Record Layout Summary for Medicare Non-Institutional Data

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SAS Name	Short Description	Type	Length	Carrier	DME
				SAS text	SAS text
DSY_USER	DESY System User	PACK	3	1	1
DSY_SKEY	DESY Sort Key	PACK	3	3	3
REC_LEN	Record Length Count	PACK	3	4	4
REC_LVL	NCH Near-Line Record Version Code	CHAR	1	5	5
RIC_CD	NCH Near Line Record Identification Code	CHAR	1	6	6
MQA_RIC	NCH MQA RIC Code	CHAR	1	7	7
CLM_TYPE	NCH Claim Type Code	CHAR	2	8	8
CAN	Beneficiary Claim Account Number	CHAR	9	9	9
EQ_BIC	NCH Category Equatable Beneficiary Identification Code	CHAR	2	10	10
BIC	Beneficiary Identification Code	CHAR	2	11	11
ST_SGMT	NCH State Segment Code	CHAR	1	12	12
STATE_CD	Beneficiary Residence SSA Standard State Code	CHAR	2	13	13
FROM_DT	Claim From Date	NUM	8	14	14
THRU_DT	Claim Through Date	NUM	8	15	15
WKLY_DT	NCH Weekly Claim Processing Date	NUM	8	16	16
ACRTN_DT	CWF Claim Accretion Date	NUM	8	17	17
ACRTN_NM	CWF Claim Accretion Number	PACK	2	18	18
CARRCNTL	Carrier Claim Control Number	CHAR	15	19	19
DAILY_DT	NCH Daily Process Date	NUM	8	21	21
LINK_NUM	NCH Segment Link Number	PACK	5	22	22
SGMT_CNT	Claim Total Segment Count	NUM	2	23	23
SGMT_NUM	Claim Segment Number	NUM	2	24	24
LINECNT	Claim Total Line Count	NUM	3	25	25
SGMTLINE	Claim Segment Line Count	NUM	2	26	26
ENTRY_CD	Carrier Claim Entry Code	CHAR	1	28	27
DISP_CD	Claim Disposition Code	CHAR	2	30	28
EDITDISP	NCH Edit Disposition Code	CHAR	2	31	31
BIC_MDFY	NCH Claim BIC Modify H Code	CHAR	1	32	32
CNTY_CD	Beneficiary Residence SSA Standard County Code	CHAR	3	33	33
RCPT_DT	Carrier Claim Receipt Date	NUM	8	34	34
SCHLD_DT	Carrier Claim Scheduled Payment Date	NUM	8	35	35
FRWRD_DT	CWF Forwarded Date	NUM	8	36	36
CARR_NUM	Carrier Number	CHAR	5	37	37
FIBATCH	CWF Transmission Batch Number	CHAR	4	39	39
BENE_ZIP	Beneficiary Mailing Contact ZIP Code	CHAR	9	40	40
SEX	Beneficiary Sex Identification Code	CHAR	1	41	41
RACE	Beneficiary Race Code	CHAR	1	42	42
BENE_DOB	Beneficiary Birth Date	NUM	8	43	43
MS_CD	CWF Beneficiary Medicare Status Code	CHAR	2	44	44
SURNAME	Claim Patient 6 Position Surname	CHAR	6	45	45
FRSTINIT	Claim Patient 1st Initial Given Name	CHAR	1	46	46
MDL_INIT	Claim Patient First Initial Middle Name	CHAR	1	47	47
CWFLOCCD	Beneficiary CWF Location Code	CHAR	1	48	48
PDGNS_CD	Claim Principal Diagnosis Code	CHAR	5	49	49
PMTDNLCD	Carrier Claim Payment Denial Code	CHAR	1	51	51
TRTMT_CD	Claim Excepted/Nonexcepted Medical Treatment Code	CHAR	1	52	52
PMT_AMT	Claim Payment Amount	PACK	6	53	53
PRPAYAMT	Carrier Claim Primary Payer Paid Amount	PACK	6	54	54
RFR_UPIN	Carrier Claim Refering Physician UPIN Number	CHAR	6	56	-
RFR_NPI	Carrier Claim Refering Physician NPI Number	CHAR	10	57	-
ASGMNTCD	Carrier Claim Provider Assignment Indicator Switch	CHAR	1	58	58
PROV_PMT	NCH Claim Provider Payment Amount	PACK	6	59	59
BENE_PMT	NCH Claim Beneficiary Payment Amount	PACK	6	60	60
BENEPAID	Carrier Claim Beneficiary Paid Amount	PACK	6	61	61
SBMTCHRG	NCH Carrier Claim Submitted Charge Amount	PACK	6	62	62
ALOWCHRG	NCH Carrier Claim Allowed Charge Amount	PACK	6	63	63
