Variable: CLM_REV_CNTR_STUS_CD
Revenue Center Payment Method Indicator Code
Description:
THE DOMAIN OF CLAIM PAYMENT METHOD CODES.
Values
This variable is coded, and will contain one of the following values.
| Value | Description |
| A | SERVICES NOT PAID UNDER OPPS; PAID UNDER FEE SCHEDULE OR OTHER PAYMENT SYSTEM (EFFECTIVE 1/1/2023- INCLUDES UNCLASSIFIED DRUGS AND BIOLOGICALS REPORTABLE UNDER HCPCS CODE C9399) |
| B | NON-ALLOWED ITEM OR SERVICE FOR OPPS |
| C | INPATIENT PROCEDURE |
| E | NON-ALLOWED ITEM OR SERVICE |
| E1 | NON-ALLOWED ITEM OR SERVICE |
| E2 | ITEMS AND SERVICES FOR WHICH PRICING INFORMATION AND CLAIMS DATA ARE NOT AVAILABLE |
| F | CORNEAL TISSUE ACQUISITION; CERTAIN CRNA SERVICES |
| G | DRUG/BIOLOGICAL PASS-THROUGH |
| H | PASS-THROUGH DEVICE CATEGORIES |
| I | INPATIENT REHABILITATION FACILITY (IRF) PPS - SUBMITTED AND PRICED HIPPS/CMG CODES ARE DIFFERENT, CHANGED BY IRF PPS PRICER NOTE: THE PRICED HIPPS/CMG CODE IS DISPLAYED ON THE REVENUE CODE 0024 LINE IN THE PAY/HCPC/APC CD FIELD WHEN DIFFERENT FROM THE SUBMITTED HIPPS/CMG CODE DISPLAYED IN THE HCPC FIELD |
| J | NEW DRUG OR NEW BIOLOGICAL PASS-THROUGH |
| J1 | HOSPITAL PART B SERVICES PAID THROUGH A COMPREHENSIVE APC |
| J2 | HOSPITAL PART B SERVICES THAT MAY BE PAID THROUGH A COMPREHENSIVE APC |
| K | NON-PASS-THROUGH DRUGS AND NON-IMPLANTABLE BIOLOGICALS , INCLUDING THERAPEUTIC RADIOPHARMACEUTICALS |
| L | INFLUENZA VACCINE; PNEUMOCOCCAL PNEUMONIA VACCINE; HEPATITIS B VACCINES; COVID-19 VACCINE; MONOCLONAL ANTIBODY THERAPY PRODUCT |
| M | SERVICE NOT BILLABLE TO THE MAC; FOR HOME HEALTH - MEDICAL REVIEW CHANGES A HIPPS CODE |
| N | ITEMS AND SERVICES PACKAGED INTO APC RATES |
| P | FOR OUTPATIENT CLAIMS - PARTIAL HOSPITALIZATION; FOR HOME HEALTH - CLAIM CONTAINS LESS THAN 10 THERAPY REVENUE CODES AND NO MEDICAL REVIEW INTERVENTION |
| Q | PACKAGED SERVICES SUBJECT TO SEPARATE PAYMENT BASED ON PAYMENT CRITERIA (DISCONTINUED 01/01/2009 AND REPLACED BY STATUS INDICATORS Q1,Q2,Q3,Q4) |
| Q1 | STV-PACKAGED CODES |
| Q2 | T-PACKAGED CODES |
| Q3 | CODES THAT MAY BE PAID THROUGH A COMPOSITE APC |
| Q4 | CONDITIONALLY PACKAGED LABORATORY SERVICES |
| R | BLOOD AND BLOOD PRODUCTS |
| S | PROCEDURE OR SERVICE , NOT DISCOUNTED WHEN MULTIPLE |
| T | PROCEDURE OR SERVICE , MULTIPLE REDUCTION APPLIES |
| U | BRACHYTHERAPY SOURCES |
| V | CLINIC OR EMERGENCY DEPARTMENT VISIT |
| W | INVALID HCPCS OR INVALID REVENUE CODE WITH BLANK HCPCS |
| X | ANCILLARY SERVICE* (DEACTIVATED AS OF V16.0) |
| Y | NON-IMPLANTABLE DME |
| Z | VALID REVENUE CODE WITH BLANK HCPCS AND NO OTHER SI ASSIGNED |
| ~ | NO DESCRIPTION AVAILABLE |