Variable: CLM_PHYSN_ASTNT_CD

Carrier Line Reduced Payment Physician Assistant Code

Description:

The code on the carrier (non-DMERC) line item that identifies the line items that have been paid a reduced fee schedule amount (65%, 75% or 85%) because a physician's assistant performed the service.

Values

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

Value	Description
0	N/A
1	65% of payment. Either physician assistants assisting in surgery or nurse midwives
2	75% of payment. Either physician assistants performing services in a hospital (other than assisting surgery) or nurse practitioners/clinical nurse specialist performing services in rural areas or clinical social worker services
3	85% of payment. Either physician assistant services for other than assisting surgery or other hospital services or nurse practitioners services (not in rural areas)
~	Adjustment situation (where CLM_DISP_CD equal 3)