Blue Button 2.0 Implementation Guide

CodeSystem: rev-cntr-ddctbl-coinsrnc-cd

Formats: XML, JSON, Turtle

Revenue Center Deductible Coinsurance Code

Code indicating whether the revenue center charges are subject to deductible and/or coinsurance. Source: https://bluebutton.cms.gov/resources/variables/revcntrddctblcoinsrnccd

This code system https://bluebutton.cms.gov/assets/ig/CodeSystem-rev-cntr-ddctbl-coinsrnc-cd defines the following codes:

CodeDisplayDefinition
0 Charges are subject to deductible and coinsuranceCharges are subject to deductible and coinsurance
1 Charges are not subject to deductibleCharges are not subject to deductible
2 Charges are not subject to coinsuranceCharges are not subject to coinsurance
3 Charges are not subject to deductible or coinsuranceCharges 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 involvedOverride code; EGHP (employer group health plan) services involved
N Override code; non-EGHP services involvedOverride code; non-EGHP services involved
X Override code: MSP (Medicare is secondary payer) cost avoidedOverride code: MSP (Medicare is secondary payer) cost avoided