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

Revenue Center Status Indicator Code

CLM_REV_CNTR_STUS_CD

EFFECTIVE 10/3/2005 WITH THE IMPLEMENTATION OF NCH/NMUD CR#2, THE CODE USED TO IDENTIFY THE STATUS OF THE LINE ITEM SERVICE. THIS FIELD ALONG WITH THE PAYMENT METHOD INDICATOR FIELD IS USED TO IDENTIFY HOW THE SERVICE WAS PRICED FOR PAYMENT. NOTE1: THIS 2-BYTE INDICATOR IS BEING ADDED DUE TO AN EXPANSION OF A FIELD THAT CURRENTLY EXIST ON THE REVENUE CENTER TRAILER. THE STATUS INDICATOR IS CURRENTLY THE 1ST POSITION OF THE REVENUE CENTER PAYMENT METHOD INDICATOR CODE. THE PAYMENT METHOD INDICATOR CODE IS BEING SPLIT INTO TWO 2-BYTE FIELDS (PAYMENT INDICATOR AND STATUS INDICATOR). THE EXPANDED PAYMENT INDICATOR WILL CONTINUE TO BE STORED IN THE EXISTING PAYMENT METHOD INDICATOR FIELD. THE SPLIT OF THE CURRENT PAYMENT METHOD INDICATOR FIELD IS DUE TO THE EXPANSION OF BOTH PIECES OF DATE FROM1-BYTE TO 2-BYTES. NOTE2: THIS FIELD IS POPULATED FOR THOSE CLAIMS THAT ARE REQUIRED TO PROCESS THROUGH OUTPATIENT PPS PRICER. THE TYPE OF BILLS (TOB) REQUIRED TO PROCESS THROUGH ARE: 12X, 13X, 14X (EXCEPT MARYLAND PROVIDERS, INDIAN HEALTH PROVIDERS, HOSPITALS LOCATED IN AMERICAN SAMOA, GUAM AND SAIPAN AND CRITICAL ACCESS HOSPITALS (CAH)); 76X; 75X AND 34X IF CERTAIN HCPCS ARE ON THE BILL; AND ANY OUTPATIENT TYPE OF BILL WITH A CONDITION CODE 07 AND CERTAIN HCPCS. THESE CLAIM TYPES COULD HAVE LINES THAT ARE NOT REQUIRED TO PRICE UNDER OPPS RULES SO THOSE LINES WOULD NOT HAVE DATA IN THIS FIELD. ADDITIONAL EXCEPTION: VIRGIN ISLAND HOSPITALS AND HOSPITALS THAT FURNISH ONLY INPATIENT PART B SERVICES. [NCH]

Field Metadata

FHIR Resource
ExplanationOfBenefit
FHIRPath
ExplanationOfBenefit.item.extension.where(
url = 'https://bluebutton.cms.gov/fhir/StructureDefinition/CLM-REV-CNTR-STUS-CD'
).value.code
Coverage / Claim Type
  • HHA
  • Hospice
  • Inpatient
  • Outpatient
  • SNF
Source View
V2_MDCR_CLM_LINE_INSTNL
Source Column
CLM_REV_CNTR_STUS_CD
Sources
  • NCH
Profiles
  • CMS

Example

J

Notes

A condensed version of the data available in this field is available for both processed and processing claims in CLM_REV_PMT_MTHD_CD.

Mappings

CCW
  • REV_CNTR_STUS_IND_CD
Looking for U.S. government information and services?
Visit USA.gov