Variable: CLM_TYPE_CD
Claim Type Code
Description:
CA CODE IDENTIFYING THE SOURCE AND TYPE OF CLAIM SUBMITTED THROUGH THE MEDICARE OR MEDICAID PROGRAM.
Values
This variable is coded, and will contain one of the following values.
| Value | Description |
| 1 | MEDICARE PART D ORIGINAL CLAIM |
| 2 | MEDICARE PART D ADJUSTED CLAIM |
| 3 | MEDICARE PART D DELETED CLAIM |
| 4 | MEDICARE PART D RESUBMITTED CLAIM |
| 10 | MEDICARE HHA CLAIM |
| 20 | MEDICARE NON-SWING BED SNF CLAIM |
| 30 | MEDICARE SWING BED SNF CLAIM |
| 40 | MEDICARE OUTPATIENT CLAIM |
| 50 | MEDICARE HOSPICE CLAIM |
| 60 | MEDICARE INPATIENT CLAIM |
| 61 | MEDICARE INPATIENT FULL ENCOUNTER CLAIM |
| 62 | MEDICARE ADVANTAGE IME/GME CLAIMS |
| 63 | MEDICARE ADVANTAGE (NO-PAY) CLAIMS |
| 64 | MEDICARE ADVANTAGE (PAID AS FFS) CLAIMS |
| 71 | MEDICARE PART B PROFESSIONAL PHYSICIAN/SUPPLIER CLAIM (NON-DMEPOS) |
| 72 | MEDICARE PART B PROFESSIONAL PHYSICIAN/SUPPLIER CLAIM (DMEPOS) |
| 81 | MEDICARE PART B DME REGIONAL CARRIER (DMERC) CLAIM (NON-DMEPOS) |
| 82 | MEDICARE PART B DME REGIONAL CARRIER (DMERC) CLAIM (DMEPOS) |
| 1000 | 000X MEDICARE SS OTHER TYPE OF BILL GROUPS - PHASE 1 |
| 1011 | 011X MEDICARE SS HOSPITAL INPATIENT (PART A) - PHASE 1 |
| 1012 | 012X MEDICARE SS HOSPITAL INPATIENT (PART B) - PHASE 1 |
| 1013 | 013X MEDICARE SS HOSPITAL OUTPATIENT - PHASE 1 |
| 1014 | 014X MEDICARE SS HOSPITAL OTHER (PART B) - PHASE 1 |
| 1018 | 018X MEDICARE SS HOSPITAL SWING BED - PHASE 1 |
| 1019 | 019X MEDICARE SS - HOSPITAL RESERVED FOR NATIONAL ASSIGNMENT - PHASE 1 |
| 1021 | 021X MEDICARE SS SNF INPATIENT (PART A)- PHASE 1 |
| 1022 | 022X MEDICARE SS SNF INPATIENT (PART B) - PHASE 1 |
| 1023 | 023X MEDICARE SS SNF OUTPATIENT - PHASE 1 |
| 1028 | 028X MEDICARE SS SNF SWING BED - PHASE 1 |
| 1029 | 029X MEDICARE SS - SKILLED NURSING RESERVED FOR NATIONAL ASSIGNMENT- PHASE 1 |
| 1032 | 032X MEDICARE SS HOME HEALTH INPATIENT (PART B) - PHASE 1 |
| 1033 | 033X MEDICARE SS HOME HEALTH OUTPATIENT - PHASE 1 |
| 1034 | 034X MEDICARE SS HOME HEALTH (PART B ONLY) - PHASE 1 |
| 1039 | 039X MEDICARE SS HHA - RESERVED FOR NATIONAL ASSIGNMENT - PHASE 1 |
| 1041 | 041X MEDICARE SS RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS - PHASE 1 |
| 1042 | 042X MEDICARE SS RNHCI HOSPITAL-INPATIENT OR HOME HEALTH VISITS (PART B ONLY) - PHASE 1 |
| 1043 | 043X MEDICARE SS RNHCI HOSPITAL-OUTPATIENT (HHA-A ALSO) - PHASE 1 |
| 1049 | 049X MEDICARE SS RNHCI HOSPITAL-RESERVED FOR NATIONAL ASSIGNMENT - PHASE 1 |
| 1065 | 065X MEDICARE SS INTERMEDIATE CARE - LEVEL I PHASE 1 |
| 1066 | 066X MEDICARE SS INTERMEDIATE CARE LEVEL II PHASE 1 |
| 1069 | 069X MEDICARE SS RESERVED FOR NATIONAL ASSIGNMENT - PHASE 1 |
