Skip to main content

Official websites use .gov
A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS
A lock ( ) or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

Claim LUPA Indicator Code

CLM_HHA_LUP_IND_CD

EFFECTIVE WITH NCH VERSION I, THE CODE USED TO IDENTIFY THOSE HOME HEALTH PPS CLAIMS THAT HAVE 4 VISITS OR LESS IN A 60-DAY EPISODE. IF AN HHA PROVIDES 4 VISITS OR LESS, THEY WILL BE REIMBURSED BASED ON A NATIONAL STANDARDIZED PER VISIT RATE INSTEAD OF HHRGS. NOTE: BEGINNING 10/1/00, THIS FIELD WILL BE POPULATED WITH DATA. CLAIMS PROCESSED PRIOR TO 10/1/00 WILL CONTAIN SPACES. [NCH]

Field Metadata

FHIR Resource
ExplanationOfBenefit
FHIRPath 
ExplanationOfBenefit.supportingInfo.where(
  category.coding.where(
    system = 'https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information'
  ).exists() and
    category.coding.where(code = 'CLM_HHA_LUP_IND_CD').exists()
).code.coding.code
Coverage / Claim Type
  • HHA
Source View
V2_MDCR_CLM_INSTNL
Source Column
CLM_HHA_LUP_IND_CD
Reference Table
https://bluebutton.cms.gov/fhir/CodeSystem/CLM-HHA-LUP-IND-CD
Sources
  • NCH
Profiles
  • CMS

Example 

L

Mappings

CCW
  • CLM_HHA_LUPA_IND_CD

bluebutton.cms.gov

official website of the U.S. Department of Health and Human Services and the Centers for Medicare & Medicaid Services.

Looking for U.S. government information and services?
Visit USA.gov