Blue Button 2.0 Implementation Guide

CodeSystem: line-pmt-80-100-cd

Formats: XML, JSON, Turtle

Line Payment 80% / 100% Code

The code indicating that the amount shown in the payment field on the non-institutional line item represents either 80% or 100% of the allowed charges less any deductible, or 100% limitation of liability only. Source: https://bluebutton.cms.gov/resources/variables/linepmt80100cd

This code system https://bluebutton.cms.gov/assets/ig/CodeSystem-line-pmt-80-100-cd defines the following codes:

CodeDisplayDefinition
0 80%80%
1 100%100%
3 100% Limitation of liability only100% Limitation of liability only
4 75% Reimbursement75% Reimbursement