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Processing Indicator Code

CLM_PRCSG_IND_CD

THE CODE INDICATING THE REASON A LINE ITEM ON THE NONINSTITUTIONAL CLAIM WAS ALLOWED OR DENIED. NOTE2: 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 CODE 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
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