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Blood Noncovered Charge Amount

CLM_BLOOD_NCVRD_CHRG_AMT

AN AMOUNT IDENTIFYING THE TOTAL NON-COVERED CHARGE FOR BLOOD USAGE.

Field Metadata

FHIR Resource
ExplanationOfBenefit
FHIRPath 
ExplanationOfBenefit.adjudication.where(
  category.coding.where(
    system = 'https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication'
  ) and
    category.coding.where(
      code = 'CLM_BLOOD_NCVRD_CHRG_AMT'
    )
).amount.value
Coverage / Claim Type
  • Inpatient
  • SNF
Source View
V2_MDCR_CLM
Source Column
CLM_BLOOD_NCVRD_CHRG_AMT
Sources
  • NCH
Profiles
  • CMS

Example 

10.02

Notes

This field is not populated as a discrete field in processing institutional claims. To calculate the noncovered blood charge amount, sum the noncovered charge amounts line items with revenue center codes 038X.

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