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.

Provider Participating Indicator Code

CLM_RNDRG_PRVDR_PRTCPTG_CD

Indication that a provider is participating or accepting assignment for this claim. [HRMZ] Code indicating whether or not a provider is participating or accepting assignment for this line item service on the noninstitutional claim. [NCH]

Field Metadata

FHIR Resource
ExplanationOfBenefit
FHIRPath
ExplanationOfBenefit.item.extension.where(
  url = 'https://bluebutton.cms.gov/fhir/StructureDefinition/CLM-RNDRG-PRVDR-PRTCPTG-CD'
).value.code
Coverage / Claim Type
  • Carrier
  • DME
Source View
V2_MDCR_CLM_LINE
Source Column
CLM_RNDRG_PRVDR_PRTCPTG_CD
Reference Table
https://bluebutton.cms.gov/fhir/CodeSystem/PRTCPTNG-IND-CD
Sources
  • NCH
  • VMS
Profiles
  • CMS
  • Basis
  • Regular

Example

1

Mappings

CCW
  • PRTCPTNG_IND_CD

bluebutton.cms.gov

official website of theU.S. Department of Health and Human Services and theCenters for Medicare & Medicaid Services.

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