Variable: CARR_LINE_RDCD_PMT_PHYS_ASTN_C
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.
Comment
n/a
Values
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) |
Other Info
Some additional information on this variable:
- Short Name: ASTNT_CD
- Long Name: CARR_LINE_RDCD_PMT_PHYS_ASTN_C
- Type: CHAR
- Length: 1
- Source: NCH
- Value Format: