Variable: CLM_REV_PMT_MTHD_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
1	PAID STANDARD HOSPITAL OPPS AMOUNT (STATUS INDICATORS J1, J2, R, S, T, U, V)
10	PAID FQHC ENCOUNTER PAYMENT
11	NOT PAID OR NOT INCLUDED UNDER FQHC ENCOUNTER PAYMENT
12	NO ADDITIONAL PAYMENT, INCLUDED IN PAYMENT FOR FQHC ENCOUNTER
13	PAID FQHC ENCOUNTER PAYMENT FOR NEW PATIENT OR IPPE/AWV
14	GRANDFATHERED TRIBAL FQHC ENCOUNTER PAYMENT
15	FQHC IOP ENCOUNTER PAYMENT
16	WRAP-AROUND PAYMENT FOR FQHCS THAT CONTRACT WITH MEDICARE ADVANTAGE (MA) ORGANIZATIONS
2	SERVICES NOT PAID BY OPPS PRICER; PAID UNDER FEE SCHEDULE OR OTHER PAYMENT SYSTEM (SI, OF A, G, K)
3	NOT PAID (Q1, Q2, Q3, Q4, M, W, Y, E1, E2), OR NOT PAID UNDER OPPS (B, C, Z)
4	PAID AT REASONABLE COST (STATUS INDICATOR F, L)
5	PAID STANDARD AMOUNT FOR PASS-THROUGH DRUG OR BIOLOGICAL (STATUS INDICATOR G)
6	PAYMENT BASED ON CHARGE ADJUSTED TO COST (STATUS INDICATOR H)
7	ADDITIONAL PAYMENT FOR NEW DRUG OR NEW BIOLOGICAL (STATUS INDICATOR J)
8	PAID PARTIAL HOSPITALIZATION OR INTENSIVE OUTPATIENT PROGRAM PER DIEM (STATUS INDICATOR P)
9	NO ADDITIONAL PAYMENT, PAYMENT INCLUDED IN LINE ITEMS WITH APCS (STATUS INDICATOR N, OR NO HCPCS CODE AND CERTAIN REVENUE CODES, OR HCPCS CODES G0176, G0177, OR G0129)
~	NO DESCRIPTION AVAILABLE