : NCH

                                                    CODE TABLE     : MEDPAR_OP_SRVC_IND_TB

  110. MEDPAR Organ Acquisition Indicator Code
                                 2    360    361    CHAR

                                                    The code indicating the type of organ acquisition received
                                                    by the beneficiary during the stay.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MOAINDCD
                                                    STANDARD ALIAS : MEDPAR_ORGN_ACQSTN_IND_CD

                                                    LENGTH         : 2

                                                    DERIVATIONS :
                                                    This field is derived by checking for the presence of the
                                                    organ acquisition indicator revenue center codes listed
                                                    below on any of the claim records included in the stay.

                                                    SOURCE         : NCH

                                                    CODE TABLE     : MEDPAR_ORGN_ACQSTN_IND_TB

  111. MEDPAR ESRD Setting Indicator Code
                                10    362    371    CHAR

                                                    The code indicating the type of dialysis received by the
                                                    beneficiary during the stay.  Up to 5 2-position codes may
                                                    be present.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MESRDIND
                                                    STANDARD ALIAS : MEDPAR_ESRD_SETG_IND_CD

                                                    LENGTH         : 2

                                                    DERIVATIONS :
                                                    This field is derived from the presence of the dialysis
                                                    revenue center codes listed below on any of the claim
                                                    records included in the stay.

                                                    SOURCE         : NCH

                                                    CODE TABLE     : MEDPAR_ESRD_SETG_IND_TB

                                                    OCCURS MIN: 5 OCCURS MAX: 0

  112. MEDPAR Present On Admission Diagnosis CodeGroup
                                77    372    448    GRP


  113. MEDPAR Claim Present on Admission Diagnosis Code Count
                                 2    372    373    NUM

                                                    Effective with Version 'J', the count of the number
                                                    of Present on Admission (POA) codes reported on the
                                                    Inpatient/SNF claim.
                                                    The purpose of this count is to indicate
                                                    how many claim POA diagnosis trailers are present.

                                                    DB2      ALIAS : CLM_POA_TRLR_CNT
                                                    SAS      ALIAS : MPDCDCNT
                                                    STANDARD ALIAS : MEDPAR_POA_DGNS_CD_CNT

                                                    LENGTH         : 2    SIGNED : N

                                                    SOURCE         : CWF

                                                    EDIT RULES :
                                                       Range:  0 to 25

  114. MEDPAR Claim Present on Admission Diagnosis Indicator Code
                                25    374    398    CHAR

                                                    Effective with Version 'J', the code used to identify
                                                    the present on admission(POA) indicator code
                                                    associated with the diagnosis codes (principal and
                                                    secondary).  The present on admission indicators
                                                    for the diagnosis E codes are stored in the present
                                                    on admission diagnosis E trailer.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MPOADIND
                                                    STANDARD ALIAS : MEDPAR_POA_DGNS_IND_CD

                                                    LENGTH         : 1

                                                    OCCURS MIN: 25 OCCURS MAX: 0

  115. FILLER                                       CHAR
                                50    399    448
                                                    DB2      ALIAS : UNDEFINED

                                                    LENGTH         : 50

  116. MEDPAR Present On Admission Diagnosis E Code Group
                                64    449    512    GRP


  117. MEDPAR Claim Present on Admission Diagnosis E Code Count
                                 2    449    450    NUM

                                                    Effective with Version 'J', the count of the number
                                                    of Present on Admission (POA) codes associated with
                                                    the diagnosis E codes reported on the Inpatient/SNF
                                                    claim.  The purpose of this count is to indicate
                                                    how many claim POA diagnosis E trailers are present.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MPDECNT
                                                    STANDARD ALIAS : MEDPAR_POA_DGNS_E_CD_CNT

                                                    LENGTH         : 2    SIGNED : N

                                                    SOURCE         : CWF

                                                    EDIT RULES :
                                                       Range:  0 to 12

  118. MEDPAR Claim Present on Admission Diagnosis E Indicator Code
                                12    451    462    CHAR

                                                    Effective with Version 'J', the code used to identify
                                                    the present on admission(POA) indicator code
                                                    associated with the diagnosis E codes.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MPDEIND
                                                    STANDARD ALIAS : MEDPAR_POA_DGNS_E_IND_CD

                                                    LENGTH         : 1

                                                    OCCURS MIN: 12 OCCURS MAX: 0

  119. FILLER                                       CHAR
                                50    463    512
                                                    DB2      ALIAS : UNDEFINED

                                                    LENGTH         : 50

  120. MEDPAR Diagnosis Code Group
                               252    513    764    GRP


  121. MEDPAR Diagnosis Code Count
                                 2    513    514    NUM

                                                    The count of the number of diagnosis codes included in the
                                                    stay.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MDGNSCNT
                                                    STANDARD ALIAS : MEDPAR_DGNS_CD_CNT

                                                    LENGTH         : 2    SIGNED : N

                                                    DERIVATIONS :
                                                    This field is derived by adding '1' to the count of the
                                                    other diagnosis codes reported on the last claim record
                                                    included in the stay.  The '1' represents the principal
                                                    diagnosis code, which is reported separately from the
                                                    other diagnosis.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                          RANGE: 1 through 10

  122. MEDPAR Diagnosis Version Code
                                25    515    539    CHAR

                                                    Effective with Version 'J', the code used to indicate if the
                                                    diagnosis code is ICD-9 or ICD-10.

                                                    NOTE:  With 5010, the diagnosis and procedure codes have been
                                                    expanded to accommodate ICD-10, even though ICD-10 is not
                                                    scheduled for implementation until 10/2013.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MDVRSNCD
                                                    STANDARD ALIAS : MEDPAR_DGNS_VRSN_CD

                                                    LENGTH         : 1

                                                    CODE TABLE     : CLM_DGNS_VRSN_TB

                                                    OCCURS MIN: 25 OCCURS MAX: 0

  123. MEDPAR Diagnosis Code
                               175    540    714    CHAR

                                                    The diagnosis code identifying the
                                                    beneficiary's principal or other diagnosis
                                                    (including E code).

                                                    NOTE:
                                                    Prior to Version H, the principal diagnosis
                                                    code was not stored with the 'OTHER' diagnosis
                                                    codes.  During the Version H conversion the
                                                    CLM_PRNCPAL_DGNS_CD was added as the first
                                                    occurrence.

                                                    NOTE1: Effective with Version 'J', this field has been
                                                    expanded from 5 bytes to 7 bytes to accommodate the
                                                    future implementation of ICD-10.

                                                    NOTE2:  Effective with Version 'J', the diagnosis E
                                                    codes are stored in a separate trailer (CLM_DGNS_E_GRP).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MDGNSCD

                                                    LENGTH         : 7

                                                    OCCURS MIN: 25 OCCURS MAX: 0

  124. FILLER                                       CHAR
                                50    715    764
                                                    DB2      ALIAS : UNDEFINED

                                                    LENGTH         : 50

  125. MEDPAR Diagnosis Code E Group
                               148    765    912    GRP


  126. MEDPAR Diagnosis E Code Count
                                 2    765    766    NUM

                                                    Effective with Version 'J', the count of the number
                                                    of diagnosis E codes reported on the Inpatient/SNF
                                                    claim.  The purpose of this count is to indicate
                                                    how many diagnosis E trailers are present.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MDGNSECN

                                                    LENGTH         : 2    SIGNED : N

                                                    SOURCE         : CWF

                                                    EDIT RULES :
                                                       Range: 0 to 12

  127. MEDPAR Diagnosis E Version Code
                                12    767    778    CHAR

                                                    Effective with Version 'J', the code used to indicate if
                                                    the diagnosis code is ICD-9 or ICD-10.

                                                    NOTE:  With 5010, the diagnosis and procedure codes have
                                                    been expanded to accommodate ICD-10, even though ICD-10 is
                                                    not scheduled for implementation until 10/2013.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MDEVRSN
                                                    STANDARD ALIAS : MEDPAR_DGNS_E_VRSN_CD

                                                    LENGTH         : 1

                                                    CODE TABLE     : CLM_DGNS_VRSN_TB

                                                    OCCURS MIN: 12 OCCURS MAX: 0

  128. MEDPAR Diagnosis E Code
                                84    779    862    CHAR

                                                    Effective with Version J, the code
                                                    used to identify the external cause of injury,
                                                    poisoning, or other adverse affect.

                                                    NOTE:  Effective with Version 'J', this field has been
                                                    expanded from 5 bytes to 7 bytes to accommodate the future
                                                    implementation of ICD-10.
                                                    During the Version 'J' conversion this field was populated
                                                    throughout history.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MDGNSECD
                                                    STANDARD ALIAS : MEDPAR_DGNS_E_CD

                                                    LENGTH         : 7

                                                    SOURCE         : CWF

                                                    EDIT RULES :
                                                          ICD-9-CM

                                                    OCCURS MIN: 12 OCCURS MAX: 0

  129. FILLER                                       CHAR
                                50    863    912
                                                    DB2      ALIAS : UNDEFINED

                                                    LENGTH         : 50

  130. MEDPAR Surgical Procedure Indicator Switch
                                 1    913    913    CHAR

                                                    The switch indicating whether or not there were any surgical
                                                    procedures performed during the beneficiary's stay.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MSPINDSW
                                                    STANDARD ALIAS : MEDPAR_SRGCL_PRCDR_IND_SW

                                                    LENGTH         : 1

                                                    DERIVATIONS :
                                                    This field is derived by checking for the presence of
                                                    procedure codes on the last claim record included in the
                                                    stay.

                                                    SOURCE         : NCH

                                                    CODE TABLE     : MEDPAR_SRGCL_PRCDR_IND_TB

  131. MEDPAR Surgical Procedure Group
                               354    914   1267    GRP


  132. MEDPAR Surgical Procedure Code Count
                                 2    914    915    NUM

                                                    The count of the number of surgical procedure codes included
                                                    in the stay.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MSPCDCNT
                                                    STANDARD ALIAS : MEDPAR_SRGCL_PRCDR_CD_CNT

                                                    LENGTH         : 2    SIGNED : N

                                                    DERIVATIONS :
                                                    This field is derived by counting the procedure codes
                                                    that are reported on the last claim record included in
                                                    the stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                          RANGE: 0 through 6

  133. MEDPAR Surgical Procedure Performed Date Count
                                 2    916    917    NUM

                                                    The count of the number of dates associated with the
                                                    surgical procedures included in the stay.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MSPDTCNT
                                                    STANDARD ALIAS : MEDPAR_SRGCL_PRCDR_DT_CNT

                                                    LENGTH         : 2    SIGNED : N

                                                    DERIVATIONS :
                                                    This field is derived by counting the surgical procedures
                                                    dates that are reported on the last claim record included
                                                    in the stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                          RANGE: 0 THROUGH 6

  134. MEDPAR Surgical Procedure Version Code
                                25    918    942    CHAR

                                                    Effective with Version 'J', the code used to indicate if
                                                    the surgical procedure code is ICD-9 or ICD-10.

                                                    NOTE:  With 5010, the diagnosis and procedure codes have
                                                    been expanded to accommodate ICD-10, even though ICD-10
                                                    is not scheduled for implementation until 10/2013.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MSPVRSN
                                                    STANDARD ALIAS : MEDPAR_SRGCL_PRCDR_VRSN_CD

                                                    LENGTH         : 1

                                                    CODE TABLE     : CLM_PRCDR_VRSN_TB

                                                    OCCURS MIN: 25 OCCURS MAX: 0

  135. MEDPAR Surgical Procedure Code
                               175    943   1117    CHAR

                                                    The ICD-9-CM code identifying the principal or other
                                                    surgical procedure performed during the beneficiary's stay.
                                                    This element is part of the MEDPAR surgical procedure group.
                                                    It may occur up to 6 times.

                                                    NOTE1: Effective with Version 'J', this field has been
                                                    expanded from 5 bytes to 7 bytes to accommodate the
                                                    future implementation of ICD-10.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MSPCD
                                                    STANDARD ALIAS : MEDPAR_SRGCL_PRCDR_CD

                                                    LENGTH         : 7

                                                    DERIVATIONS :
                                                    This field is the actual principal surgical procedure
                                                    code (1st occurrence) or one of up to 5 other surgical
                                                    procedure codes that may be present on the last claim
                                                    record included in the stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                          4 POSITION Surgical Procedure Code LEFT JUSTIFIED

                                                    OCCURS MIN: 25 OCCURS MAX: 0

  136. MEDPAR Surgical Procedure Performed Date
                               100   1118   1217    PACK

                                                    The date on which the icd-9-cm surgical procedure was
                                                    performed during the beneficiary's stay.  This element is
                                                    part of the MEDPAR surgical procedure group.  It can occur
                                                    up to 6 times.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MSPDT
                                                    STANDARD ALIAS : MEDPAR_SRGCL_PRCDR_PRFRM_DT

                                                    LENGTH         : 7    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is the actual date associated with the
                                                    principal or one of up to 5 other surgical procedure
                                                    codes that is present on the last claim record
                                                    included in the stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                          +YYYYDDD

                                                    OCCURS MIN: 25 OCCURS MAX: 0

  137. FILLER                                       CHAR
                                50   1218   1267
                                                    DB2      ALIAS : UNDEFINED

                                                    LENGTH         : 50

  138. MEDPAR Blood Pints Furnished Quantity
                                 2   1268   1269    PACK

                                                    The quantity of blood (number of whole pints) furnished to
                                                    the beneficiary during the stay.  Note:  this includes blood
                                                    pints replaced as well as not replaced.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MBPFQTY
                                                    STANDARD ALIAS : MEDPAR_BLOOD_PT_FRNSH_QTY

                                                    LENGTH         : 3    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the blood pints
                                                    furnished quantity from all claim records included in
                                                    the stay.

