Blue Button 2.0 Implementation Guide

CodeSystem: prtcptng-ind-cd

Formats: XML, JSON, Turtle

Line Provider Participating Indicator Code

Code indicating whether or not a provider is participating (accepting assignment) for this line item service on the non-institutional claim. Source: https://bluebutton.cms.gov/resources/variables/prtcptngindcd

This code system https://bluebutton.cms.gov/assets/ig/CodeSystem-prtcptng-ind-cd defines the following codes:

CodeDisplayDefinition
1 ParticipatingParticipating
2 All or some covered and allowed expenses applied to deductible ParticipatingAll or some covered and allowed expenses applied to deductible Participating
3 Assignment accepted/non-participatingAssignment accepted/non-participating
4 Assignment not accepted/non-participatingAssignment not accepted/non-participating
5 Assignment accepted but all or some covered and allowed expenses applied to deductible Non-participating.Assignment accepted but all or some covered and allowed expenses applied to deductible Non-participating.
6 Assignment not accepted and all covered and allowed expenses applied to deductible non- participating.Assignment not accepted and all covered and allowed expenses applied to deductible non- participating.
7 Participating provider not accepting assignmentParticipating provider not accepting assignment