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
Alock () or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

Processing Indicator Code

CLM_PRCSG_IND_CD

The code indicating the reason a line item on the noninstitutional claim was allowed or denied. Note 2: Effective 4/1/02, this field was expanded to two bytes to accommodate new values. The NCH nearline file did not expand the current 1-byte field but instituted a crosswalk of the 2-byte field to the 1-byte character value. See table of codes for the crosswalk. [NCH]

Field Metadata

FHIR Resource
ExplanationOfBenefit
FHIRPath
ExplanationOfBenefit.item.extension.where(
url = 'https://bluebutton.cms.gov/fhir/StructureDefinition/CLM-PRCSG-IND-CD'
).value.code
Coverage / Claim Type
  • Carrier
  • DME
Source View
V2_MDCR_CLM_LINE_PRFNL
Source Column
CLM_PRCSG_IND_CD
Sources
  • NCH
Profiles
  • CMS

Example

J

Mappings

CCLF
  • CCLF5.CLM_PRCSG_IND_CD
  • CCLF6.CLM_PRCSG_IND_CD
CCW
  • LINE_PRCSG_IND_CD
Looking for U.S. government information and services?
Visit USA.gov