                                                    SOURCE         : NCH

  139. MEDPAR Beneficiary Identification Code
                                 2   1270   1271    CHAR

                                                    The BIC reported on the first claim record included in the
                                                    stay, representing the values existing on the CWF
                                                    beneficiary master record on the date the CWF host site
                                                    processed the claim.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MBIC
                                                    STANDARD ALIAS : MEDPAR_BENE_IDENT_CD

                                                    LENGTH         : 2

                                                    SOURCE         : NCH

                                                    CODE TABLE     : BENE_IDENT_TB

  140. MEDPAR DRG Code
                                 4   1272   1275    NUM

                                                    The code used to identify the DRG code to which the claims that
                                                    comprise the stay belong for payment purposes.

                                                    DB2      ALIAS : MEDPAR_DRG_CD
                                                    STANDARD ALIAS : MEDPAR_DRG_CD

                                                    LENGTH         : 4    SIGNED : N

                                                    DERIVATIONS :
                                                    This field comes from the actual DRG code that is
                                                    present on the last claim record included in the stay.
                                                    exception:  if the DRG code is not present
                                                    (e.g., claims from Maryland and PPS-exempt hospital unit
                                                    do not have a DRG), a valid DRG is obtained using the
                                                    grouper software and is moved to this field.

                                                    SOURCE         : NCH

  141. MEDPAR Discharge Destination Code
                                 2   1276   1277    NUM

                                                    The code primarily indicating the destination of the
                                                    beneficiary upon discharge from a facility; also denotes
                                                    death or SNF/still patient situations.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MDSCHRG
                                                    STANDARD ALIAS : MEDPAR_DSCHRG_DSTNTN_CD

                                                    LENGTH         : 2    SIGNED : N

                                                    DERIVATIONS :
                                                    This field comes from the claim status code that is
                                                    present on the last claim record included in the stay.

                                                    SOURCE         : NCH

                                                    CODE TABLE     : PTNT_DSCHRG_STUS_TB

  142. MEDPAR DRG/Outlier Stay Code
                                 1   1278   1278    NUM

                                                    The code identifying (1) for PPS providers if the stay has
                                                    an unusually long length (day outlier) or high cost (cost
                                                    outlier); or (2) for non-PPS providers the source for
                                                    developing the DRG.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MDRGOUT
                                                    STANDARD ALIAS : MEDPAR_DRG_OUTLIER_STAY_CD

                                                    LENGTH         : 1    SIGNED : N

                                                    DERIVATIONS :
                                                    This field is the actual DRG outlier stay code that is
                                                    present on the last claim record included in the stay.
                                                    Applicable to PPS providers:
                                                    0 = No Outlier
                                                    1 = Day Outlier
                                                    2 = Cost Outlier

                                                    Applicable to Non-PPS Providers:
                                                    6 = Valid DRG Received From Intermediary
                                                    7 = HCFA-Developed DRG
                                                    8 = HCFA-Developed DRG Using Claim Status Code
                                                    9 = Not Groupable

                                                    SOURCE         : NCH

  143. MEDPAR Beneficiary Primary Payer Code
                                 1   1279   1279    CHAR

                                                    The code indicating the type of payer who has primary
                                                    responsibility for the payment of the Medicare beneficiary's
                                                    claims related to the stay.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MBENEPP
                                                    STANDARD ALIAS : MEDPAR_BENE_PRMRY_PYR_CD

                                                    LENGTH         : 1

                                                    DERIVATIONS :
                                                    This field comes from the primary payer code that is
                                                    present on the first claim record included in the stay.

                                                    SOURCE         : NCH

                                                    CODE TABLE     : MEDPAR_BENE_PRMRY_PYR_TB

  144. MEDPAR ESRD Condition Code
                                 2   1280   1281    NUM

                                                    The code indicating if the beneficiary had an ESRD condition
                                                    reported during the stay.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MESRDCD
                                                    STANDARD ALIAS : MEDPAR_ESRD_COND_CD

                                                    LENGTH         : 2    SIGNED : N

                                                    DERIVATIONS :
                                                    This field is derived by checking for condition codes 70
                                                    - 76 on any of the claim records included in the stay.

                                                    SOURCE         : NCH

                                                    CODE TABLE     : MEDPAR_ESRD_COND_TB

  145. MEDPAR Source Inpatient Admission Code
                                 1   1282   1282    CHAR

                                                    The code indicating the source of the beneficiary's
                                                    admission to an Inpatient facility or, for newborn
                                                    admission, the type of delivery.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MIPADMSN
                                                    STANDARD ALIAS : MEDPAR_SRC_IP_ADMSN_CD

                                                    LENGTH         : 1

                                                    DERIVATIONS :
                                                    This field comes from the source Inpatient admission code
                                                    that is present on the last claim record included in the
                                                    stay.

                                                    SOURCE         : NCH

                                                    CODE TABLE     : CLM_SRC_IP_ADMSN_TB

  146. MEDPAR Inpatient Admission Type Code
                                 1   1283   1283    CHAR

                                                    The code indicating the type and priority of the
                                                    beneficiary's admission to a facility for the Inpatient
                                                    hospital stay.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MADTYPE
                                                    STANDARD ALIAS : MEDPAR_IP_ADMSN_TYPE_CD

                                                    LENGTH         : 1

                                                    DERIVATIONS :
                                                    This field comes from the Inpatient admission type code
                                                    that is present on the last claim record included in the
                                                    stay.

                                                    SOURCE         : NCH

  147. MEDPAR Fiscal Intermediary/Carrier Identification Number
                                 5   1284   1288    CHAR

                                                    The identification of the intermediary processing the
                                                    beneficiary's claims related to the stay.

                                                    NOTE:  This field comes from the intermediary number that is
                                                    present on the first claim record included in the stay.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MFICARR
                                                    STANDARD ALIAS : MEDPAR_FICARR_IDENT_NUM

                                                    LENGTH         : 5

                                                    SOURCE         : NCH

  148. MEDPAR Admitting Diagnosis Code Group
                                 8   1289   1296    GRP


  149. MEDPAR Admitting Diagnosis Version Code
                                 1   1289   1289    CHAR

                                                    Effective with Version 'J', the code used to indicate
                                                    if the diagnosis code is ICD-9 or ICD-10.

                                                    NOTE:  With 5010 the diagnosis and procedure codes have
                                                    been expanded to accommodate ICD-10, even though ICD-10
                                                    is not scheduled for implementation until 10/2013.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MADVRSN
                                                    STANDARD ALIAS : MEDPAR_ADMTG_DGNS_VRSN_CD

                                                    LENGTH         : 1

                                                    CODE TABLE     : CLM_ADMTG_DGNS_VRSN_TB

  150. MEDPAR Admitting Diagnosis Code
                                 7   1290   1296    CHAR

                                                    The ICD code indicating the beneficiary's initial
                                                    diagnosis at the time of admission.

                                                    NOTE:  This field comes from the admitting diagnosis code
                                                    that is present on the last claim record included in the
                                                    stay.
                                                    A diagnosis code on the institutional claim
                                                    indicating the beneficiary's initial diagnosis
                                                    at admission.

                                                    NOTE1:  Effective 1/1/2004 with the implementa-
                                                    tion of NCH/NMUD CR#1, the admitting diagnosis (also
                                                    known as reason for patient visit) was added to the
                                                    Outpatient claim. This data was stored in positions
                                                    572-576 (FILLER) until the implementation of NCH/NMUD
                                                    CR#2.  Prior to 1/1/2004, this field was only present
                                                    on inpatient claims.

                                                    Additional exception:  Virgin Island hospitals and
                                                    hospitals that furnish only inpatient Part B services.

                                                    NOTE2: Effective with Version 'J', this field has been
                                                    expanded from 5 bytes to 7 bytes to accommodate the
                                                    future implementation of ICD-10.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MADGNSCD

                                                    LENGTH         : 7

  151. MEDPAR Admission Death Day Count
                                 3   1297   1299    PACK

                                                    The count of the number of days from the date the
                                                    beneficiary was admitted to a facility to the beneficiary's
                                                    date of death (DOD).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MADDCNT
                                                    STANDARD ALIAS : MEDPAR_ADMSN_DEATH_DAY_CNT

                                                    LENGTH         : 5    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by counting the number of days
                                                    between the MEDPAR admission date (the admission date
                                                    present on the first claim record included in the stay)
                                                    and MEDPAR beneficiary death date (the death date present
                                                    on the enrollment database, which is accessed prior to
                                                    creation of the quarterly MEDPAR file).

                                                    SOURCE         : NCH/EDB

                                                    LIMITATIONS :

                                                      REFER TO :
                                                       MEDPAR_ADMSN_DEATH_DAY_CNT_LIM

  152. MEDPAR Internal Use (By IPSB) Code
                                 3   1300   1302    NUM

                                                    Limited availability; for internal use only.  Where not
                                                    available, this field will contain zeroes.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MIUIPSB
                                                    STANDARD ALIAS : MEDPAR_INTRNL_USE_IPSB_CD

                                                    LENGTH         : 3    SIGNED : N

  153. MEDPAR Internal Use File Date Code
                                 1   1303   1303    NUM

                                                    Limited availability; for internal use only to to identify
                                                    fiscal year/calendar year segments.  Where not available,
                                                    this field will contain a zero.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MIUFILDT
                                                    STANDARD ALIAS : MEDPAR_INTRNL_USE_FIL_DT_CD

                                                    LENGTH         : 1    SIGNED : N

  154. MEDPAR Internal Use Sample Size Code
                                 1   1304   1304    NUM

                                                    Limited availability; for internal use only to identify the
                                                    MEDPAR sample size:  20% (HIC 9th digit = 0, 5); 20% (HIC
                                                    9th digit = 4, 8; 60% (remainder).  Where not available,
                                                    this field will contain a zero.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MIUSSCD
                                                    STANDARD ALIAS : MEDPAR_INTRNL_USE_SMPL_SIZE_CD

                                                    LENGTH         : 1    SIGNED : N

  155. MEDPAR Warning Indicators Code
                                 9   1305   1313    PACK

                                                    The codes (commonly called warning indicators) specifying
                                                    detailed billing information obtained from the claims
                                                    analyzed for the stay process.  The purpose of these codes
                                                    is to provide additional information for the MEDPAR user;
                                                    i.e., let the user know whether or not the stay included
                                                    adjustments, a single claim or multiple claims, any error
                                                    conditions, etc..

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MWRNGIND
                                                    STANDARD ALIAS : MEDPAR_WRNG_IND_CD

                                                    LENGTH         : 17    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is packed.  Each of the digits identify
                                                    a specific item of interest to users of the
                                                    MEDPAR file.  Warning indicators 1 and 6, and the first
                                                    two values of indicator 8, are set early in the process -
                                                    while processing all claims through the final action
                                                    algorithm, prior to the creation of the stay record. The
                                                    other indicators are derived from the claims remaining
                                                    after the final action processing, which are used to
                                                    create the stay record.

                                                    SOURCE         : MEDPAR

                                                    CODE TABLE     : MEDPAR_WRNG_IND_TB

  156. MEDPAR Claim Patient Relationship Code
                                 2   1314   1315    CHAR

                                                    The code used to identify the patient relationship to the
                                                    beneficiary.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : PRLTNSHP
                                                    STANDARD ALIAS : MEDPAR_CLM_PTNT_RLTNSHP_CD

                                                    LENGTH         : 2

                                                    DERIVATIONS :
                                                    This field comes from the patient relationship code
                                                    (CLM-PTNT-RLTNSHP-CD) that is present on the
                                                    first claim record included in the stay.
                                                    If there is no patient relationship code on the
                                                    1st claim then take the first found code on
                                                    any of the other claims that make up the stay.

                                                    SOURCE         : NCH

                                                    CODE TABLE     : CLM_PTNT_RLTNSHP_TB

  157. MEDPAR Care Improvement Model 1 Code
                                 2   1316   1317    CHAR

                                                    Effective with CR#7, the code used to identify that
                                                    the care improvement model 1 is being used for
                                                    bundling payments.  The valid value for care
                                                    improvement model 1 is '61'.  This value is also
                                                    reflected in the demonstration trailer.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : CMODEL1
                                                    STANDARD ALIAS : MEDPAR_CARE_IMPRVMT_MODEL_1_CD

                                                    LENGTH         : 2

                                                    DERIVATIONS :
                                                    This field comes from the Claim Care Improvement
                                                    Model (CLM- CARE-IMPRVMT-MODEL-1-CD) code that is
                                                    present on the first claim record included in the
                                                    stay.  If there is no Claim Care Improve Model
                                                    code on the 1st claim then take the first found
                                                    code on a the other claims that make up the stay.

                                                    SOURCE         : NCH

                                                    CODE TABLE     : CLM_CARE_IMPRVMT_MODEL_TB

  158. MEDPAR Care Improvement Model 2 Code
                                 2   1318   1319    CHAR

                                                    Effective with CR#7, the code used to identify that
                                                    the care improvement model 2 is being used for
                                                    bundling payments.  The valid value for care
                                                    improvement model 2 is '62'.  This value is also
                                                    reflected in the demonstration trailer.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : CMODEL2
                                                    STANDARD ALIAS : MEDPAR_CARE_IMPRVMT_MODEL_2_CD

                                                    LENGTH         : 2

                                                    DERIVATIONS :
                                                    This field comes from the Claim Care Improvement
                                                    Model (CLM- CARE-IMPRVMT-MODEL-2-CD) code that is
                                                    present on the first claim record included in
                                                    the stay.  If there is no Claim Care Improvement
                                                    Model code on the 1st claim then take the first
                                                    found code on any of the other claims that
                                                    make up the stay.

                                                    SOURCE         : NCH

                                                    CODE TABLE     : CLM_CARE_IMPRVMT_MODEL_TB

  159. MEDPAR Care Improvement Model 3 Code
                                 2   1320   1321    CHAR

                                                    Effective with CR#7, the code used to identify that the
                                                    care improvement model 3 is being used for bundling payments.
                                                    The valid value for care improvement model 3 is '63'.  This
                                                    value is also reflected in the demonstration trailer.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : CMODEL3
                                                    STANDARD ALIAS : MEDPAR_CARE_IMPRVMT_MODEL_3_CD

                                                    LENGTH         : 2

                                                    DERIVATIONS :
                                                    This field comes from the Claim Care Improvement
                                                    Model (CLM- CARE-IMPRVMT-MODEL-3-CD) code that is
                                                    present on the first claim record included in
                                                    the stay.  If there is no Claim Care Improvement
                                                    Model code on the 1st claim then take the first
                                                    found code on any of the other claims that
                                                    make up the stay.

