Claim Bill Classification Code

CLM_BILL_CLSFCTN_CD

A CODE CLASSIFYING THE TYPE OF SERVICE PROVIDED TO A BENEFICIARY ON AN INSTITUTIONAL CLAIM. IT IS THE SECOND DIGIT OF THE TYPE OF BILL (TOB).

Field Metadata

FHIR Resource: ExplanationOfBenefit
FHIRPath: ExplanationOfBenefit.supportingInfo.where( category.coding.system = 'http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType' and category.coding.code = 'typeofbill' ).code.coding.where( system = 'https://bluebutton.cms.gov/fhir/CodeSystem/CLM-BILL-CLSFCTN-CD' ).code
Coverage / Claim Type: HHA
Hospice
Inpatient
Outpatient
SNF
Source View: V2_MDCR_CLM
Source Column: CLM_BILL_CLSFCTN_CD
Reference Table: https://bluebutton.cms.gov/fhir/CodeSystem/CLM-BILL-CLSFCTN-CD
Sources: FISS
NCH
Profiles: Basis
Regular
CMS

Concatenated with the preceding digit, since meaning is dependent upon the previous column.

CCLF

CCW