This code system https://bluebutton.cms.gov/assets/ig/CodeSystem-rev-cntr-ddctbl-coinsrnc-cd defines the following codes:
Code | Display | Definition |
0 | Charges are subject to deductible and coinsurance | Charges are subject to deductible and coinsurance |
1 | Charges are not subject to deductible | Charges are not subject to deductible |
2 | Charges are not subject to coinsurance | Charges are not subject to coinsurance |
3 | Charges are not subject to deductible or coinsurance | Charges are not subject to deductible or coinsurance |
4 | No charge or units associated with this revenue center code. (For multiple HCPCS per single revenue center code) For revenue center code 0001, the following MSP override values may be present: | No charge or units associated with this revenue center code. (For multiple HCPCS per single revenue center code) For revenue center code 0001, the following MSP override values may be present: |
M | Override code; EGHP (employer group health plan) services involved | Override code; EGHP (employer group health plan) services involved |
N | Override code; non-EGHP services involved | Override code; non-EGHP services involved |
X | Override code: MSP (Medicare is secondary payer) cost avoided | Override code: MSP (Medicare is secondary payer) cost avoided |