                                                    SOURCE         : NCH

                                                    CODE TABLE     : CLM_CARE_IMPRVMT_MODEL_TB

  160. MEDPAR Care Improvement Model 4 Code
                                 2   1322   1323    CHAR

                                                    Effective with CR#7, the code used to identify that the
                                                    care improvement model 4 is being used for bundling payments.
                                                    The valid value for care improvement model 4 is '64'.  This
                                                    value is also reflected in the demonstration trailer.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : CMODEL4
                                                    STANDARD ALIAS : MEDPAR_CARE_IMPRVMT_MODEL_4_CD

                                                    LENGTH         : 2

                                                    DERIVATIONS :
                                                    This field comes from the Claim Care Improvement
                                                    Model (CLM- CARE-IMPRVMT-MODEL-4-CD) code that is
                                                    present on the first claim record included in
                                                    the stay.  If there is no Claim Care Improvement
                                                    Model code on the 1st claim then take the first
                                                    found code on any of the other claims that
                                                    make up the stay.

                                                    SOURCE         : NCH

                                                    CODE TABLE     : CLM_CARE_IMPRVMT_MODEL_TB

  161. MEDPAR VBP Participant Indicator Code
                                 1   1324   1324    CHAR

                                                    The code used to identify a reason a hospital is
                                                    excluded from the Hospital Value Based Purchasing (HVBP)
                                                    progam. The ACA (Section 3001) excludes from HVBP
                                                    program hospitals that meet certain conditions.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : VBPIND
                                                    STANDARD ALIAS : MEDPAR_VBP_PRTCPNT_IND_CD

                                                    LENGTH         : 1

                                                    DERIVATIONS :
                                                    This field comes from the Claim VBP
                                                    Participant Indicator code (CLM-VBP-PRTCPNT-
                                                    IND-CD) that is present on the first claim
                                                    record included in the stay.  If there is
                                                    no Claim VBP Participant Indicator code on the
                                                    first claim then take the first found code on any
                                                    of the other claims that make up the stay.

                                                    SOURCE         : NCH

                                                    CODE TABLE     : CLM_VBP_PRTCPNT_IND_TB

  162. MEDPAR HRR Participant Indicator Code
                                 1   1325   1325    CHAR

                                                    The code used to identify whether the facility is
                                                    participating in the Hospital Readmission Reduction
                                                    Program.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : HRRIND
                                                    STANDARD ALIAS : MEDPAR_HRR_PRTCPNT_IND_CD

                                                    LENGTH         : 1

                                                    DERIVATIONS :
                                                    This field comes from the Claim HRR
                                                    Participant Indicator code (CLM-HRR-
                                                    PRTCPNT-IND-CD) that is present on the first
                                                    claim record included in the stay.  If there is no
                                                    Claim HRR Participant Indicator code on the first
                                                    claim then take the first found code on any of the
                                                    other claims that make up the stay.

                                                    SOURCE         : NCH

                                                    CODE TABLE     : CLM_HRR_PRTCPNT_IND_TB

  163. MEDPAR Bundled Model 1 Discount Percent
                                 2   1326   1327    PACK

                                                    The field used to identify the discount percentage
                                                    that will be applied to the payment for all of the
                                                    hospitals' DRG over the lifetime of the initiative.
                                                    The hospital must be participating in the Model 1
                                                    Bundled Payments for Care Improvement initiative.

                                                    DB2      ALIAS : UNDEFINED
                                                    STANDARD ALIAS : MEDPAR_BNDLD_MODEL_DSCNT_PCT

                                                    LENGTH         : .3    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field comes from the Claim Bundled Model Discount
                                                    (CLM-BNDLD-MODEL-1-DSCNT-PCT) that is present on the
                                                    last record included in the stay.

                                                    SOURCE         : NCH

  164. MEDPAR VBP Adjustment Percent
                                 7   1328   1334    PACK

                                                    Under the Hospital Value Based Purchasing (HVBP)
                                                    program, the percent used to identify an adjustment
                                                    made to certain subsection (d) IPPS hospitals base
                                                    operating DRG amount, in accordance with their Total
                                                    Performance Score (TPS) as required by the Affordable
                                                    Care Act (ACA).  This is the Value Based Purchasing
                                                    Score.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : VBPPCT
                                                    STANDARD ALIAS : MEDPAR_VBP_ADJSTMT_PCT

                                                    LENGTH         : 1.11    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field comes from the Claim VBP
                                                    Adjustment Percent (CLM-VBP-CLM-
                                                    ADJSTMT-PCT) that is present on the last
                                                    claim record included in the stay.

                                                    SOURCE         : NCH

  165. MEDPAR HRR Adjustment Percent
                                 3   1335   1337    PACK

                                                    Under the Hospital Readmission Reduction (HRR)
                                                    Program, the percent used to identify the readmission
                                                    adjustment factor that will be applied in determining
                                                    a "subsection (d) hospital's operating IPPS payment
                                                    amount in accordance with Section 3025 of the
                                                    Affordable Care Act (ACA).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : HRRPCT
                                                    STANDARD ALIAS : MEDPAR_HRR_ADJSTMT_PCT

                                                    LENGTH         : 1.4    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field comes from the Claim HRR
                                                    Adjustment Percent (CLM-HRR-ADJSTMT-PCT) that
                                                    is present on the last claim record
                                                    included in the stay.

                                                    SOURCE         : NCH

  166. MEDPAR Informational Encounter Indicator Switch
                                 1   1338   1338    CHAR

                                                    The switch used to identify if a beneficiary is
                                                    enrolled in a Managed Care Organization.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : ENCTRIND
                                                    STANDARD ALIAS : MEDPAR_INFRMTL_ENCTR_IND_SW

                                                    LENGTH         : 1

                                                    DERIVATIONS :
                                                    If any claim that comprises the Stay has
                                                    has a condition code (CLM RLT COND CD) equal to
                                                    '04' populate the MEDPAR Informational Encounter
                                                    Switch with a 'Y'.  If no '04' condition code,
                                                    populate field with an 'N'.

                                                    SOURCE         : NCH

                                                    CODE TABLE     : MEDPAR_INFRMTL_ENCTR_IND_TB

  167. MEDPAR MA Teaching Indicator Switch
                                 1   1339   1339    CHAR

                                                    The code used to identify whether the claim contains any
                                                    request for supplemental IME/DGME/N&AH payment.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MATCHNG
                                                    STANDARD ALIAS : MEDPAR_MA_TCHNG_IND_SW

                                                    LENGTH         : 1

                                                    DERIVATIONS :
                                                    If any claim that comprises the Stay has
                                                    has a condition code (CLM-RLT-COND-CD) equal to
                                                    '69' populate the MEDPAR MA Teaching Indicator
                                                    Switch with a 'Y'.  If no '69' condition code,
                                                    populate field with an 'N'.

                                                    SOURCE         : NCH

                                                    CODE TABLE     : MEDPAR_MA_TCHNG_IND_TB

  168. MEDPAR Product Replacement within Product Lifecycle Switch
                                 1   1340   1340    CHAR

                                                    The switch used to identify whether a
                                                    claim involves the replacement of a product
                                                    earlier than the anticipated lifecycle due to an
                                                    indication the product is not functioning properly.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : RLIFECYC
                                                    STANDARD ALIAS : MEDPAR_PROD_RPLCMT_LIFECYC_SW

                                                    LENGTH         : 1

                                                    DERIVATIONS :
                                                    If any claim that comprises the Stay has
                                                    has a condition code (CLM-RLT-COND-CD) equal to
                                                    '49' populate the MEDPAR Product Replacement within
                                                    Product Lifecycle Switch with a 'Y'.  If no '49'
                                                    condition code, populate field with an 'N'.

                                                    SOURCE         : NCH

                                                    CODE TABLE     : MEDPAR_PROD_RPLCMT_LIFECYC_TB

  169. MEDPAR Product Replacement for known Recall of Product Switch
                                 1   1341   1341    CHAR

                                                    The switch used to identify whether a claim involves
                                                    the replacement of a product as a result of the
                                                    Manufacturer or FDA having identified the product
                                                    for recall and therefore a replacement.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : RRCLLSW
                                                    STANDARD ALIAS : MEDPAR_PROD_RPLCMT_RCLL_SW

                                                    LENGTH         : 1

                                                    DERIVATIONS :
                                                    If any claim that comprises the Stay has a
                                                    Condition code CLM-RLT-COND-CD)  equal to '50'
                                                    populate the MEDPAR Product Replacement Recall
                                                    Switch with a 'Y'.   If no '50' condition code

                                                    SOURCE         : NCH

                                                    CODE TABLE     : MEDPAR_PROD_RPLCMT_RCLL_TB

  170. MEDPAR Credit Received from Manufacturer for Replaced Medical Device Switch
                                 1   1342   1342    CHAR

                                                    The switch used to identify whether the provider
                                                    received a credit from the Manufacturer for a
                                                    replaced medical device.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : RPLCDDVC
                                                    STANDARD ALIAS : MEDPAR_CRED_RCVD_RPLCD_DVC_SW

                                                    LENGTH         : 1

                                                    DERIVATIONS :
                                                    If any claim that comprises the Stay has a
                                                    value code (CLM-VAL-CD) equal to 'FD' populate
                                                    the MEDPAR Credit Received from Manufacturer for
                                                    Replaced Medical Device Switch with a 'Y'.
                                                    If no 'FD' value code, populate field with an 'N'.

                                                    SOURCE         : NCH

                                                    CODE TABLE     : MEDPAR_CRED_RCVD_RPLCD_DVC_TB

  171. MEDPAR Observation Switch
                                 1   1343   1343    CHAR

                                                    The switch used to identify whether the claim involves
                                                    treatment or observation in an observation room.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : OBSRVTN
                                                    STANDARD ALIAS : MEDPAR_OBSRVTN_SW

                                                    LENGTH         : 1

                                                    DERIVATIONS :
                                                    If any claim that comprises the Stay has a
                                                    revenue center code (REV-CNTR-CD) equal to '0762'
                                                    populate the MEDPAR Observation Switch with a 'Y'.
                                                    If no '0762' revenue center code populate field
                                                    with an 'N'.

                                                    SOURCE         : NCH

                                                    CODE TABLE     : MEDPAR_OBSRVTN_TB

  172. MEDPAR New Technology Add On Amount
                                 5   1344   1348    PACK

                                                    The amount of payments made for discharges involving approved
                                                    new technologies. If the total covered costs of the discharge
                                                    exceeds the DRG payment for the case (including adjustments for
                                                    IME and disproportionate share hospitals (DSH) but excluding
                                                    outlier payments) an add-on amount is made indicating a new
                                                    technology was used in the treatment of the beneficiary.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : ADDONAMT
                                                    STANDARD ALIAS : MEDPAR_NEW_TCHNLGY_ADD_ON_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the
                                                    amount field (CLM-VAL-AMT) found in the value code
                                                    trailer for value code (CLM-VAL-CD) equal to '77'
                                                    for any claim records included in the stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                          +$$$$$$$$$
                                                          ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  173. MEDPAR Base Operating DRG Amount
                                 5   1349   1353    PACK

                                                    The sum of the claim base operating DRG amounts reported
                                                    on the claims that comprise the stay.

                                                    The base operating DRG amount used to identify the
                                                    wage-adjusted DRG operating payment plus the new
                                                    technology add-on payment.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : BASE_OPRTG_DRG_AMT
                                                    SAS      ALIAS : BODRGAMT
                                                    STANDARD ALIAS : MEDPAR_BASE_OPRTG_DRG_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the Claim Base
                                                    Operating DRG amount (CLM-BASE-OPRTG-DRG-AMT) that
                                                    is present on any of the claim records included
                                                    in the stay (i.e. the sum of the claim base
                                                    operating DRG amounts reported on the claims that
                                                    comprise the stay).

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                          +$$$$$$$$$
                                                          ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  174. MEDPAR Operating HSP Amount
                                 5   1354   1358    PACK

                                                    The sum of the claim operating HSP amounts reported
                                                    on the claims that comprise the stay.

                                                    The operating HSP amount is used to identify the
                                                    difference between the HSP rate payment (updated HSP
                                                    x DRG weight) and the federal rate payment (includes
                                                    DSH, IME, outliers, etc. as applicable) when HSP rate
                                                    payment exceeds Federal rate payment (otherwise $0).

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : OPRTGHSP
                                                    STANDARD ALIAS : MEDPAR_OPRTG_HSP_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the
                                                    Claim Operating HSP Amount (CLM_OPRTG_HSP_AMT)
                                                    that is present on any of the claim records
                                                    included in the stay (i.e. the sum of the claim
                                                    operating HSP amounts reported on the claims
                                                    that comprise the stay).

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                          +$$$$$$$$$
                                                          ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  175. MEDPAR Medical Surgical General Amount
                                 5   1359   1363    PACK

                                                    The charge amount (rounded to whole dollars) for the
                                                    medical/surgical general supplies related to the
                                                    beneficiary's stay.


                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : GNRLAMT
                                                    STANDARD ALIAS : MEDPAR_MDCL_SRGCL_GNRL_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is dervived by accumulating the
                                                    revenue center total charge amount (REV-CNTR-
                                                    TOT-CHRG-AMT) associated with revenue center
                                                    code (REV CNTR CD) '0270' from all claim records
                                                    included in the stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                          +$$$$$$$$$
                                                          ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  176. MEDPAR Medical Surgical Non-Sterile Supplies Amount
                                 5   1364   1368    PACK

                                                    The charge amount (rounded to whole dollars) for the
                                                    medical/surgical nonsterile supplies related to the
                                                    beneficiary's stay.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : NSTRLAMT
                                                    STANDARD ALIAS : MEDPAR_MDCL_SRGCL_NSTRL_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the revenue
                                                    center total charge amount (REV-CNTR-TOT-CHRG-AMT)
                                                    associated with revenue center code (REV-CNTR-CD)
                                                    '0271' from all claim records included in the stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                          +$$$$$$$$$
                                                          ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  177. MEDPAR Medical Surgical Sterile Supplies Amount
                                 5   1369   1373    PACK

                                                    The charge amount (rounded to whole dollars) for the
                                                    medical/surgical sterile supplies related to the
                                                    beneficiary's stay.


