Claim Service Classification Type Code
The type of service provided to the beneficiary.
This field, in combination with the facility type code (variable called CLM_FAC_TYPE_CD) indicates the "type of bill" for an institutional claim. Many different types of services can be billed on a Part A or Part B institutional claim, and knowing the type of bill helps to distinguish them. The type of bill is the concatenation of two variables: the facility type (CLM_FAC_TYPE_CD) and the service classification type code (CLM_SRVC_CLSFCTN_TYPE_CD).
This variable is coded, and will contain one of the following values.
For facility type code 1 thru 6, and 9:
| Value | Description |
|---|---|
1 |
Inpatient |
2 |
Inpatient or Home Health (covered on Part B) |
3 |
Outpatient (or HHA - covered on Part A) |
4 |
Other (Part B) -- (Includes HHA medical and other health services, e.g., SNF osteoporosis-injectable drugs) |
5 |
Intermediate care - level I |
6 |
Intermediate care - level II |
7 |
Subacute Inpatient (revenue code 019X required) (formerly Intermediate care -level III) |
8 |
Swing bed For facility type code 7 (clinics): |
1 |
Rural Health Clinic (RHC) |
2 |
Hospital based or independent renal dialysis facility |
3 |
Free-standing provider based federally qualified health center (FQHC) |
4 |
Other Rehabilitation Facility (ORF) |
5 |
Comprehensive Rehabilitation Center (CORF) |
6 |
Community Mental Health Center (CMHC) |
7 |
Federally Qualified Health Center (FQHC) For facility type code 8 (special facility): |
1 |
Hospice (non-hospital based) |
2 |
Hospice (hospital based) |
3 |
Ambulatory surgical center (ASC) in hospital outpatient department |
4 |
Freestanding birthing center |
5 |
Critical Access Hospital - Outpatient Services |
Some additional information on this variable: