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Utilization Day Count

CLM_INSTNL_CVRD_DAY_CNT

THE NUMBER OF INPATIENT DAYS COVERED BY THE PRIMARY PROVIDER. FOR MEDICARE IP & HOSPICE, THE NUMBER OF COVERED DAYS OF CARE THAT ARE CHARGEABLE TO MEDICARE FACILITY UTILIZATION THAT INCLUDES FULL DAYS, COINSURANCE DAYS, AND LIFETIME RESERVE DAYS. [HRMZ]

Field Metadata

FHIR Resource
ExplanationOfBenefit
FHIRPath 
ExplanationOfBenefit.adjudication.where(
  category.coding.where(
    system = 'https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication' and
      code = 'CLM_INSTNL_CVRD_DAY_CNT'
  ).exists()
).value
Coverage / Claim Type
  • Hospice
  • Inpatient
  • SNF
Source View
V2_MDCR_CLM_INSTNL
Source Column
CLM_INSTNL_CVRD_DAY_CNT
Sources
  • FISS
  • NCH
Profiles
  • CMS

Example 

30

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