                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : STRLAMT
                                                    STANDARD ALIAS : MEDPAR_MDCL_SRGCL_STRL_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulalting the revenue
                                                    center total charge amount (REV-CNTR-TOT-CHRG-AMT)
                                                    associated with revenue center code (REV-CNTR-CD)
                                                    '0272' from all claim records included in the
                                                    stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                          +$$$$$$$$$
                                                          ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  178. MEDPAR Take Home Amount
                                 5   1374   1378    PACK

                                                    The charge amount (rounded to whole dollars) for the
                                                    medical/surgical take home supplies related to the
                                                    beneficiary's stay.


                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : TAKEHOME
                                                    STANDARD ALIAS : MEDPAR_TAKE_HOME_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the revenue
                                                    center total charge amount (REV-CNTR-TOT-CHRG-AMT)
                                                    associated with revenue center code (REV-CNTR-CD)
                                                    '0273' from all claim records included in the stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                          +$$$$$$$$$
                                                          ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  179. MEDPAR Prosthetic Orthotic Amount
                                 5   1379   1383    PACK

                                                    The charge amount (rounded to whole dollars) for the
                                                    medical/surgical prosthetic/orthotic supplies
                                                    related to the beneficiary's stay.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : PORTHTC
                                                    STANDARD ALIAS : MEDPAR_PRSTHTC_ORTHTC_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the revenue
                                                    center total charge amount (REV-CNTR-TOT-CHRG-AMT)
                                                    associated with revenue center code (REV-CNTR-CD)
                                                    '0274' from all claim records included in the
                                                    stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                          +$$$$$$$$$
                                                          ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  180. MEDPAR Medical Surgical Pacemaker Amount
                                 5   1384   1388    PACK

                                                    The charge amount (rounded to whole dollars) for the
                                                    medical/surgical pacemaker supplies related to the
                                                    beneficiary's stay.


                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : PCMKRAMT
                                                    STANDARD ALIAS : MEDPAR_MDCL_SRGCL_PCMKR_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the revenue
                                                    center total charge amount (REV-CNTR-TOT-CHRG-
                                                    AMT) associated with revenue center code (REV-
                                                    CNTR-CD) '0275' from all claim records included
                                                    in the stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                          +$$$$$$$$$
                                                          ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  181. MEDPAR Intraocular Lens Amount
                                 5   1389   1393    PACK

                                                    The charge amount (rounded to whole dollars) for the
                                                    medical/surgical intraocular lens supplies related
                                                    to the beneficiary's stay.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : INTROCLR
                                                    STANDARD ALIAS : MEDPAR_INTRAOCULAR_LENS_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the revenue
                                                    center total charge amount (REV-CNTR-TOT-CHRG-AMT)
                                                    associated with revenue center code (REV-CNTR-CD)
                                                    '0276' from all claim records included in the stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                          +$$$$$$$$$
                                                          ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  182. MEDPAR Oxygen Take Home Amount
                                 5   1394   1398    PACK

                                                    The charge amount (rounded to whole dollars) for the
                                                    medical/surgical oxygen take home supplies related
                                                    to the beneficiary's stay.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : OXYGNAMT
                                                    STANDARD ALIAS : MEDPAR_OXYGN_TAKE_HOME_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the revenue
                                                    center total charge amount (REV-CNTR-TOT-CHRG-AMT)
                                                    associated with revenue center code (REV-CNTR-CD)
                                                    '0277' from all claim records included in the stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                          +$$$$$$$$$
                                                          ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  183. MEDPAR Other Implants Amount
                                 5   1399   1403    PACK

                                                    The charge amount (rounded to whole dollars) for the
                                                    medical/surgical other implant supplies related to
                                                    the beneficiary's stay.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : OIMPLANT
                                                    STANDARD ALIAS : MEDPAR_OTHR_IMPLANTS_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the revenue
                                                    center total charge amount (REV-CNTR-TOT-CHRG-AMT)
                                                    associated with revenue center code (REV-CNTR-CD)
                                                    '0278' from all claim records included in the stay

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                          +$$$$$$$$$
                                                          ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  184. MEDPAR Other Supplied Device Amount
                                 5   1404   1408    PACK

                                                    The charge amount (rounded to whole dollars) for the
                                                    medical/surgical other devices supplies related
                                                    to the beneficiary's stay.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : OSDVCAMT
                                                    STANDARD ALIAS : MEDPAR_OTHR_SUPLIES_DVC_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the revenue
                                                    center total charge amount (REV-CNTR-TOT-CHRG-AMT)
                                                    associated with revenue center code (REV-CNTR-CD)
                                                    '0279' from all claim records included in the stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                          +$$$$$$$$$
                                                          ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  185. MEDPAR Medical/Surgical Supplies Incident to Radiology Amount
                                 5   1409   1413    PACK

                                                    The charge amount (rounded to whole dollars) for the
                                                    medical/surgical supplies incident to radiology
                                                    related to the beneficiary's stay.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : IRDLGY
                                                    STANDARD ALIAS : MEDPAR_INCDNT_RDLGY_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the revenue
                                                    center total charge amount (REV-CNTR-TOT-CHRG-AMT)
                                                    associated with revenue center code (REV-CNTR-CD)
                                                    '0621' from all claim records included in the stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                          +$$$$$$$$$
                                                          ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  186. MEDPAR Medical/Surgical Supplies Incident to Other Diagnostic Service Amount
                                 5   1414   1418    PACK

                                                    The charge amount (rounded to whole dollars) for the
                                                    medical/surgical supplies incident to other diagnostic
                                                    services related to the beneficiary's stay.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : IDGNSTC
                                                    STANDARD ALIAS : MEDPAR_INCDNT_DGNSTC_SRVCS_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the revenue
                                                    center total charge amount (REV-CNTR-TOT-CHRG-AMT)
                                                    associated with revenue center code (REV-CNTR-CD)
                                                    '0622' from all claim records included in the stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                          +$$$$$$$$$
                                                          ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  187. MEDPAR Medical Surgical Dressing Amount
                                 5   1419   1423    PACK

                                                    The charge amount (rounded to whole dollars) for the
                                                    medical/surgical dressing supplies related to the
                                                    beneficiary's stay.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MSDRSNG
                                                    STANDARD ALIAS : MEDPAR_MDCL_SRGCL_DRSNG_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the revenue
                                                    center total charge amount (REV-CNTR-TOT-CHRG-AMT)
                                                    associated with revenue center code (REV CNTR CD)
                                                    '0623' from all claim records included in the stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                          +$$$$$$$$$
                                                          ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  188. MEDPAR Investigational Device Amount
                                 5   1424   1428    PACK

                                                    The charge amount (rounded to whole dollars) for the
                                                    medical/surgical investigational devices supplies
                                                    related to the beneficiary's stay.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : IDVCAMT
                                                    STANDARD ALIAS : MEDPAR_INVSTGTNL_DVC_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the revenue
                                                    center total charge amount (REV-CNTR-TOT-CHRG-AMT)
                                                    associated with revenue center code (REV-CNTR-CD)
                                                    '0624' from all claim records included in the stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                          +$$$$$$$$$
                                                          ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  189. MEDPAR Medical Surgical Miscellaneous Amount
                                 5   1429   1433    PACK

                                                    The charge amount (rounded to whole dollars) for the
                                                    medical/surgical miscellaneous supplies related to
                                                    the beneficiary's stay.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MISCAMT
                                                    STANDARD ALIAS : MEDPAR_MDCL_SRGCL_MISC_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the revenue
                                                    center total charge amount (REV-CNTR-TOT-CHRG-AMT)
                                                    associated with revenue center codes (REV-CNTR-CD_
                                                    '0620', '0625', '0626', '0627', '0628' & '0629'
                                                    from all claim records included in the stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                          +$$$$$$$$$
                                                          ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  190. MEDPAR Radiology Oncology Amount
                                 5   1434   1438    PACK

                                                    The charge amount (rounded to whole dollars) for the
                                                    oncology services/supplies related to the beneficiary's
                                                    stay.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : MEDPAR_RDLGY_ONCOL
                                                    STANDARD ALIAS : MEDPAR_RDLGY_ONCOLOGY_AMT

                                                    LENGTH         : 9    SIGNED : Y

  191. MEDPAR Radiology Diagnostic Amount
                                 5   1439   1443    PACK

                                                    The charge amount (rounded to whole dollars) for the
                                                    radiology diagnositic services related to the
                                                    beneficiary's stay.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : RDGNSTC
                                                    STANDARD ALIAS : MEDPAR_RDLGY_DGNSTC_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the revenue
                                                    center total charge amount (REV-CNTR-TOT-CHRG-AMT)
                                                    associated with revenue center codes (REV-CNTR-CD)
                                                    '0320', '0321', '0322','0323', '0324', '0325', '0326',
                                                    '0327', '0328' & '0329' from all claim records
                                                    included in the stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                          +$$$$$$$$$
                                                          ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  192. MEDPAR Radiology Therapeutic Amount
                                 5   1444   1448    PACK

                                                    The charge amount (rounded to whole dollars) for the
                                                    radiology therapeutic services/supplies related to the
                                                    beneficiary's stay.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : RTHRPTC
                                                    STANDARD ALIAS : MEDPAR_RDLGY_THRPTC_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the revenue
                                                    center total charge amount (REV-CNTR-TOT-CHRG-AMT)
                                                    associated with revenue center codes (REV-CNTR-CD)
                                                    '0330', '0331', '0332', '0333', '0334',  '0335',
                                                    '0336', '0337', '0338' & '0339' from all claim records
                                                    included in the stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                          +$$$$$$$$$
                                                          ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  193. MEDPAR Radiology Nuclear Medicine Amount
                                 5   1449   1453    PACK

                                                    The charge amount (rounded to whole dollars) for the
                                                    nuclear medicine services/supplies related to the
                                                    beneficiary's stay.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : NUCLRAMT
                                                    STANDARD ALIAS : MEDPAR_RDLGY_NUCLR_MDCN_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the revenue
                                                    center total charge amount (REV-CNTR-TOT-CHRG-AMT)
                                                    associated with revenue center codes (REV-CNTR-CD)
                                                    '0340', '0341', '0342', '0343', '0344',  '0345', '0346'
                                                    '0347', '0348' & '0349' from all claim records
                                                    included in the stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                          +$$$$$$$$$
                                                          ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  194. MEDPAR Radiology Computed Tomographic (CT) Amount
                                 5   1454   1458    PACK

                                                    The charge amount (rounded to whole dollars) for the
                                                    Computed Tomographic (CT) services related to the
                                                    beneficiary's stay.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : RCTSCAN
                                                    STANDARD ALIAS : MEDPAR_RDLGY_CT_SCAN_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the revenue
                                                    center total charge amount (REV-CNTR-TOT-CHRG-AMT)
                                                    associated with revenue center codes (REV-CNTR-CD)
                                                    '0350', '0351', '0352', '0353', '0354',  '0355', '0356',
                                                    '0357', '0358' & '0359' from all claim records
                                                    records included in the stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                          +$$$$$$$$$
                                                          ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  195. MEDPAR Radiology Other Imaging Services Amount
                                 5   1459   1463    PACK

                                                    The charge amount (rounded to whole dollars) for the
                                                    radiology other imaging services related to the
                                                    beneficiary's stay.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : OIMGNG
                                                    STANDARD ALIAS : MEDPAR_RDLGY_OTHR_IMGNG_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the revenue
                                                    center total charge amount (REV-CNTR-TOT-CHRG-AMT)
                                                    associated with revenue center codes (REV-CNTR-CD)
                                                    '0400', '0401', '0402', '0403', '0404', '0405', '0406',
                                                    '0407', '0408' & '0409' from all claim records
                                                    included in the stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                          +$$$$$$$$$
                                                          ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  196. MEDPAR Operating Room Amount
                                 5   1464   1468    PACK

                                                    The charge amount (rounded to whole dollars) for the
                                                    operating room services/supplies related to the
                                                    beneficiary's stay.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : ORAMT
                                                    STANDARD ALIAS : MEDPAR_OPRTG_ROOM_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the revenue
                                                    center total charge amount (REV-CNTR-TOT-CHRG-AMT)
                                                    associated with revenue center codes (REV-CNTR-CD)
                                                    '0360', '0361', '0362', '0363', '0364', '0365', '0366',
                                                    '0367', '0368', '0369', '0710', '0711', '0712',
                                                    '0713', '0714', '0715', '0717', '0718' & '0719'
                                                    from all claim records included in the stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                          +$$$$$$$$$
                                                          ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  197. MEDPAR Operating Room Labor and Delivery Amount
                                 5   1469   1473    PACK

                                                    The charge amount (rounded to whole dollars) for the
                                                    labor room/delivery services/supplies related to the
                                                    beneficiary's stay.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : LDLVRY
                                                    STANDARD ALIAS : MEDPAR_OR_LABOR_DLVRY_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the
                                                    revenue center total charge amount (REV-CNTR-
                                                    TOT-CHRG-AMT) associated with revenue center
                                                    code (REV-CNTR-CD) '0720', '0721', '0722',
                                                    '0723', '0724', '0725', '0726', '0727', '0728' &
                                                    '0729' from all claim records included in the stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                          +$$$$$$$$$
                                                          ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  198. MEDPAR Cardiac Catheterization Amount
                                 5   1474   1478    PACK

                                                    The charge amount (rounded to whole dollars) for the
                                                    cardiac catherization services/supplies related to the
                                                    beneficiary's stay.

