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Variable: CLM_BILL_CLSFCTN_CD

Claim Bill Classification Code

Description:

The second digit of the type of bill (TOB2) is used to indicate with greater specificity where the service was provided (e.g., a department within a hospital). In FHIR, CMS concatenates the first and second digits.

Values

This variable is coded, and will contain one of the following values.

Value Description
11 HOSPITAL INPATIENT (INCLUDING MEDICARE PART A)
16 HOSPITAL-INTERMEDIATE CARE - LEVEL II (OBSOLETE)
17 HOSPITAL-INTERMEDIATE CARE - LEVEL III (OBSOLETE)
15 HOSPITAL-INTERMEDIATE CARE - LEVEL I (OBSOLETE)
14 HOSPITAL - LABORATORY SERVICES PROVIDED TO NON-PATIENTS
12 HOSPITAL INPATIENT (MEDICARE PART B ONLY)
19 RESERVED FOR NATIONAL ASSIGNMENT
18 HOSPITAL - SWING BEDS
13 HOSPITAL OUTPATIENT
23 SKILLED NURSING - OUTPATIENT
26 SNF-INTERMEDIATE CARE - LEVEL II (OBSOLETE)
25 SNF-INTERMEDIATE CARE - LEVEL I (OBSOLETE)
24 SNF-OTHER (PART B) - (OBSOLETE)
27 SNF-INTERMEDIATE CARE - LEVEL III (OBSOLETE)
28 SKILLED NURSING - SWING BEDS
22 SKILLED NURSING - INPATIENT (MEDICARE PART B ONLY)
21 SKILLED NURSING - INPATIENT (INCLUDING MEDICARE PART A)
29 SNF-RESERVED FOR NATIONAL ASSIGNMENT
32 HOME HEALTH SERVICES UNDER A PLAN OF TREATMENT (EFFECTIVE ON 10/1/13)]
38 HHA-SWING BEDS (OBSOLETE)
36 HHA-INTERMEDIATE CARE - LEVEL II (OBSOLETE)
33 HHA-OUTPATIENT (PLAN OF TREATMENT UNDER PART A,INCLUDING DME UNDER PART A) (TERM. 10/2013)
37 HHA-INTERMEDIATE CARE - LEVEL III (OBSOLETE)
31 HHA-INPATIENT (INCLUDING PART A) (OBSOLETE)
39 HHA-RESERVED FOR NATIONAL ASSIGNMENT
35 HHA-INTERMEDIATE CARE - LEVEL I (OBSOLETE)
34 HOME HEALTH SERVICES NOT UNDER A PLAN OF TREATMENT (EFFECTIVE 10/1/13)]
45 RNHCI (RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS) HOSPITAL-INTERMEDIATE CARE - LEVEL I (OBSOLETE)
42 RNHCI (RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS) HOSPITAL-INPATIENT OR HOME HEALTH VISITS (PART B ONLY)
47 RNHCI (RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS) HOSPITAL-INTERMEDIATE CARE - LEVEL III (OBSOLETE)
49 RNHCI (RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS) HOSPITAL-RESERVED FOR NATIONAL ASSIGNMENT
44 RNHCI (RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS) HOSPITAL-OTHER (PART B) - (OBSOLETE)
48 RNHCI (RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS) HOSPITAL-SWING BEDS (OBSOLETE)
41 RELIGIOUS NON-MEDICAL HEALTH CARE INSTITUTIONS - INPATIENT
46 RNHCI (RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS) HOSPITAL-INTERMEDIATE CARE - LEVEL II (OBSOLETE)
43 RELIGIOUS NON-MEDICAL RELIGIOUS NON-MEDICAL HEALTH CARE INSTITUTIONS - OUTPATIENT SERVICES
51 CS EXTENDED CARE-INPATIENT (INCLUDING PART A) OBSOLETE EFF. 7/00 - IMPLEMENTATION OF RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS (RNHCI)
55 RNHCI (RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS) EXTENDED CARE-INTERMEDIATE CARE - LEVEL I (EFF. 7/00) OBSOLETE - PRIOR TO 7/00 REFERENCED CS
56 RNHCI (RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS) EXTENDED CARE-INTERMEDIATE CARE - LEVEL II (EFF. 7/00) OBSOLETE - PRIOR TO 7/00 REFERENCED CS
57 RNHCI (RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS) EXTENDED CARE-INTERMEDIATE CARE - LEVEL III (EFF. 7/00) OBSOLETE - PRIOR TO 7/00 REFERENCED CS
54 RNHCI (RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS) EXTENDED CARE-OTHER (PART B)(EFF. 7/00) - OBSOLETE; PRIOR TO 7/00 REFERENCED CS
59 RNHCI (RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS) EXTENDED CARE-RESERVED FOR NATIONAL ASSIGNMENT (EFF. 7/00) - OBSOLETE; PRIOR TO 7/00 REFERENCED CS
52 RNHCI (RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS) EXTENDED CARE-INPATIENT OR HOME HEALTH VISITS (PART B ONLY) (EFF. 7/00) - OBSOLETE; PRIOR TO 7/00 CHRISTIAN SCIENCE (CS)
58 RNHCI (RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS) EXTENDED CARE-SWING BEDS (EFF. 7/00) - OBSOLETE PRIOR TO 7/00 REFERENCED CS
53 RNHCI (RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS) EXTENDED CARE-OUTPATIENT (HHA-A ALSO) (EFF. 7/00); OBSOLETE - PRIOR TO 7/00 REFERENCED CS
67 INTERMEDIATE CARE-INTERMEDIATE CARE - LEVEL III - OBSOLETE
66 INTERMEDIATE CARE - LEVEL II
69 RESERVED FOR NATIONAL ASSIGNMENT
68 INTERMEDIATE CARE-SWING BEDS - OBSOLETE
65 INTERMEDIATE CARE - LEVEL I
61 INTERMEDIATE CARE-INPATIENT (INCLUDING PART A) OBSOLETE
62 INTERMEDIATE CARE-INPATIENT OR HOME HEALTH VISITS (PART B ONLY) OBSOLETE
63 INTERMEDIATE CARE-OUTPATIENT (HHA-A ALSO) - OBSOLETE
64 INTERMEDIATE CARE-OTHER (PART B)- OBSOLETE
76 CLINIC - COMMUNITY MENTAL HEALTH CENTER
72 CLINIC - HOSPITAL BASED OR INDEPENDENT RENAL DIALYSIS CENTER
78 LICENSED FREESTANDING EMERGENCY MEDICAL FACILITY (EFFECTIVE 7/1/12)
73 CLINIC - FREESTANDING
71 CLINIC - RURAL HEALTH
77 CLINIC - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)
79 CLINIC - OTHER
74 CLINIC - OUTPATIENT REHABILITATION FACILITY (ORF)
75 CLINIC - COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY (CORF)
87 FREESTANDING NON-RESIDENTIAL OPIOID TREATMENT PROGRAM (EFFECTIVE 1/1/21)
83 AMBULATORY SURGERY CENTER
84 FREE STRANDING BIRTHING CENTER
86 RESIDENTIAL FACILITY
81 HOSPICE (NON-HOSPITAL BASED)
85 CRITICAL ACCESS HOSPITAL
82 HOSPICE (HOSPITAL BASED)
89 SPECIAL FACILITY - OTHER
88 RESERVED FOR NATIONAL ASSIGNMENT
91 RESERVED FOR NATIONAL ASSIGNMENT
96 RESERVED FOR NATIONAL ASSIGNMENT
99 RESERVED FOR NATIONAL ASSIGNMENT
92 RESERVED FOR NATIONAL ASSIGNMENT
93 RESERVED FOR NATIONAL ASSIGNMENT
98 RESERVED FOR NATIONAL ASSIGNMENT
94 RESERVED FOR NATIONAL ASSIGNMENT
97 RESERVED FOR NATIONAL ASSIGNMENT
95 RESERVED FOR NATIONAL ASSIGNMENT
~~ NO DESCRIPTION AVAILABLE
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