|
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 |
|
|