                                                    NOTE:  Effective with MEDPAR2000 expansion, all amount
                                                    fields were expanded from S9(7) to S9(9).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : CATHRZTN
                                                    STANDARD ALIAS : MEDPAR_CRDC_CATHRZTN_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the
                                                    revenue center total charge amount (REV-CNTR-
                                                    TOT-CHRG-AMT) associated with revenue center
                                                    codes (REV-CNTR-CD) '0481' from all claim
                                                    records included in the stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                          +$$$$$$$$$
                                                          ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  199. MEDPAR Sequestration Reduction Amount
                                 5   1479   1483    PACK

                                                    This field represents the sequestration reduction amount
                                                    (rounded to whole dollars).

                                                    DB2      ALIAS : MEDPAR_SQSTRTN_AMT
                                                    SAS      ALIAS : MSQSTRTN
                                                    STANDARD ALIAS : MEDPAR_SQSTRTN_RDCTN_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the
                                                    amount field (CLM_VAL_AMT) found in the value
                                                    code value code (CLM_VAL_CD) equal to '73' for
                                                    any of the NCH claim records included in the stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                          +$$$$$$$$$
                                                          ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  200. MEDPAR Uncompensated Care Payment Amount
                                 5   1484   1488    PACK

                                                    This field represents the uncompensated care amount (rounded to
                                                    whole dollars) of the payment for DSH hospitals.  Uncompensated
                                                    care payments are effective for claims with discharge dates
                                                    on or after 10/1/13 forward.  For payment policies, see the
                                                    Affordable Care Act section 3133 and the FY 2014 final rule.

                                                    DB2      ALIAS : MEDPAR_UNCOMPD_AMT
                                                    SAS      ALIAS : MUNCOMPD
                                                    STANDARD ALIAS : MEDPAR_UNCOMPD_CARE_PMT_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the
                                                    Claim Uncompensated Care Payment Amount field (CLM_
                                                    UNCOMPD_CARE_PMT_1_AMT) that is present on any
                                                    of the NCH claim records included in the stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                          +$$$$$$$$$
                                                          ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  201. MEDPAR Bundled Adjustment Amount
                                 5   1489   1493    PACK

                                                    This field represents the amount (rounded to whole
                                                    dollars) the claim was reduced by. This field only applies
                                                    to providers participating in the CMMI Model 1 bundled
                                                    payment program and the adjustment is calculated off the
                                                    base operating DRG amount field.  See CMMI webpage for
                                                    details on the Model 1 bundled payment program.
                                                    https://innovation.cms.gov/initiatives/bundled-payments/

                                                    DB2      ALIAS : MEDPAR_BNDLD_AMT
                                                    SAS      ALIAS : MBNDLD
                                                    STANDARD ALIAS : MEDPAR_BNDLD_ADJSTMT_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the
                                                    Claim Bundled Adjustment Amount field (CLM_
                                                    BNDLD_ADJSTMT_AMT) that is present on any
                                                    of the NCH claim records included in the stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                          +$$$$$$$$$
                                                          ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  202. MEDPAR VBP Adjustment Amount
                                 5   1494   1498    PACK

                                                    This field represents the amount (rounded to whole dollars) of
                                                    the Hospital Value Based Purchasing (VBP) amount.  This could
                                                    be an additional payment on the claim or a reduction, depending
                                                    on the hospital's score.   For details on the VBP program see
                                                    the website: http://www.cms.gov/Medicare/Quality-Iniatives-
                                                    Patient-assessment-Instruments/hospital-value-based-purchasing/
                                                    index/html?redirect=/hospital-value-based-purchasing

                                                    DB2      ALIAS : MEDPAR_VBP_AMT
                                                    SAS      ALIAS : MVBPAMT
                                                    STANDARD ALIAS : MEDPAR_VBP_ADJSTMT_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the
                                                    Claim Value Base Purchasing Amount field (CLM_
                                                    VBP_ADJSTMT_AMT) that is present on any
                                                    of the NCH claim records included in the stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                          +$$$$$$$$$
                                                          ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  203. MEDPAR Hospital Readmission Reduction Amount
                                 5   1499   1503    PACK

                                                    This field represents the Hospital Readmission Reduction
                                                    (HRR) program amount. This is a reduction to the claim for
                                                    readmissions.  This field holds a negative amount.  For
                                                    details on the readmission program see website:
                                                    http://www.cms.gov/Medicare/Medicare-Fee-For-Service-Payment/
                                                    AcuteInpatientPPS/Readmissions-Reduction-Program.html

                                                    DB2      ALIAS : MEDPAR_HRR_AMT
                                                    SAS      ALIAS : MHRRAMT
                                                    STANDARD ALIAS : MEDPAR_HRR_ADJSTMT_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the
                                                    Claim Hospital Readmission Reduction Amount field
                                                    (CLM_HRR_ADJSTMT_AMT) that is present on any
                                                    of the NCH claim records included in the stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                          +$$$$$$$$$
                                                          ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  204. MEDPAR Electronic Health Records (EHR) Payment Adjustment Amount
                                 5   1504   1508    PACK

                                                    This field identifies the dollar amount of the Electronic Health
                                                    Record (EHR) reduction for eligible hospitals that are not meaning-
                                                    ful EHR users.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : EHRAMT
                                                    STANDARD ALIAS : MEDPAR_EHR_PMT_ADJSTMT_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the
                                                    amount field (CLM_EHR_PMT_ADJSTMT_AMT) that is present
                                                    on any of the claim reecords included in the stay
                                                    (i.e. sum of the CLM_EHR_PMT_ADJSTMT_AMT reported on
                                                    the claims that comprise the stay).

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                          +$$$$$$$$$
                                                          ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  205. MEDPAR PPS Standard Value Payment Amount
                                 5   1509   1513    PACK

                                                    This amount identifies the PRICER output standardized amount.  This
                                                    amount is never used for payments.  It is used for comparisons across
                                                    different regions of the country for the value-based purchasing initia-
                                                    tives and for research.  It is a standard amount, without the geograph-
                                                    ical payment adjustments and some of the other add-on payments that
                                                    actually go to the hospitals.

                                                    NOTE:  This field was added with CR#9.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : PSTDAMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the
                                                    amount field (CLM_PPS_STD_VAL_PMT_AMT) that is present
                                                    on any of the claim records included in the stay
                                                    (i.e. sum of the CLM_PPS_STD_VAL_PMT_AMT reported on
                                                    the claims that comprise the stay).

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                          +$$$$$$$$$
                                                          ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  206. MEDPAR Final Standard Amount
                                 5   1514   1518    PACK

                                                    This amount field identifies the result of the application of
                                                    additional standardization requirements (e.g. sequestration) to
                                                    the PPS Standardization Payment Amount.  This amount is never used
                                                    for payments.  It is used for comparisons across different regions
                                                    of the country for the value-based purchasing initiatives and for
                                                    research.  It is a standard amount, without the geographical pay-
                                                    ment adjustments and some of the other add-on payments that
                                                    actually go to the hospitals.

                                                    NOTE:  This field was added with CR#9.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : FSTDAMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the
                                                    amount field (CLM_FINL_STD_AMT) that is present
                                                    on any of the claim records included in the stay
                                                    (i.e. sum of the CLM_FINL_STD_AMT reported on
                                                    the claims that comprise the stay).

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                          +$$$$$$$$$
                                                          ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  207. MEDPAR Hospital Acquired Condition (HAC)Reduction Payment Amount
                                 5   1519   1523    PACK

                                                    This field identifies the reduction amount from the IPPS payment for
                                                    hospitals that rank in the lowest-performing quartile of selected
                                                    Hospital Acquired Conditions.

                                                    NOTE: Prior to CR#10, this field was named: CLM_IPPS_FLEX_PMT_6_AMT.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : HACAMT
                                                    STANDARD ALIAS : MEDPAR_HAC_RDCTN_PMT_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the
                                                    amount field (CLM_HAC_RDCTN_PMT_AMT) that is present
                                                    on any of the claim records included in the stay
                                                    (i.e. sum of the CLM_HAC_RDCTN_PMT_AMT reported on
                                                    the claims that comprise the stay).

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                          +$$$$$$$$$
                                                          ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  208. MEDPAR IPPS Flex Payment 7 Amount
                                 5   1524   1528    PACK

                                                    This field is a placeholder for a dollar amount to be used for
                                                    future policy.

                                                    NOTE:  This field only applies to Inpatient claims.

                                                    DB2      ALIAS : UNDEFINED

                                                    LENGTH         : 9    SIGNED : Y

  209. MEDPAR Patient/Initial Visit Add-On Payment Amount
                                 5   1529   1533    PACK

                                                    This field represents a base rate increase factor for 1.3516 for new
                                                    patient initial preventive physical examination (IPPE) and annual
                                                    wellness visit.

                                                    NOTE:  This field was added with CR#9 changes.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : ADDONAMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the
                                                    amount field (REV_CNTR_PTNT_ADD_ON_PMT_AMT) that
                                                    is on any of the claim records included in the stay
                                                    (i.e. sum of the REV_CNTR_PTNT_ADD_ON_PMT_AMT reported
                                                    on the claims that comprise the stay).

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                          +$$$$$$$$$
                                                          ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  210. MEDPAR Hospital Acquired Condition (HAC)Program Reduction Indicator Switch
                                 1   1534   1534    CHAR

                                                    Effective with CR#9, this field identifies hospitals subject to a
                                                    Hospital Acquired Condition (HAC) reduction of what they would
                                                    otherwise be paid under IPPS.

                                                    NOTE:  This field only applies to Inpatient/SNF claims.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : HACIND
                                                    STANDARD ALIAS : MEDPAR_HAC_PGM_RDCTN_IND_SW

                                                    LENGTH         : 1

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the amount
                                                    field (CLM-HAC-PGM-RDCTN-IND-SW) that is present on
                                                    the first claim record included in the stay.  If
                                                    there is no HAC program reduction indicator switch on
                                                    the 1st claim record then take the first found code
                                                    on any of the other claims that make up the stay.

                                                    SOURCE         : NCH

  211. MEDPAR Electronic Health Records (EHR) Program Reduction Indicator Switch
                                 1   1535   1535    CHAR

                                                    Effective with CR#9, this field identifies which hospitals are
                                                    Electronic Health Records meaningful users.

                                                    This field only applies to the Inpatient/SNF claims.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MEHRIND
                                                    STANDARD ALIAS : MEDPAR_EHR_PGM_RDCTN_IND_SW

                                                    LENGTH         : 1

                                                    DERIVATIONS :
                                                    This field comes from the EHR Program Reduction
                                                    Indicator Switch field (CLM-EHR-PGM-RDCTN-IND-SW)
                                                    that is present on the first claim record included
                                                    in the stay.  If there is no EHR Program Reduction
                                                    Indicator Switch on the 1st claim then take the
                                                    first found code on any of the other claims that
                                                    make up the stay.

                                                    SOURCE         : NCH

  212. MEDPAR Prior Authorization Indicator Code
                                 4   1536   1539    CHAR

                                                    Effective with CR#9, this field identifies the indicator assigned by
                                                    CMS for each prior authorization program to define the applicable
                                                    line of business i.e., Part A, Part B, DME, Home Health and Hospice.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : CLMPRIOR
                                                    STANDARD ALIAS : MEDPAR_PRIOR_AUTHRZTN_IND_CD

                                                    LENGTH         : 4

                                                    DERIVATIONS :
                                                    This field comes from the Prior Authorization
                                                    Indicator Code (CLM-PRIOR-AUTHRZ-IND-SW) that is
                                                    present on the first claim record included in the stay.
                                                    If there is no prior authorization indicator  switch on
                                                    the 1st claim record then take the first found code
                                                    on any of the other claims that make up the stay.

                                                    SOURCE         : NCH

  213. MEDPAR Unique Tracking Number
                                14   1540   1553    CHAR

                                                    Effective with CR#9, this field identifies the unique tracking
                                                    number assigned to each prior authorization request.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : CLMTRKNG
                                                    STANDARD ALIAS : MEDPAR_UNIQ_TRKNG_NUM

                                                    LENGTH         : 14

                                                    DERIVATIONS :
                                                    This field comes from the Unique Tracking
                                                    Number (CLM-UNIQ-TRKNG-NUM) that is present
                                                    on the first claim record included in the stay.  If
                                                    there is no unique tracking number on the 1st claim
                                                    record then take the first found code on any
                                                    of the other claims that make up the stay.

                                                    SOURCE         : NCH

  214. MEDPAR 2 Day Midnight Stay Indicator Switch
                                 1   1554   1554    CHAR



                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MIDNIGHT
                                                    STANDARD ALIAS : MEDPAR_2_MIDNGHT_STAY_IND_SW

                                                    LENGTH         : 1

  215. MEDPAR Site Neutral Payment Based on Cost Amount
                                 5   1555   1559    PACK

                                                    Effective with MEDPAR CR#10 and CR#11, under the Long Term Care
                                                    Hospital (LTCH) Prospective Payment System (PPS), the payment
                                                    amount based on estimated cost of the case.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MSNCOST
                                                    STANDARD ALIAS : MEDPAR_SITE_NTRL_PMT_CST_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the amount
                                                    field (CLM-SITE-NTRL-PMT-CST-AMT) that is present
                                                    on any of the claim records included in the stay (i.e.
                                                    sum of the CLM-SITE-NTRL-PMT-CST-AMT reported on
                                                    the claims that comprised the LTCH stay).

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                          +$$$$$$$$$
                                                          ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  216. MEDPAR Site Neutral Payment Inpatient Prospective Payment System (IPPS) Amount
                                 5   1560   1564    PACK

                                                    Effective with CR#10 & CR#11, under the Long Term Care Hospital (LTCH)
                                                    Prospective Payment System (PPS), the payment amount based on the
                                                    Inpatient Prospective Payment (IPPS) comparable amount.  This amount
                                                    does not include any applicable outlier payment amount.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MSNIPPS
                                                    STANDARD ALIAS : MEDPAR_SITE_NTRL_PMT_IPPS_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the amount
                                                    field (CLM-SITE-NTRL-PMT-IPPS-AMT) that is present
                                                    on any of the claim records included in the stay (i.e.
                                                    sum of the CLM-SITE-NTRL-PMT-IPPS-AMT reported
                                                    on the claims that comprised the LTCH stay).

