Claim PPS Indicator Code
CLM_PPS_IND_CD EFFECTIVE WITH NCH VERSION H, THE CODE INDICATING WHETHER OR NOT THE (1) CLAIM IS PPS AND/OR (2) THE BENEFICIARY IS A DEEMED INSURED MEDICARE QUALIFIED GOVERNMENT EMPLOYEE (MQGE). NOTE: BEGINNING WITH NCH WEEKLY PROCESS DATE 10/3/97 THROUGH 5/29/98, THIS FIELD WAS POPULATED WITH ONLY THE PPS INDICATOR. BEGINNING WITH NCH WEEKLY PROCESS DATE 6/5/98, THIS FIELD WAS ADDITIONALLY POPULATED WITH THE DEEMED MQGE INDICATOR. CLAIMS PROCESSED PRIOR TO 10/3/97 WILL CONTAIN SPACES. [NCH]
Field Metadata
- FHIR Resource
- ExplanationOfBenefit
- FHIRPath
- ExplanationOfBenefit.supportingInfo.where(category.coding.where(system = 'https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() andcategory.coding.where(code = 'CLM_PPS_IND_CD').exists()).code.coding.code
- Coverage / Claim Type
-
- HHA
- Hospice
- Inpatient
- Outpatient
- SNF
- Source View
-
V2_MDCR_CLM_INSTNL - Source Column
-
CLM_PPS_IND_CD - Reference Table
- https://bluebutton.cms.gov/fhir/CodeSystem/CLM-PPS-IND-CD
- Sources
-
- NCH
- Profiles
-
- CMS
Example
2Mappings
- CCW
-
-
CLM_PPS_IND_CD
-