Carrier Line Reduced Payment Physician Assistant Code
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.
This variable is coded, and will contain one of the following values.
| Value | Description |
|---|---|
BLANK |
Adjustment situation (where CLM_DISP_CD equal 3) |
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) |
Some additional information on this variable: