Variable: CLM_DDCTBL_COINSRNC_CD
Claim Deductible Coinsurance Code
Description:
CODE INDICATING WHETHER THE REVENUE CENTER CHARGES ARE SUBJECT TO DEDUCTIBLE AND/OR COINSURANCE.
Values
This variable is coded, and will contain one of the following values.
| Value | Description |
| 0 | Charges are subject to deductible and coinsurance |
| 1 | Charges are not subject to deductible |
| 2 | Charges are not subject to coinsurance |
| 3 | Charges are not subject to deductible or coinsurance |
| 4 | No charge or units associated with this revenue center code. (For multiple HCPCS per single revenue center code) For revenue center code 0001, the following MSP override values may be present: |
| M | Override code; EGHP (employer group health plan) services involved |
| N | Override code; non-EGHP services involved |
| X | Override code: MSP (Medicare is secondary payer) cost avoided |