DEDAPPLY	Carrier Claim Cash Deductible Applied Amount	PACK	6	64	64
HCPCS_YR	Carrier Claim HCPCS Year Code	NUM	1	65	65
MCOOVRRD	Carrier Claim MCO Override Indicator Code	CHAR	1	66	66
HOSPOVRD	Carrier Claim Hospice Override Indicator Code	CHAR	1	67	67
RFR_PRFL	Carrier Claim Referring PIN Number	CHAR	14	69	-
CPO_PROV	Care Plan Oversight (CPO) Provider Number	CHAR	6	70	-
CPO_NPI	CPO Organization NPI Number	CHAR	10	71	-
BLDFRNSH	Claim Blood Pints Furnished Quantity	PACK	2	72	-
BLD_DED	Claim Blood Deductible Pints Quantity	PACK	2	73	-
CEDCNT	NCH Edit Code Count	NUM	2	74	69
CPATCNT	NCH Patch Code Count	NUM	2	75	70
CMCOCNT	MCO Period Count	NUM	1	76	71
CPLNCNT	Claim Health PlanID Count	NUM	1	77	72
CDEMCNT	Claim Demonstration ID Count	NUM	1	78	73
CDGNCNT	Claim Diagnosis Code Count	NUM	1	79	74
CLINECNT	Claim Line Count	NUM	2	80	75
EDITIND	NCH Edit Trailer Indicator Code	CHAR	1	82	77
EDIT_CD	NCH Edit Code	CHAR	4	83	78
PATCHIND	NCH Patch Trailer Indicator Code	CHAR	1	84	79
PATCHCD	NCH Patch Code	CHAR	2	85	80
PATCHDT	NCH Patch Applied Date	NUM	8	86	81
MCOIND	NCH MCO Trailer Indicator Code	CHAR	1	87	82
MCONUM	MCO Contract Number	CHAR	5	88	83
MCOOPTN	MCO Option Code	CHAR	1	89	84
MCOEFFDT	MCO Period Effective Date	NUM	8	90	85
MCOTRMDT	MCO Period Termination Date	NUM	8	91	86
MCOPLNID	MCO Health PLANID Number	CHAR	14	92	87
PLANIDIND	NCH Health PlanID Trailer Indicator Code	CHAR	1	93	88
PLANIDCD	Claim Health PlanID Code	CHAR	1	94	89
PLANID	Claim Health PlanID Number	CHAR	14	95	90
DEMOIND	NCH Demonstration Trailer Indicator Code	CHAR	1	96	91
DEMONUM	Claim Demonstration Identification Number	CHAR	2	97	92
DEMOTXT	Claim Demonstration Information Text	CHAR	15	98	93
DGNSIND	NCH Diagnosis Trailer Indicator Code	CHAR	1	99	94
DGNS_CD	Claim Diagnosis Code	CHAR	5	100	95
LINEIND	NCH Line Item Trailer Indicator Code	CHAR	1	101	97
PRF_PRFL	Carrier Line Performing PIN Number	CHAR	10	103	-
PRF_UPIN	Carrier Line Performing UPIN Number	CHAR	6	104	-
PRFNPI	Carrier Line Performing NPI Number	CHAR	10	105	-
PRGRPNPI	Carrier Line Performing Group NPI Number	CHAR	10	106	-
PRV_TYPE	Carrier Line Provider Type Code	CHAR	1	107	-
TAX_NUM	Line Provider Tax Number	CHAR	10	108	103
PRVSTATE	Line NCH Provider State Code	CHAR	2	109	-
PROVZIP	Carrier Line Performing Provider ZIP Code	CHAR	9	110	-
HCFASPCL	Line CMS Provider Specialty Code	CHAR	2	111	104
CARRSPCL	Carrier Line Provider Specialty Code	CHAR	2	112	-
PRTCPTG	Line Provider Participating Indicator Code	CHAR	1	113	105
ASTNT_CD	Carrier Line Reduced Payment Physician Assistant Code	CHAR	1	114	-
SRVC_CNT	Line Service Count	PACK	2	115	106
TYPSRVCB	Line CMS Type Service Code	CHAR	1	116	107
PTYPESRV	Carrier Line Type Service Code	CHAR	2	117	-
PLCSRVC	Line Place Of Service Code	CHAR	2	118	108
LCLTY_CD	Carrier Line Pricing Locality Code	CHAR	2	119	-
EXPNSDT1	Line First Expense Date	NUM	8	120	109
EXPNSDT2	Line Last Expense Date	NUM	8	121	110
HCPCS_CD	Line HCPCS Code	CHAR	5	122	111
MDFR_CD1	Line HCPCS Initial Modifier Code	CHAR	2	123	112
MDFR_CD2	Line HCPCS Second Modifier Code	CHAR	2	124	113
BETOS	Line NCH BETOS Code	CHAR	3	125	116
LINE_IDE	Line IDE Number	CHAR	7	126	117
