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Claim PPS Capital DRG Weight Number

CLM_MDCR_IP_PPS_DRG_WT_NUM

EFFECTIVE 3/2/92, THE NUMBER USED TO DETERMINE A TRANSFER ADJUSTED CASE MIX INDEX FOR CAPITAL PPS. THE NUMBER IS DETERMINED BY MULTIPLYING THE DRG WEIGHT TIMES THE DISCHARGE FRACTION. [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_PPS_DRG_WT_NUM'
  ).exists()
).value
Coverage / Claim Type
  • Inpatient
  • SNF
Source View
V2_MDCR_CLM_INSTNL
Source Column
CLM_MDCR_IP_PPS_DRG_WT_NUM
Sources
  • FISS
  • NCH
Profiles
  • CMS

Example 

1.08

Mappings

CCW
  • CLM_PPS_CPTL_DRG_WT_NUM

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