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Transitional Drug Add-On Payment Adjustment

CLM_REV_CNTR_TDAPA_AMT

A MONETARY AMOUNT SIGNIFYING THE TRANSITIONAL DRUG ADD-ON PAYMENT ADJUSTMENT (TDAPA) FOR END STAGE RENAL DISEASE (ESRD) CLAIMS FOR INJECTABLE, INTRAVENOUS, AND ORAL CALCIMIMETICS WHEN REPORTED WITH AN AX MODIFIER.

Field Metadata

FHIR Resource
ExplanationOfBenefit
FHIRPath 
ExplanationOfBenefit.item.adjudication.where(
  category.coding.where(
    system = 'https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication'
  ) and
    category.coding.where(
      code = 'CLM_REV_CNTR_TDAPA_AMT'
    )
).amount.value
Coverage / Claim Type
  • HHA
  • Hospice
  • Inpatient
  • Outpatient
  • SNF
Source View
V2_MDCR_CLM_LINE_INSTNL
Source Column
CLM_REV_CNTR_TDAPA_AMT
Sources
  • FISS
  • NCH
Profiles
  • CMS

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