NDC_CD	Line National Drug Code	CHAR	11	127	119
LINEPMT	Line NCH Payment Amount	PACK	6	128	120
LBENPMT	Line Beneficiary Payment Amount	PACK	6	129	121
LPRVPMT	Line Provider Payment Amount	PACK	6	130	122
LDEDAMT	Line Beneficiary Part B Deductible Amount	PACK	6	131	123
LPRPAYCD	Line Beneficiary Primary Payer Code	CHAR	1	122	124
LPRPDAMT	Line Beneficiary Primary Payer Paid Amount	PACK	6	133	125
COINAMT	Line Coinsurance Amount	PACK	6	134	126
LLMTAMT	Carrier Line Psychiatric, Occupational Therapy, Physical Therapy Limit Amount	PACK	6	135	-
LINT_AMT	Line Interest Amount	PACK	6	136	127
PRPYALOW	Line Primary Payer Allowed Charge Amount	PACK	6	137	128
PNLTYAMT	Line 10% Penalty Reduction Amount	PACK	6	138	129
LBLD_DED	Carrier Line Blood Deductible Pints Quantity	PACK	2	139	-
LSBMTCHG	Line Submitted Charge Amount	PACK	6	140	130
LALOWCHG	Line Allowed Charge Amount	PACK	6	141	131
LAB_NUM	Carrier Line Clinical Lab Number	CHAR	10	142	-
LAB_AMT	Carrier Line Clinical Lab Charge Amount	PACK	6	143	-
PRCNGIND	Line Processing Indicator Code	CHAR	1	144	134
PMTINDSW	Line Payment 80%/100% Code	CHAR	1	145	135
DED_SW	Line Service Deductible Indicator Switch	CHAR	1	146	136
PMTINDCD	Line Payment Indicator Code	CHAR	1	147	137
MTUS_CNT	Carrier Line Miles/Time/Units/Services Count	PACK	2	148	-
MTUS_IND	Carrier Line Miles/Time/Units/Services Indicator Code	CHAR	1	149	-
LINEDGNS	Line Diagnosis Code	CHAR	5	150	140
ANSTHUNT	Carrier Line Anesthesia Base Unit Count	PACK	2	152	-
CLIAALRT	Carrier Line CLIA Alert Indicator Code	CHAR	1	153	-
DCMTN_CD	Line Additional Claim Documentation Indicator Code	CHAR	1	154	142
DMEST_DT	Carrier Line DME Coverage Period Start Date	NUM	8	155	-
DME_PURC	Line DME Purchase Price Amount	PACK	6	156	-
NCSTY_MO	Carrier Line DME Medical Necessity Month Count	PACK	2	157	-
RFR_UPIN	DMERC Claim Ordering Physician UPIN Number	CHAR	6	-	56
RFR_NPI	DMERC Claim Ordering Physician NPI Number	CHAR	10	-	57
SUPLRNUM	DMERC Line Supplier Provider Number	CHAR	10	-	98
SUP_NPI	DMERC Line Item Supplier NPI Number	CHAR	10	-	99
PRCNG_ST	DMERC Line Pricing State Code	CHAR	2	-	100
PRVSTATE	DMERC Line Provider State Code	CHAR	2	-	101
SUP_TYPE	DMERC Line Supplier Type Code	CHAR	1	-	102
MDFR_CD3	DMERC Line HCPCS Third Modifier Code	CHAR	2	-	114
MDFR_CD4	DMERC Line HCPCS Fourth Modifier Code	CHAR	2	-	115
NOC_TXT	DMERC Line Not Otherwise Classified HCPCS Code Text	CHAR	14	-	118
SCRNSVGS	DMERC Line Screen Savings Amount	PACK	6	-	132
DME_PURC	Line DME Purchase Price Amount	PACK	6	-	133
DME_UNIT	DMERC Line Miles/Time/Units/Services Count	PACK	4	-	138
UNIT_IND	DMERC Line Miles/Time/Units/Services Indicator Code	CHAR	1	-	139
SUSP_IND	DMERC Line Screen Suspension Indicator Code	CHAR	4	-	143
RSLT_IND	DMERC Line Screen Result Indicator Code	CHAR	1	-	144
WAIVERSW	DMERC Line Waiver Of Provider Liability Switch	CHAR	1	-	145
DCSN_IND	DMERC Line Decision Indicator Switch	CHAR	1	-	146

Number shown on the matrix for each claim type indicates the variable sequence printed in CMS data dictionary
"-" indicates this variable is not available for this claim type.

Common Codes Appendix