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                          +$$$$$$$$$
                                                          ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  217. MEDPAR Full Standard Payment Amount
                                 5   1565   1569    PACK

                                                    Effective with CR#9 & CR#10, under the Long Term Care Hospital (LTCH)
                                                    Prospective Payment System (PPS), the payment amount based on the
                                                    MS-LTC-DRG.  This amount does not include any applicable outlier
                                                    payment amount.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MFULLSTD
                                                    STANDARD ALIAS : MEDPAR_FULL_STD_PMT_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the amount
                                                    field (CLM-FULL-STD-PMT-AMT) that is present
                                                    on any of the claim records included in the stay (i.e.
                                                    sum of the CLM-FULL-STD-PMT-AMT reported on the
                                                    claims that comprised the LTCH stay).

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                          +$$$$$$$$$
                                                          ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  218. MEDPAR Short Stay Outlier (SSO) StandardPayment Amount
                                 5   1570   1574    PACK

                                                    Effective with CR#10/CR#11, under Long Term Care Hospital (LTCH)
                                                    Prospective Payment System (PPS), the payment based on the MS-LTC-DRG
                                                    payment with short stay outlier (SSO) adjustment.  This amount does
                                                    not include any applicable outlier payment amount.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MSSOSTD
                                                    STANDARD ALIAS : MEDPAR_SSO_STD_PMT_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the
                                                    amount field (CLM_SSO_STD_PMT_AMT) that
                                                    is on any of the claim records included in the stay
                                                    (i.e. sum of the CLM_SSO_STD_PMT_AMT reported
                                                    on the claims that comprise the stay).

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                          +$$$$$$$$$
                                                          ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  219. MEDPAR Next Generation (NG) Accountable Care Organization (ACO) Indicator 1 Code
                                 1   1575   1575    CHAR

                                                    Effective with CR#10/CR#11, this field represents the benefit
                                                    enhancement indicator that identifies claims that qualify for
                                                    specific claims processing edits.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MNGACO1
                                                    STANDARD ALIAS : MEDPAR_NG_ACO_IND_1_CD

                                                    LENGTH         : 1

                                                    DERIVATIONS :
                                                    This field comes from the CLM-NG-ACO-IND-1-CD
                                                    that is present on the first claim record
                                                    included in the stay.  If there is no CLM-NG-
                                                    ACO-IND-1-CD on the first claim then take the
                                                    first found code on any of the other claims that
                                                    make up the stay.

                                                    SOURCE         : NCH

                                                    CODE TABLE     : NG_ACO_IND_TB

  220. MEDPAR Next Generation (NG) Accountable Care Organization Indicator 2 Code
                                 1   1576   1576    CHAR

                                                    Effective with CR#10/CR#11, this field represents the benefit
                                                    enhancement indicator that identifies claims that qualify for
                                                    specific claims processing edits.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MNGACO2
                                                    STANDARD ALIAS : MEDPAR_NG_ACO_IND_2_CD

                                                    LENGTH         : 1

                                                    DERIVATIONS :
                                                    This field comes from the CLM-NG-ACO-IND-2-CD
                                                    that is present on the first claim record
                                                    included in the stay.  If there is no CLM-NG-
                                                    ACO-IND-2-CD on the first claim then take the
                                                    first found code on any of the other claims that
                                                    make up the stay.

                                                    SOURCE         : NCH

                                                    CODE TABLE     : NG_ACO_IND_TB

  221. MEDPAR Next Generation (NG) Accountable Care Organization (ACO) 3 Indicator
                                 1   1577   1577    CHAR

                                                    Effective with CR#10/CR#11, this field represents the benefit
                                                    enhancement indicator that identifies claims that qualify for
                                                    specific claims processing edits.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MNGACO3
                                                    STANDARD ALIAS : MEDPAR_NG_ACO_IND_3_CD

                                                    LENGTH         : 1

                                                    DERIVATIONS :
                                                    This field comes from the CLM-NG-ACO-IND-3-CD
                                                    that is present on the first claim record
                                                    included in the stay.  If there is no CLM-NG-
                                                    ACO-IND-3-CD on the first claim then take the
                                                    first found code on any of the other claims that
                                                    make up the stay.

                                                    SOURCE         : NCH

                                                    CODE TABLE     : NG_ACO_IND_TB

  222. MEDPAR Next Generation (NG) Accountable Care Organization (ACO) Indicator 4 Code
                                 1   1578   1578    CHAR

                                                    Effective with CR#10/CR#11, this field represents the benefit
                                                    enhancement indicator that identifies claims that qualify for
                                                    specific claims processing edits.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MNGACO4
                                                    STANDARD ALIAS : MEDPAR_NG_ACO_IND_4_CD

                                                    LENGTH         : 1

                                                    DERIVATIONS :
                                                    This field comes from the CLM-NG-ACO-IND-4-CD
                                                    that is present on the first claim record
                                                    included in the stay.  If there is no CLM-NG-
                                                    ACO-IND-4-CD on the first claim then take the
                                                    first found code on any of the other claims that
                                                    make up the stay.

                                                    SOURCE         : NCH

                                                    CODE TABLE     : NG_ACO_IND_TB

  223. MEDPAR Next Generation (NG) Accountable Care Organization (ACO) Indicator 5 Code
                                 1   1579   1579    CHAR

                                                    Effective with CR#10/CR#11, this field represents the benefit
                                                    enhancement indicator that identifies claims that qualify for
                                                    specific claims processing edits.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MNGACO5
                                                    STANDARD ALIAS : MEDPAR_NG_ACO_IND_5_CD

                                                    LENGTH         : 1

                                                    DERIVATIONS :
                                                    This field comes from the CLM-NG-ACO-IND-5-CD
                                                    that is present on the first claim record
                                                    included in the stay.  If there is no CLM-NG-
                                                    ACO-IND-5-CD on the first claim then take the
                                                    first found code on any of the other claims that
                                                    make up the stay.

                                                    SOURCE         : NCH

                                                    CODE TABLE     : NG_ACO_IND_TB

  224. MEDPAR Residual Payment Indicator Code
                                 1   1580   1580    CHAR

                                                    Effective with CR#10/CR#11, the indicator used by CWF claims process-
                                                    ing for the purpose of bypassing its normal MSP editing that would
                                                    otherwise apply to ongoing responsibility for medicals (ORM) or
                                                    worker's compensation Medicare Set-Aside Arrangements (WCMSA).
                                                    Normally, CWF does not allow a secondary payment on MSP involving
                                                    ORM or WCMSA, so the RPI will be used to allow CWF to make an
                                                    exception to its normal routine.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MRSDLPMT
                                                    STANDARD ALIAS : MEDPAR_RSDL_PMT_IND_CD

                                                    LENGTH         : 1

                                                    DERIVATIONS :
                                                    This field comes from the Claim Residual Payment
                                                    Indicator Code (CLM-RSDL-PMT-IND-CD) that is present
                                                    on the first claim record included in the stay.  If
                                                    there is no CLM-RSDL-PMT-IND-CD on the 1st claim
                                                    then take the first round code on any of the other
                                                    clams that make up the stay.

                                                    CODE TABLE     : RSDL_PMT_IND_TB

  225. MEDPAR Claim Representative Payee Indicator Code
                                 1   1581   1581    CHAR

                                                    Effective with CR#10 & CR#11, the field at the claim level to
                                                    designate bypassing of the prior authorization processing for claims
                                                    with a representative payee when an 'R' is present in the field.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MCLMRP
                                                    STANDARD ALIAS : MEDPAR_CLM_RP_IND_CD

                                                    LENGTH         : 1

                                                    DERIVATIONS :
                                                    This field comes from the CLM-RP-IND-CD
                                                    that is present on the first claim record
                                                    included in the stay.  If there is no CLM-RP-
                                                    IND-CD on the first claim then take the
                                                    first found code (R) on any of the other claims
                                                    that make up the stay.

                                                    SOURCE         : NCH

                                                    CODE TABLE     : RP_IND_TB

  226. MEDPAR Revenue Center Representative Payee Indicator Code
                                 1   1582   1582    CHAR

                                                    Effective with CR#10 & CR#11, the field at the line level to
                                                    designate bypassing of the prior authorization processing for claims
                                                    with a representative payee when an 'R' is present in the field.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MREVRP
                                                    STANDARD ALIAS : MEDPAR_REV_RP_IND_CD

                                                    LENGTH         : 1

                                                    DERIVATIONS :
                                                    This field comes from the REV-RP-IND-CD
                                                    that is present on the first claim record
                                                    included in the stay.  If there is no REV-RP-
                                                    IND-CD on the first claim then take the
                                                    first found code (R) on any of the other claims
                                                    that make up the stay.

                                                    SOURCE         : NCH

                                                    CODE TABLE     : RP_IND_TB

  227. MEDPAR Accountable Care Organization (ACO) Identification Number
                                10   1583   1592    CHAR

                                                    Effective with CR#12, the field at the claim level to identify the
                                                    unique identification number assigned to the Accountable Care
                                                    Organization (ACO).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MACOID

                                                    LENGTH         : 10

                                                    DERIVATIONS :
                                                    This field comes from the Claim ACO Identification
                                                    Number (CLM_ACO_ID_NUM) that is present on the first
                                                    claim record included in the stay.  If there is no CLM_
                                                    ACO_ID_NUM on the 1st claim then take the first found
                                                    on any of the other claims that make up the stay.

                                                    SOURCE         : NCH

  228. MEDPAR Medicare Beneficiary Identification (MBI) Number
                                11   1593   1603    CHAR

                                                    Effective with CR#12, this field represents the Medicare beneficiary
                                                    identification number.   This field is being added due to the re-
                                                    moval of the Social Security Number (SSN) from the Medicare card.
                                                    The MBI will replace the HICN on the Medicare card.  CMS will continue
                                                    to use the HICN within internal systems.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MMBIID

                                                    LENGTH         : 11

                                                    DERIVATIONS :
                                                    This field comes from the Medicare Beneficiary Identi-
                                                    fication Number (MBI_ID) that is present on the first
                                                    claim record included in the stay.  If there is no MBI_
                                                    ID on the 1st claim then take the first found MBI_ID
                                                    on any other claims that make up the stay.

                                                    SOURCE         : NCH

  229. MEDPAR Claim Beneficiary Identifier Type Code
                                 1   1604   1604    CHAR

                                                    EFFECTIVE WITH CR#12, THIS FIELD IDENTIFIES WHETHER THE CLAIM WAS
                                                    SUBMITTED BY THE PROVIDER, DURING THE MBI TRANSITION PERIOD, WITH
                                                    A HICN OR MBI.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MBENEID

                                                    LENGTH         : 1

                                                    DERIVATIONS :
                                                    This field comes from the Claim Beneficiary Identifier
                                                    Type Code (CLM_BENE_ID_TYPE_CD) that is associated with
                                                    the MBI_CD that is used to populate the MEDPAR_MBI_CD
                                                    field.

                                                    SOURCE         : NCH

  230. MEDPAR Allogeneic Stem Cell Aquisition /Donor Services Amount
                                 5   1605   1609    PACK

                                                    Effective with CR#12, the field used to identify revenue center
                                                    allogeneic stem cell acquistion/donor services.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MSCELL

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the revenue
                                                    center total charge amount (REV_CNTR_TOT_CHRG_AMT)
                                                    associated with revenue center code (REV_CNTR_CD)
                                                    '0815' from all claim records included in the
                                                    stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                          +$$$$$$$
                                                          ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  231. MEDPAR Islet Add-On Payment Amount
                                 5   1610   1614    PACK

                                                    Effective with CR#12, this field is used to identify the Islet add-
                                                    on payment amount found in the value code/amount trailer.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MISLET

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    THIS FIELD IS DERIVED BY ACCUMULATING THE CLAIM
                                                    VALUE AMOUNT ASSOCIATED WITH CLAIM VALUE CODE
                                                    (CLM_VAL_CD) EQUAL TO 'Q7' FROM ALL CLAIM RECORDS
                                                    INCLUDED IN THE STAY.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                          +$$$$$$$
                                                          ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  232. MEDPAR Claim Inpatient Initial MS DRG Code
                                 4   1615   1618    CHAR

                                                    Effective with CR#13, this field identifies the initial MS-DRG code
                                                    assigned by MS-DRG Grouper prior to application of Hospital Acquired
                                                    Conditions (HAC) logic.

                                                    NOTE:  This data will only be populated on Inpatient claims.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MMSDRGCD

                                                    LENGTH         : 4

                                                    DERIVATIONS :
                                                    This field comes from the Claim Inpatient Initial
                                                    MS DRG Code field (CLM-IP-INITL-MS-DRG-CD) that is
                                                    present on the first NCH claim record included in the
                                                    stay. If there is no CLM-IP-INITL-MS-DRG-CD on the 1st
                                                    claim then take the 1st found code on any of the other
                                                    claims that make up the stay.

                                                    SOURCE         : NCH

  233. MEDPAR Value Code Q1 Payment Reduction Amount
                                 5   1619   1623    PACK

                                                    Effective with CR#13, this field identifies the ACO Payment Reduction
                                                    Amount (Pioneer Reduction) which is the actual amount of the
                                                    Pioneer reduction.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MVALQ1AM

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the amount
                                                    field (CLM VAL AMT) found in the value code trailer
                                                    for value code (CLM VAL CD) equal to 'Q1' for
                                                    any claim records include

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                          +$$$$$$$$$
                                                          ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  234. MEDPAR Claim Model Reimbursement Amount
                                 5   1624   1628    PACK

                                                    Effective with CR#14, this Claim Level Field will be used to
                                                    identify the "Net Reimbursement Amount" of what Medicare
                                                    would have paid for Global Budget Services from a hospital
                                                    participating in the particular model.  If the claim only
                                                    includes global services, the reimbursement amount (CLM_
                                                    PMT_AMT) will reflect $0 (zero). If the claim includes
                                                    global services and non-global services, the reimbursement
                                                    amount will reflect the amount Medicare actually paid for
                                                    the non-global services.

