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Lifetime Reserved Days Used Count

CLM_MDCR_IP_LRD_USE_CNT

THE NUMBER OF LIFETIME RESERVE DAYS THAT THE BENEFICIARY HAS ELECTED TO USE DURING THE PERIOD COVERED BY THE INSTITUTIONAL CLAIM. UNDER MEDICARE, EACH BENEFICIARY HAS A ONE-TIME RESERVE OF SIXTY ADDITIONAL DAYS OF INPATIENT HOSPITAL COVERAGE THAT CAN BE USED AFTER 90 DAYS OF INPATIENT CARE HAVE BEEN PROVIDED IN A SINGLE BENEFIT PERIOD. THIS COUNT IS USED TO SUBTRACT FROM THE TOTAL NUMBER OF LIFETIME RESERVE DAYS THAT A BENEFICIARY HAS AVAILABLE.

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_LRD_USE_CNT'
  ).exists()
).value
Coverage / Claim Type
  • Inpatient
  • SNF
Source View
V2_MDCR_CLM_INSTNL
Source Column
CLM_MDCR_IP_LRD_USE_CNT
Sources
  • FISS
  • NCH
Profiles
  • CMS

Example 

7

Mappings

CCW
  • BENE_LRD_USED_CNT

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