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.

Deductible Amount

CLM_MDCR_IP_BENE_DDCTBL_AMT

THE AMOUNT OF THE DEDUCTIBLE THE BENEFICIARY PAID FOR INPATIENT SERVICES, AS ORIGINALLY SUBMITTED ON THE INSTITUTIONAL CLAIM.[NCH] NCH DERIVATION : DERIVED FROM: CLM_VAL_CD CLM_VAL_AMT DERIVATION RULE: BASED ON THE PRESENCE OF VALUE CODE EQUAL TO A1, B1, OR C1 MOVE THE CORRESPONDING VALUE AMOUNT TO THE NCH_BENE_IP_DDCTBL_AMT. [NCH]

Field Metadata

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

Example 

19.11

Mappings

CCLF
  • CCLFA.CLM_MDCR_IP_BENE_DDCTBL_AMT
CCW
  • NCH_BENE_IP_DDCTBL_AMT

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