                                                    Note: This field will be used with future models and not
                                                    just the Pennsylvania Rural Health Model (PARHM) (CR11355).
                                                    A demo code (CLM_DEMO_ID_NUM) will be assigned for future
                                                    models. CLM_RLT_COND_CD = M6 and CLM_VAL_CD = Q4 have been
                                                    created to identify the PARH model.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MCMODEL

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the
                                                    amount field (CLM_MODEL_REIMBRSMT_AMT) that is present
                                                    on any of the claim reecords included in the stay
                                                    (i.e. sum of the CLM_MODEL_REIMBRSMT_AMT reported on
                                                    the claims that comprise the stay).

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                          +$$$$$$$$$
                                                          ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  235. MEDPAR Revenue Center Model Reimbursement Amount
                                 5   1629   1633    PACK

                                                    Effective with CR#14, this field identifies the "Net
                                                    Reimbursement Amount" of what Medicare would have paid for
                                                    the Global Budget Service reflected at the line level,
                                                    from a hospital participating in the particular model.

                                                    Note: For the participating hospitals in the PA model
                                                    all inpatient and outpatient services (Facility/Technical
                                                    Services) are considered part of the Model/Global
                                                    Budget Services. Basically, all of the services for a
                                                    participating hospital would be global except for CAH
                                                    Method II (85X) claim lines with revenue center codes
                                                    096X, 097X and 098X. The CAH Method II professional
                                                    services (rev codes 096X, 097X and 098X) process as they
                                                    do today, they have nothing to do with the model.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MRCMODEL

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the
                                                    amount field (REV_CNTR_MODEL_AMT) that is
                                                    present on any of the claim records included
                                                    in the stay (i.e. sum of the REV_CNTR_MODEL_AMT
                                                    reported on the claims that comprise the stay).

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                          +$$$$$$$$$
                                                          ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  236. MEDPAR Value Code QB Payment Adjustment Amount
                                 5   1634   1638    PACK

                                                    Effective with CR#14, this field identifies the OCM+ Payment
                                                    Adjustment Amount.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MVALQB

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the amount
                                                    field (CLM VAL AMT) found in the value code trailer
                                                    for value code (CLM VAL CD) equal to 'QB' for
                                                    any claim records include

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                          +$$$$$$$$$
                                                          ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  237. MEDPAR Cell/Gene Therapy Procedures Total Charge Amount
                                 5   1639   1643    PACK

                                                    Effective with MEDPAR CR#15, this field represents the
                                                    revenue center total charge amount associated with revenue
                                                    center code category 087X (Cell/Gene Therapy), effective
                                                    4/1/2019.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MCGAMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the revenue center
                                                    total charge amount associated with revenue center code
                                                    087x from all claim records included in the stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                         +$$$$$$$$$
                                                         ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  238. MEDPAR Special Processed Cell Therapy Drugs Total Charge Amount
                                 5   1644   1648    PACK

                                                    Effective with MEDPAR CR#15, this field represents the
                                                    revenue center total charge amount associated with the
                                                    revenue center code 0891 (Special Processed Drugs/Cell
                                                    Therapy), effective 4/1/2019.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MCTDAMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the revenue center
                                                    total charge amount associated with revenue center code
                                                    0891 from all claim records included in the stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                         +$$$$$$$$$
                                                         ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  239. MEDPAR Special Processed Gene Therapy Drugs Total Charge Amount
                                 5   1649   1653    PACK

                                                    Effective with MEDPAR CR#15, this field represents the
                                                    revenue center total charge amount associated with
                                                    revenue center code 0892 (Special Processed Drug/Gene
                                                    Therapy), effective 4/1/2019.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MGDTAMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the revenue center
                                                    total charge amount associated with revenue center code
                                                    0892 from all claim records included in the stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                         +$$$$$$$$$
                                                         ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  240. MEDPAR Long Term Care Hospital (LTCH) Discharge Payment Percentage (DPP) Adjustment Amount
                                 5   1654   1658    PACK

                                                    Effective with MEDPAR Version L, this field is used to identify
                                                    the amount of a Long Term Care Hospitals discharge percentage
                                                    payment adjustment that will be applied to their payment rate
                                                    for failure to maintain the required discharge payment percent-
                                                    age.

                                                    The adjustment has been applied to the Claim Payment Amount.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MLDPPAMT
                                                    STANDARD ALIAS : MEDPAR_LTCH_DPP_ADJSTMT_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the CLM_
                                                    LTCH_DSCHRG_PMT_PCT_AMT that is present on any of
                                                    the claim records included in the stay (i.e.
                                                    sum of the CLM_LTCH_DSCHRG_PMT_PCT_AMT reported
                                                    on the claims that comprise the stay).

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                         +$$$$$$$$$
                                                         ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  241. MEDPAR Revenue Center National Drug Code (NDC) Number
                               110   1659   1768    CHAR

                                                    Effective with MEDPAR Version L, this field is used to
                                                    identify the National Drug Code (NDC) number.

                                                    NOTE:  There can be up to 10 occurrences of the NDC number
                                                    stored on the MEDPAR file.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MNDCNUM
                                                    STANDARD ALIAS : MEDPAR_REV_CNTR_NDC_NUM

                                                    LENGTH         : 11

                                                    DERIVATIONS :
                                                    The NDC numbers will be pulled from the REV_
                                                    CNTR_IDE_NDC_UPC_NUM field present on any of
                                                    the claim records included in the stay. The first
                                                    10 occurrences of the NDC number present in the
                                                    revenue center trailer will be used to populate
                                                    this field on the MEDPAR file.

                                                    SOURCE         : NCH

                                                    OCCURS MIN: 10 OCCURS MAX: 0

  242. MEDPAR No Positive Test Switch
                                 1   1769   1769    CHAR

                                                    Effective with MEDPAR CR#18, this field represents
                                                    that a positive test result is not included in the
                                                    patient's medical records.


                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MNOPSTVT
                                                    STANDARD ALIAS : MEDPAR_NO_PSTV_TEST_SW

                                                    LENGTH         : 1

                                                    DERIVATIONS :
                                                    This field is derived when the condition code (CLM
                                                    RLT COND CD) is equal to 'ZA', populate the field
                                                    with a 'Y'. If no 'ZA' condition code, populate
                                                    field with an 'N'.

                                                    SOURCE         : NCH

  243. MEDPAR Expanded Access Switch
                                 1   1770   1770    CHAR

                                                    Effective with MEDPAR CR#18, this field represents
                                                    that a service was provided as part of an expanded
                                                    access (EA) approval.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MEXPDACS
                                                    STANDARD ALIAS : MEDPAR_EXPNDD_ACS_SW

                                                    LENGTH         : 1

                                                    DERIVATIONS :
                                                    This field is derived when the condition code CLM RLT
                                                    COND CD) is equal to 'ZB' or '90', populate the field
                                                    with a 'Y'. If no 'ZB' or '90' condition code, populate
                                                    field with an 'N'.

                                                    SOURCE         : NCH

  244. MEDPAR Other Clinical Trial Switch
                                 1   1771   1771    CHAR

                                                    Effective with MEDPAR CR#18, this field represents
                                                    that a service was provided as part of a clinical
                                                    trial of a different product.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MCLNCLTR
                                                    STANDARD ALIAS : MEDPAR_OTHR_CLNCL_TRIL_SW

                                                    LENGTH         : 1

                                                    DERIVATIONS :
                                                    This field is derived when the condition code (CLM RLT
                                                    COND CD) is equal to 'ZC', populate the field with a
                                                    'Y'. If no 'ZC' condition code, populate field with
                                                    an 'N'.

                                                    SOURCE         : NCH

  245. MEDPAR Emergency Use Switch
                                 1   1772   1772    CHAR

                                                    Effective with MEDPAR CR#18, this field represents
                                                    that a service was provided as part of an Emergency
                                                    Use Authorization (EUA).

                                                    DB2      ALIAS : MEDPAR_EMER_USE_SW
                                                    SAS      ALIAS : MEMERUSE
                                                    STANDARD ALIAS : MEDPAR_EMER_USE_SW

                                                    LENGTH         : 1

                                                    DERIVATIONS :
                                                    This field is derived when the condition code (CLM RLT
                                                    COND CD) is equal to '91', populate the field with a
                                                    'Y'. If no '91' condition code, populate field with
                                                    an 'N'.

                                                    SOURCE         : NCH

  246. MEDPAR Pricer Version Field
                                10   1773   1782    CHAR

                                                    Effective with CR#18, this field is being added to
                                                    display the Prospective Payment System (PPS) Pricer
                                                    Version.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MPRCVRSN
                                                    STANDARD ALIAS : MEDPAR_CLM_PRCR_VRSN

                                                    LENGTH         : 10

                                                    SOURCE         : NCH

  247. MEDPAR Medicare-Severity Diagnosis Related Group (MS-DRG) Grouper Version field
                                 8   1783   1790    CHAR

                                                    Effective with CR#18, this field is being added to
                                                    display the MS-DRG Grouper Version.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MDRGVRSN
                                                    STANDARD ALIAS : MEDPAR_CLM_DRG_GRPR_VRSN

                                                    LENGTH         : 8

                                                    SOURCE         : NCH

  248. MEDPAR Hospital at Home R&B Charge Amount
                                 5   1791   1795    PACK

                                                    Effective with CR#18, this field represents the
                                                    charge amount for Room and Board (R&B) hospital at
                                                    home care, related to a beneficiary's acute hospital
                                                    at home stay.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MHOMEAMT
                                                    STANDARD ALIAS : MEDPAR_HOSP_AT_HOME_CHRG_AMT

                                                    LENGTH         : 9    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived by accumulating the revenue
                                                    center total charge amount associated with the revenue
                                                    center code 0161 from all claim records included
                                                    in the stay.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                         +$$$$$$$$$
                                                         ROUNDED; ON-SIZE (OVERFLOW) SITUATION = ALL NINES

  249. MEDPAR Hospital at Home Care From Date
                                 4   1796   1799    PACK

                                                    Effective with CR#18, this field represents the
                                                    beginning date of the beneficiary's acute hospital at
                                                    home care stay.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MHOMEFDT
                                                    STANDARD ALIAS : MEDPAR_HOSP_AT_HOME_FROM_DT

                                                    LENGTH         : 7    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived when the occurrence span code
                                                    (CLM_OCRNC_SPAN_CD) is equal to '82' on any of the
                                                    claim records included in the stay, populate the date
                                                    in (CLM_OCRNC_SPAN_FROM_DT) to this field. If more
                                                    than one record has an occurrence span code equal to
                                                    '82', with different span dates, the date from the
                                                    last claim record included in the stay is used.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                         YYYYDDD

  250. MEDPAR Hospital at Home Care Through Date
                                 4   1800   1803    PACK

                                                    Effective with CR#18, this field represents the
                                                    ending date of the beneficiary's acute hospital at home
                                                    care stay.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MHOMETDT
                                                    STANDARD ALIAS : MEDPAR_HOSP_AT_HOME_THRU_DT

                                                    LENGTH         : 7    SIGNED : Y

                                                    DERIVATIONS :
                                                    This field is derived when the occurrence span code
                                                    (CLM_OCRNC_SPAN_CD) is equal to '82' on any of the
                                                    claim records included in the stay, populate the date
                                                    in (CLM_OCRNC_SPAN_THRU_DT) to this field. If more
                                                    than one record has an occurrence span code equal to
                                                    '82', with different span dates, the date from the
                                                    last claim record included in the stay is used.

                                                    SOURCE         : NCH

                                                    EDIT RULES :
                                                         YYYYDDD

  251. MEDPAR Provider Base Facility CCN
                                 6   1804   1809    CHAR

                                                    Effective with CR#18, this field is being added to
                                                    display the base facility provider number - CMS
                                                    Certification Number (CCN) of the parent provider.
                                                    Applies to IPPS Hospitals, Critical Access Hospitals,
                                                    and IPPS-Excluded Hospitals with IPPS-excluded
                                                    rehabilitation or psychiatric units or swing beds
                                                    (as applicable).

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MBASECCN
                                                    STANDARD ALIAS : MEDPAR_PRVDR_BASE_FAC_CCN

                                                    LENGTH         : 6

                                                    DERIVATIONS :
                                                    This field is populated from the provider number, from
                                                    the first claim record included in the stay, modified
                                                    as follows.

                                                    If position 3 of the provider number is one of the
                                                    alpha characters on the list below, and position 4 is
                                                    numeric, then populate position 3 of this field with
                                                    following numeric values:

                                                    Psych/Rehab Unit or Swing Bed Unit in a CAH:
                                                    If 'M', 'R' or 'Z', populate '1'

                                                    Psych/Rehab Unit or Swing Bed in a IPPS Hospital:
                                                    If 'S', 'T' or 'U', populate '0'

                                                    Swing Bed in LTCH:
                                                    If 'W', populate '2'

                                                    Swing Bed in a Rehab Facility:
                                                    If 'Y', populate '3'

                                                    If positions 3 and 4 of the provider number are both
                                                    alpha characters, shown on the list below, then
                                                    populate positions 3 and 4 of this field with the
                                                    following numeric values:

                                                    Rehab/Psych Unit of LTCH:
                                                    If 'TA' or 'SA', populate '20'
                                                    If 'TB' or 'SB', populate '21'
                                                    If 'TC' or 'SC', populate '22'

                                                    Psych Unit of Rehab Facility:
                                                    If 'SD', populate, '30'

                                                    Rehab/Psych Unit of Hospital:
                                                    If 'TE' or 'SE', populate '33'

                                                    Rehab Unit of Psych Facility:
                                                    If 'TF' populate, '40'
                                                    If 'TG' populate, '41'
                                                    If 'TH' populate, '42'
                                                    If 'TJ' populate, '43'
                                                    If 'TK' populate, '44'

                                                    For all else blank will be mapped in positions 1-6
                                                    of this field.