| 1071 | 071X MEDICARE SS CLINIC RHC RURAL HEALTH - PHASE 1 |
| 1072 | 072X MEDICARE SS CLINIC ESRD RENAL DIALYSIS - PHASE 1 |
| 1073 | 073X MEDICARE SS CLINIC FREESTANDING - PHASE 1 |
| 1074 | 074X MEDICARE SS CLINIC ORF OTHER REHAB - PHASE 1 |
| 1075 | 075X MEDICARE SS CLINIC CORF COMPREHENSIVE OUTPATIENT REHAB - PHASE 1 |
| 1076 | 076X MEDICARE SS CLINIC CMHC COMMUNITY MENTAL HEALTH CENTERS - PHASE 1 |
| 1077 | 077X MEDICARE SS CLINIC FQHC FEDERAL QUALIFIED HEALTH CENTER - PHASE 1 |
| 1078 | 078X MEDICARE SS LICENSED FREESTANDING EMERGENCY MEDICAL FACILITY (EFFECTIVE 7/1/12) - PHASE 1 |
| 1079 | 079X MEDICARE SS CLINIC - OTHER - PHASE 1 |
| 1081 | 081X MEDICARE SS HOSPICE NONHOSPITAL-BASED - PHASE 1 |
| 1082 | 082X MEDICARE SS HOSPICE HOSPITAL-BASED - PHASE 1 |
| 1083 | 083X MEDICARE SS ASC AMBULATORY SURGERY CENTER - PHASE 1 |
| 1084 | 084X MEDICARE SS SPECIAL FACILITY FREESTANDING BIRTHING CENTER - PHASE 1 |
| 1085 | 085X MEDICARE SS CAH CRITICAL ACCESS HOSPITAL - PHASE 1 |
| 1086 | 086X MEDICARE SS SPECIAL FACILITY RESIDENTIAL FACILITY _ PHASE 1 |
| 1087 | 087X MEDICARE SS FREESTANDING NON-RESIDENTIAL OPIOID TREATMENT PROGRAM (EFFECTIVE 1/1/21) - PHASE 1 |
| 1088 | 088X MEDICARE SS RESERVED FOR NATIONAL ASSIGNMENT - PHASE 1 |
| 1089 | 089X MEDICARE SS SPECIAL FACILITY OR ASC SURGERY-OTHER PHASE 1 |
| 1091 | 091X MEDICARE SS RESERVED FOR NATIONAL ASSIGNMENT - PHASE 1 |
| 1092 | 092X MEDICARE SS RESERVED FOR NATIONAL ASSIGNMENT - PHASE 1 |
| 1093 | 093X MEDICARE SS RESERVED FOR NATIONAL ASSIGNMENT - PHASE 1 |
| 1094 | 094X MEDICARE SS RESERVED FOR NATIONAL ASSIGNMENT - PHASE 1 |
| 1095 | 095X MEDICARE SS RESERVED FOR NATIONAL ASSIGNMENT - PHASE 1 |
| 1096 | 096X MEDICARE SS RESERVED FOR NATIONAL ASSIGNMENT - PHASE 1 |
| 1097 | 097X MEDICARE SS RESERVED FOR NATIONAL ASSIGNMENT - PHASE 1 |
| 1098 | 098X MEDICARE SS RESERVED FOR NATIONAL ASSIGNMENT - PHASE 1 |
| 1099 | 099X MEDICARE SS RESERVED FOR NATIONAL ASSIGNMENT - PHASE 1 |
| 1700 | PROF MEDICARE SS PART B PROFESSIONAL - PHASE 1 |
| 1800 | DME MEDICARE SS DME - PHASE 1 |
| 1900 | HOSPICE NOTICE OF ELECTION - PHASE 1 |
| 2000 | 000X MEDICARE SS OTHER TYPE OF BILL GROUPS |
| 2011 | 011X MEDICARE SS HOSPITAL INPATIENT (PART A) |
| 2012 | 012X MEDICARE SS HOSPITAL INPATIENT (PART B) |
| 2013 | 013X MEDICARE SS HOSPITAL OUTPATIENT |
| 2014 | 014X MEDICARE SS HOSPITAL OTHER (PART B) |
| 2018 | 018X MEDICARE SS HOSPITAL SWING BED |
| 2019 | 019X MEDICARE SS - HOSPITAL RESERVED FOR NATIONAL ASSIGNMENT |
| 2021 | 021X MEDICARE SS SNF INPATIENT |
| 2022 | 022X MEDICARE SS SNF INPATIENT |
| 2023 | 023X MEDICARE SS SNF OUTPATIENT |
