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Non-Covered Charge Amount

CLM_LINE_NCVRD_CHRG_AMT

THE CHARGE AMOUNT RELATED TO A REVENUE CENTER CODE FOR SERVICES THAT ARE NOT COVERED BY MEDICARE. NOTE: PRIOR TO NCH VERSION H THE FIELD SIZE WAS S9(7)V99 AND THE ELEMENT WAS ONLY PRESENT ON THE INPATIENT/SNF FORMAT. AS OF NCH WEEKLY PROCESS DATE 10/3/97 THIS FIELD WAS ADDED TO ALL INSTITUTIONAL CLAIM TYPES. [NCH]

Field Metadata

FHIR Resource
ExplanationOfBenefit
FHIRPath 
ExplanationOfBenefit.item.adjudication.where(
  category.coding.where(
    system = 'https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication'
  ) and
    category.coding.where(
      code = 'CLM_LINE_NCVRD_CHRG_AMT'
    )
).amount.value
Coverage / Claim Type
  • HHA
  • Hospice
  • Inpatient
  • Outpatient
  • SNF
Source View
V2_MDCR_CLM_LINE
Source Column
CLM_LINE_NCVRD_CHRG_AMT
Sources
  • FISS
  • NCH
Profiles
  • Regular
  • CMS

Example 

0.1

Mappings

CCW
  • REV_CNTR_NCVRD_CHRG_AMT

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