                                                    SOURCE         : NCH

  252. MEDPAR Provider Full CMS Certification Number (CCN)
                                13   1810   1822    CHAR

                                                    Effective with CR#18, this field is being added to
                                                    display the extended provider CMS Certification
                                                    Number (CCN).

                                                    The reason for this change is to allow for the
                                                    identification of multiple campus hospitals. For
                                                    multi-campus hospitals, all campuses contain the
                                                    same first 6-digit CCN, but positions 7-13 may be
                                                    used to distinguish between campuses (ex. 01, 02,
                                                    001, 002 etc.) In the future positions 7-13 may have
                                                    other uses.

                                                    Note: The MEDPAR Provider Number Group will continue
                                                    to be populated with positions 1-6 of the provider
                                                    number received from NCH.

                                                    DB2      ALIAS : UNDEFINED
                                                    SAS      ALIAS : MPRVDRNM
                                                    STANDARD ALIAS : MEDPAR_PRVDR_FULL_NUM

                                                    LENGTH         : 13

                                                    DERIVATIONS :
                                                    This field is the full provider CMS Certification
                                                    Number from the first claim record included in
                                                    the stay.

                                                    SOURCE         : NCH

  253. FILLER                                       CHAR
                              1178   1823   3000
                                                    DB2      ALIAS : UNDEFINED

                                                    LENGTH         : 1178



                                                     QUERY: RIFQQ11, RIFQQ21 ON DB1V
                                                   ***********END OF MAIN REPORT FOR RECORD: MEDPAR_3000_REC***********


1
  TABLE OF CODES APPENDIX FOR RECORD: MEDPAR_3000_REC,  STATUS: PROD, VERSION: 24009
  PRINTED: 08/28/2024,  USER: BDYG,  DATA SOURCE: CA REPOSITORY ON DB1V


 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
       40 = Medicare Part B Immunosuppressant Drug Benefit
            (PBID) (effective 11/9/2022)



 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

       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
           a 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)
       G = Transfer from a Designated Disaster Alternate Care
           Site (effective 7/1/2020)
         ---------------------------------------
            **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)
       75 = California
       76 = Iowa
       77 = Minnesota
       78 = Illinois
       79 = Missouri
       80 = Maryland (eff. 8/2000)
       81 = Connecticut
       82 = Massachusetts
       83 = New Jersey
       84 = Puerto Rico
       85 = Georgia
       86 = North Carolina
       87 = South Carolina
       88 = Tennessee
       90 = Oklahoma
       91 = Colorado
       92 = California
       93 = Oregon
       94 = Washington
       95 = Louisiana
       96 = New Mexico
       97 = Texas
       98 = Hawaii
       99 = With 000 county code is AS (American Samoa);
            otherwise - unknown
       The following state codes are provider state codes that
       have been assigned as part of the CMS Certification
       Number(CCN) coding system assignment process.
       A0 = California (eff. 4/2019)
       A1 = California (eff. 4/2019)
       A2 = Florida (eff. 4/2019)
       A3 = Louisiana (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)
       B3 = California (eff. 10/2022)
       B4 = California (eff. 10/2022)
       B5 = California (eff. 10/2022)
       B6 = North Carolina (eff. 4/2023)
       B7 = Alabama (eff. 4/2023)
       B8 = Northern Mariana Islands  (eff. 4/2023)
       B9 = Delaware (eff. 4/2023)
       C0 = District of Columbia (eff. 4/2023)
       C1 = Florida (eff. 4/2023)
       C2 = Georgia (eff. 4/2023)
       C3 = Guam (eff. 4/2023)
       C4 = Illinois (eff. 4/2023)
       C5 = Indiana (eff. 4/2023)
       C6 = Maine (eff. 4/2023)
       C7 = Michigan (eff. 4/2023)
       C8 = Mississippi (eff. 4/2023)
       C9 = Missouri (eff. 4/2023)
       D0 = Nebraska (eff. 4/2023)
       D1 = New York  (eff. 4/2023)
       D2 = Ohio (eff. 4/2023)
       D3 = Pennsylvania (eff. 4/2023)
       D4 = South Carolina (eff. 4/2023)
       D5 = Virginia (eff. 4/2023)
       D6 = California
       D7 = California
       D8 = California
       D9 = Arizona
       E1 = Nevada
       E2 = Texas
       E3 = Texas



 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
      beneficiary 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
      8 = Primary Care Capitation (PCC)
      9 = Home Health Benefit Enhancement - eff. 4/2021
      A = Diabetic Shoes (eff. 10/2023)
      B = Concurrent Care for Beneficiaries that Elect the
          Medicare Hospice Benefit - eff. 4/2021
      C = Kidney Disease Education (KDE) eff. 4/2021
      D = Seriously Ill Population (SIP)
      E = Flat Visit Fee (FVF)
      F = Quarterly Capitation Payment (QCP) eff. 4/2021
      G = Performance Based Adjustment (PBA) (eff. 7/2022)
      H = Home Infusion Therapy (eff. 10/2023)
      I = Medical Nutrition Therapy (eff. 10/2023)
      J = Hospice Care (eff. 10/2023)
      K = Cardiac and Pulmonary Rehabilitation (eff. 10/2023)
      L = Making Care Primary (MCP) Benefit Enhancement Indicator Track 1
      M = Making Care Primary (MCP) Benefit Enhancement Indicator Track 2
      N = Making Care Primary (MCP) Benefit Enhancement Indicator Track 3
      O = GUIDE Model Beneficiary covering all services
      Z0 = PACE straddle claim



 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 discharged/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 (or did not recover -  Christian Science
            patient)
       21 = Discharged/transferred to Court/Law
            Enforcement. (terminated)
       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 supportive 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 hospital 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 DB1V
                                  *******END OF TOC APPENDIX FOR RECORD: MEDPAR_3000_REC********


1
 LIMITATIONS APPENDIX FOR RECORD: MEDPAR_3000_REC,  STATUS: PROD, VERSION: 24009
  PRINTED: 08/28/2024,  USER: BDYG,  DATA SOURCE: CA REPOSITORY ON DB1V


  CARR_LINE_DME_CVRG_STRT_LIM
                                   FULL NAME: Carrier Line DME Coverage Period Start Date Limitation
                                   DESCRIPTION :
                                     When the revised DME processing was implemented
                                     (phased in between 10/93-6/94), this field was not
                                     included on the new DMERC claim; it is being
                                     reported on the certificate of medical necessity
                                     (CMN) transaction.  HCFA does not receive CMN
                                     transaction from CWF.
                                   SOURCE:
  CARR_LINE_DME_NCSTY_LIM
                                   FULL NAME: Carrier Line DME Medical Necessity Month Count Limitation
                                   DESCRIPTION :
                                     When the revised DME processing was implemented
                                     (phased in between 10/93-6/94), this field was not
                                     included on the new DMERC claim; it is being
                                     reported on the certificate of medical necessity
                                     (CMN) transaction.  HCFA does not receive CMN
                                     transaction from CWF.
                                   SOURCE:
  CLM_ACNT_NUM_LIM
                                   FULL NAME: Beneficiary Claim Account Number Limitation
                                   DESCRIPTION :
                                     RRB-issued numbers contain an overpunch in
                                     the first position that may appear as a plus
                                     zero or A-G.   RRB-formatted numbers may
                                     cause matching problems on non-IBM machines.
                                   SOURCE:
  MEDPAR_ADMSN_DEATH_DAY_CNT_LIM
                                   FULL NAME: MEDPAR Admission Death Day Count Limitation
                                   DESCRIPTION :
                                     MEDPAR Admission Death Day Count calculated incorrectly,
                                     on both the 3/00 and 6/00 MEDPAR updates.
                                   BACKGROUND    :
                                     Both the 3/00 and 6/00 MEDPAR updates incorrectly cal-
                                     culated the mortality days; i.e., days between the
                                     admission date and the beneficiary date of death. Users
                                     of the regular unencrypted MEDPAR file, this is not a
                                     problem, as the count can be calculated using the
                                     admission date and the date of death.  The problem is
                                     with the encrypted file (the expanded modified MEDPAR)
                                     because the fields needed to calculate the mortality
                                     days are ranged.
                                   CORRECTIVE ACTION :
                                     The problem was corrected with the 12/00 MEDPAR
                                     update.  NOTE:  For users of the expanded modified
                                     MEDPAR file who needs the mortality days, the 12/00
                                     update of the FY1999 file can be given as a replace-
                                     ment.
                                   SOURCE:
                                     CONTACT         :  OIS/EDG/DMUDD
  MEDPAR_BLOOD_DDCTBL_AMT_LIM
                                   FULL NAME: MEDPAR Blood Deductible Amount Limitation
                                   DESCRIPTION :
                                     It was discovered that the blood deductible amounts were
                                     incorrect on the old MEDPAR Files.
                                   BACKGROUND    :
                                     Users of the MEDPAR data were comparing money amounts and
                                     counts present on the new MEDPAR file (created 6/95 using
                                     NCH Nearline File as the source) to that reported on the
                                     old MEDPAR File (created 3/95 and prior from claims from
                                     the Medicare Quality Assurance System) for Fiscal Year
                                     1994.  They discovered that the blood deductible amount on
                                     the new MEDPAR was greater than that of the old MEDPAR.

                                     During NCH's investigation it was determined that the old
                                     500-character MEDPAR incorrectly used a different field
                                     to report the blood deductible; specifically the noncovered
                                     charges derived from blood use Revenue Center codes 0380-
                                     0389.  The new program correctly used the NCH field,
                                     BENE_BLOOD_DDCTBL_LBLTY_AMT, which is derived from a value
                                     code (CLM_VAL_AMT associated with CLM_VAL_CD = '6').

                                     It is believed that all MEDPAR files created prior to 6/95
                                     in the 500 character version are affected. MEDPAR 500 was
                                     first available with calendar year and fiscal year 9/91
                                     updates for year 1987 forward.

                                     NOTE:  This anomoly also impacts the DRG Price Amount on the
                                     old MEDPAR file because it is calculated from a number of
                                     fields including the blood deductible.
                                   SOURCE:
                                     CONTACT         :  OIS/EDG/DMUDD
  MEDPAR_DOD_LIM
                                   FULL NAME: MEDPAR Date of Death Limitation
                                   DESCRIPTION :
                                     The Date of Death on the MEDPAR files were not up-to-
                                     date for four cycles.
                                   BACKGROUND    :
                                     The MEDPAR process pulls in 10 segments of the HISKEW
                                     file, to get the date of death.  The HISKEW file
                                     names were changed with no notification the change
                                     was being made.  Because of this, MEDPAR kept using
                                     the HISKEW that was created in June 2000.

                                     The incomplete MEDPAR cycles are: 12/2000, 3/2001,
                                     6/2001 and 9/2001 (9/2000 MEDPAR was not run).
                                   CORRECTIVE ACTION :
                                     Since this anomoly causes no major problem to the
                                     prime user of this data, a rerun will not take place.
                                     NOTE:  The 12/01 quarterly update will access up-to-
                                     date information.
                                   SOURCE:
                                   ADMINISTRATIVE DATA:
                                     START DATE      : 12/01/00
                                     END DATE        : 09/30/01
                                     DISCOVERY DATE  : 01/16/02
                                     CONTACT         :  OIS/EDG/DMUDD
  MEDPAR_DRG_PRICE_AMT_LIM
                                   FULL NAME: MEDPAR DRG Price Amount Limitation
                                   DESCRIPTION :
                                     IT WAS DISCOVERED THAT THE DRG PRICE AMOUNT WAS INCORRECT
                                     ON THE OLD MEDPAR FILES.
                                   BACKGROUND    :
                                     Users of the MEDPAR data were comparing money amounts and
                                     counts present on the new MEDPAR file (created 6/95 using
                                     NCH Nearline File as the source) to that reported on the
                                     old MEDPAR File (created 3/95 and prior from claims from
                                     the Medicare Quality Assurance System) for Fiscal Year
                                     1994.  They discovered that the DRG price amount on the
                                     new MEDPAR contained incorrect amounts.

                                     NOTE:  This anomoly occurs because the DRG price amount is
                                     calculated from a number of fields including the blood
                                     deductible amount, which was discovered to be populated
                                     incorrectly.

                                     During NCH's investigation it was determined that the old
                                     500-character MEDPAR incorrectly used a different field
                                     to report the blood deductible; specifically the noncovered
                                     charges derived from blood use Revenue Center codes 0380-
                                     0389.  The new program correctly used the NCH field,
                                     BENE_BLOOD_DDCTBL_LBLTY_AMT, which is derived from a value
                                     code (CLM_VAL_AMT associated with CLM_VAL_CD = '6').

                                     It is believed that all MEDPAR files created prior to 6/95
                                     in the 500 character version were affected. MEDPAR 500 was
                                     first available with calendar year and fiscal year 9/91
                                     updates for year 1987 forward.
                                   SOURCE:
  MEDPAR_MAR_QTRLY_UPDT_LIM
                                   FULL NAME: MEDPAR March Quarterly Update Limitation
                                   DESCRIPTION :
                                     The 3/01 quarterly update of the FY00 file containing
                                     fewer records than the 12/00 version.
                                   BACKGROUND    :
                                     The 3/01 quarterly update of the FY00 file has about
                                     50,000 fewer records than the 12/00 update.  The
                                     problem originated from modified programs required to
                                     process Version 'I' input.  There was an omission of
                                     a sort step from the modified Version 'I' processing
                                     procedures.
                                   CORRECTIVE ACTION :
                                     The sort sequence was corrected and the 3/01 in-
                                     correct datasets were replaced with new files on
                                     7/17/01.
                                   SOURCE:
                                   ADMINISTRATIVE DATA:
                                     START DATE      : 04/01/01
                                     END DATE        : 07/17/01
                                     CONTACT         :  OIS/EDG/DMUDD


                                                           QUERY: RIFQQ41 ON DB1V
                       *******END OF LIMITATION APPENDIX FOR RECORD: MEDPAR_3000_REC*******


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