|
Name |
Type |
Discontinued? |
|
1 |
HSP_ACCOUNT_ID |
NUMERIC |
No |
|
|
|
The unique identifier (.1 item) for the hosp acct record. |
|
|
2 |
LINE |
INTEGER |
No |
|
|
|
The line number for the information associated with this record. Multiple pieces of information can be associated with this record. |
|
|
3 |
CODE_INT_REV_CODE_ID |
NUMERIC |
No |
|
|
|
This column stores the unique identifier for the revenue code for the combined service line. |
|
|
4 |
CODE_INT_REV_CODE_ID_REVENUE_CODE_NAME |
VARCHAR |
No |
|
|
|
The name of the revenue code. |
|
|
5 |
CODE_INT_CPT |
VARCHAR |
No |
|
|
|
This item holds the CPT(R)/HCPCS code for the combined service line. |
|
|
6 |
CODE_INT_MOD_1_ID |
VARCHAR |
No |
|
|
|
This column stores the unique identifier for the first modifier for the combined service line. |
|
|
7 |
CODE_INT_MOD_1_ID_MODIFIER_NAME |
VARCHAR |
No |
|
|
|
The name of the modifier record. |
|
|
8 |
CODE_INT_MOD_2_ID |
VARCHAR |
No |
|
|
|
This column stores the unique identifier for the second modifier for the combined service line. |
|
|
9 |
CODE_INT_MOD_2_ID_MODIFIER_NAME |
VARCHAR |
No |
|
|
|
The name of the modifier record. |
|
|
10 |
CODE_INT_MOD_3_ID |
VARCHAR |
No |
|
|
|
This column stores the unique identifier for the third modifier for the combined service line. |
|
|
11 |
CODE_INT_MOD_3_ID_MODIFIER_NAME |
VARCHAR |
No |
|
|
|
The name of the modifier record. |
|
|
12 |
CODE_INT_MOD_4_ID |
VARCHAR |
No |
|
|
|
This column stores the unique identifier for the fourth modifier for the combined service line. |
|
|
13 |
CODE_INT_MOD_4_ID_MODIFIER_NAME |
VARCHAR |
No |
|
|
|
The name of the modifier record. |
|
|
14 |
CODE_INT_RATE |
NUMERIC |
No |
|
|
|
This item holds the daily rate for the combined service line. The rate is only set for accommodation (room charge) revenue codes. |
|
|
15 |
CODE_INT_DATE |
DATETIME |
No |
|
|
|
This item holds the service date for the combined service line. |
|
|
16 |
CODE_INT_QTY |
INTEGER |
No |
|
|
|
This item holds the quantity (number of units) for the combined service line. |
|
|
17 |
CODE_INT_AMT |
NUMERIC |
No |
|
|
|
This item holds the full charge amount for the combined service line. The value includes any non-covered amount for the line. |
|
|
18 |
CODE_INT_NONCVRD |
NUMERIC |
No |
|
|
|
This item holds the non-covered amount for the combined service line. |
|
|
19 |
CODE_INT_LN_SRC_C_NAME |
VARCHAR |
No |
|
|
|
This item holds the source for the CPT(R)/HCPCS code and modifiers for the combined service line. |
May contain organization-specific values: No |
Category Entries: |
Charge |
Coding |
Combined |
SNF HIPPS |
IRF HIPPS |
Extension |
Edited |
|
|
20 |
CODE_INT_UNUSED_YN |
VARCHAR |
No |
|
|
|
This item identifies lines that are not true service lines but represent coded CPT(R)/HCPCS codes that cannot be used to create actual service lines. |
May contain organization-specific values: No |
Category Entries: |
No |
Yes |
|
|
21 |
CODE_INT_CHRG_CNT |
INTEGER |
No |
|
|
|
This item holds the number of charges associated with the combined service line. |
|
|
22 |
CODE_INT_RSN_C_NAME |
VARCHAR |
No |
|
|
|
This item identifies the reason the coded CPT(R)/HCPCS code could not be used in an actual service line. This item is only set when the unused coded CPT(R)/HCPCS flag (CODE_INT_UNUSED_YN) is Yes. |
May contain organization-specific values: No |
Category Entries: |
No revenue code assigned |
User skipped |
No charge with same revenue code |
Inpatient claim |
CMG code on non-inpatient claim |
HCPCS/CPT® code suppressed by claim definitions |
Accommodation revenue code |
Grouped revenue code |
Unspecified |
|
|