Claim PPS Indicator Code FISS

Field Metadata

FHIR Resource

ExplanationOfBenefit

FHIRPath

ExplanationOfBenefit.supportingInfo.where(
  category.coding.where(
    system = 'https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information'
  ).exists() and
    category.coding.where(code = 'CLM_PPS_IND_CD').exists()
).code.coding.code

Coverage / Claim Type

• HHA
• Hospice
• Inpatient
• Outpatient
• SNF

Source View

V2_MDCR_CLM_FISS

Source Column

CLM_PPS_IND

Reference Table

https://bluebutton.cms.gov/fhir/CodeSystem/CLM-PPS-IND-CD

Sources

• FISS

Profiles

• CMS

2