| 2028 | 028X MEDICARE SS SNF SWING BED |
| 2029 | 029X MEDICARE SS - SKILLED NURSING RESERVED FOR NATIONAL ASSIGNMENT |
| 2032 | 032X MEDICARE SS HOME HEALTH INPATIENT (PART B) |
| 2033 | 033X MEDICARE SS HOME HEALTH OUTPATIENT |
| 2034 | 034X MEDICARE SS HOME HEALTH (PART B ONLY) |
| 2039 | 039X MEDICARE SS HHA - RESERVED FOR NATIONAL ASSIGNMENT |
| 2041 | 041X MEDICARE SS RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS |
| 2042 | 042X MEDICARE SS RNHCI HOSPITAL-INPATIENT OR HOME HEALTH VISITS (PART B ONLY) |
| 2043 | 043X MEDICARE SS RNHCI HOSPITAL-OUTPATIENT (HHA-A ALSO) |
| 2049 | 049X MEDICARE SS RNHCI HOSPITAL-RESERVED FOR NATIONAL ASSIGNMENT |
| 2065 | 065X MEDICARE SS INTERMEDIATE CARE - LEVEL I |
| 2066 | 066X MEDICARE SS INTERMEDIATE CARE LEVEL II |
| 2069 | 069X MEDICARE SS RESERVED FOR NATIONAL ASSIGNMENT |
| 2071 | 071X MEDICARE SS CLINIC RHC RURAL HEALTH |
| 2072 | 072X MEDICARE SS CLINIC ESRD RENAL DIALYSIS |
| 2073 | 073X MEDICARE SS CLINIC FREESTANDING |
| 2074 | 074X MEDICARE SS CLINIC ORF OTHER REHAB |
| 2075 | 075X MEDICARE SS CLINIC CORF COMPREHENSIVE OUTPATIENT REHAB |
| 2076 | 076X MEDICARE SS CLINIC CMHC COMMUNITY MENTAL HEALTH CENTERS |
| 2077 | 077X MEDICARE SS CLINIC FQHC FEDERAL QUALIFIED HEALTH CENTER |
| 2078 | 078X MEDICARE SS LICENSED FREESTANDING EMERGENCY MEDICAL FACILITY (EFFECTIVE 7/1/12) |
| 2079 | 079X MEDICARE SS CLINIC - OTHER |
| 2081 | 081X MEDICARE SS HOSPICE NONHOSPITAL-BASED |
| 2082 | 082X MEDICARE SS HOSPICE HOSPITAL-BASED |
| 2083 | 083X MEDICARE SS ASC AMBULATORY SURGERY CENTER |
| 2084 | 084X MEDICARE SS SPECIAL FACILITY FREESTANDING BIRTHING CENTER |
| 2085 | 085X MEDICARE SS CAH CRITICAL ACCESS HOSPITAL |
| 2086 | 086X MEDICARE SS SPECIAL FACILITY RESIDENTIAL FACILITY |
| 2087 | 087X MEDICARE SS FREESTANDING NON-RESIDENTIAL OPIOID TREATMENT PROGRAM (EFFECTIVE 1/1/21) |
| 2088 | 088X MEDICARE SS RESERVED FOR NATIONAL ASSIGNMENT |
| 2089 | 089X MEDICARE SS SPECIAL FACILITY OR ASC SURGERY-OTHER |
| 2091 | 091X MEDICARE SS RESERVED FOR NATIONAL ASSIGNMENT |
| 2092 | 092X MEDICARE SS RESERVED FOR NATIONAL ASSIGNMENT |
| 2093 | 093X MEDICARE SS RESERVED FOR NATIONAL ASSIGNMENT |
| 2094 | 094X MEDICARE SS RESERVED FOR NATIONAL ASSIGNMENT |
| 2095 | 095X MEDICARE SS RESERVED FOR NATIONAL ASSIGNMENT |
| 2096 | 096X MEDICARE SS RESERVED FOR NATIONAL ASSIGNMENT |
| 2097 | 097X MEDICARE SS RESERVED FOR NATIONAL ASSIGNMENT |
| 2098 | 098X MEDICARE SS RESERVED FOR NATIONAL ASSIGNMENT |
| 2099 | 099X MEDICARE SS RESERVED FOR NATIONAL ASSIGNMENT |
| 2700 | PROF MEDICARE SS PART B PROFESSIONAL |
| 2800 | DME MEDICARE SS DME |
| 2900 | HOSPICE NOTICE OF ELECTION |