Variable Name : MDFCD1{x} where { x } ranges from 1 to 58
Label : Revenue Center HCPCS Initial Modifier Code
A first modifier to the procedure code to enable a more
specific procedure identification for the claim.
DB2 ALIAS: REV_HCPCS_MDFR_CD
SAS ALIAS: MDFR_CD1
STANDARD ALIAS: REV_CNTR_HCPCS_INITL_MDFR_CD
TITLE ALIAS: INITIAL_MODIFIER
EDIT-RULES:
Carrier Information File
COMMENT:
Prior to Version H this field was named:
HCPCS_INITL_MDFR_CD. With Version H, a prefix
was added to denote the location of this field
on each claim type (institutional: REV_CNTR and
non-institutional: LINE).
SOURCE:
CWF
Variable Name : MDFCD2{x} where { x } ranges from 1 to 58
Label : Revenue Center HCPCS Second Modifier Code
A second modifier to the procedure code to make it more
specific than the first modifier code to identify the
procedures performed on the beneficiary for the claim.
DB2 ALIAS: REV_HCPCS_2ND_CD
SAS ALIAS: MDFR_CD2
STANDARD ALIAS: REV_CNTR_HCPCS_2ND_MDFR_CD
TITLE ALIAS: SECOND_MODIFIER
EDIT-RULES:
CARRIER INFORMATION FILE
COMMENT:
Prior to Version H this field was named:
HCPCS_2ND_MDFR_CD. With Version H, a prefix
was added to denote the location of this field
on each claim type (institutional: REV_CNTR and
non-institutional: LINE).
SOURCE:
CWF
Variable Name : MDFCD3{x}
where { x } ranges from 1 to 58
Label : Revenue Center HCPCS Third Modifier Code
Effective with Version I, a third modifier to the procedure
code to make it more specific than the second modifier
code to identify the procedures
performed on the beneficiary for the claim.
DB2 ALIAS: REV_HCPCS_3RD_CD
SAS ALIAS: MDFR_CD3
STANDARD ALIAS: REV_CNTR_HCPCS_3RD_MDFR_CD
TITLE ALIAS: THIRD_MODIFIER
EDIT-RULES:
CARRIER INFORMATION FILE
COMMENT:
NOTE: Beginning with NCH weekly process date
8/18/00, this field will be populated with data.
Claims processed prior to 8/18/00 will contain
spaces in this field.
SOURCE:
CWF
Variable Name : MDFCD4{x} where { x } ranges from 1 to 58
Label : Revenue Center HCPCS Fourth Modifier Code Effective with Version I, a fourth modifier to the procedure code to make it more specific than the third modifier code to identify the procedures performed on the beneficiary for the claim.
DB2 ALIAS: REV_HCPCS_4TH_CD
SAS ALIAS: MDFR_CD4
STANDARD ALIAS: REV_CNTR_HCPCS_4TH_MDFR_CD
TITLE ALIAS: FOURTH_MODIFIER
EDIT-RULES:
CARRIER INFORMATION FILE
COMMENT:
NOTE: Beginning with NCH weekly process date
8/18/00, this field will be populated with data.
Claims processed prior to 8/18/00 will contain
spaces in this field.
SOURCE:
CWF
Variable Name : MDFCD5{x}where { x } ranges from 1 to 58
Label : Revenue Center HCPCS Fifth Modifier Code
Effective with Version I, a fifth modifier to the procedure code to make it more specific than the fourth modifier code to identify the procedures performed on the beneficiary for the claim.
Effective with Version I, a fifth modifier to the procedure code to make it more specific than the fourth modifier code to identify the procedures performed on the beneficiary for the claim.
DB2 ALIAS: REV_HCPCS_5TH_CD
SAS ALIAS: MDFR_CD5
STANDARD ALIAS: REV_CNTR_HCPCS_5TH_MDFR_CD
TITLE ALIAS: FIFTH_MODIFIER
EDIT-RULES:
CARRIER INFORMATION FILE
COMMENT:
NOTE: Beginning with NCH weekly process date
8/18/00, this field will be populated with data.
Claims processed prior to 8/18/00 will contain
spaces in this field.
SOURCE:
CWF
Variable Name : PMTTHD{x} where { x } ranges from 1 to 58
Label : Revenue Center HCPCS Fifth Modifier Code
Effective with Version I, a fifth modifier to the procedure code to make it more specific than the fourth modifier code to identify the procedures performed on the beneficiary for the claim.
DB2 ALIAS: REV_HCPCS_5TH_CD
SAS ALIAS: MDFR_CD5
STANDARD ALIAS: REV_CNTR_HCPCS_5TH_MDFR_CD
TITLE ALIAS: FIFTH_MODIFIER EDIT-RULES: CARRIER INFORMATION FILE
COMMENT: NOTE: Beginning with NCH weekly process date 8/18/00, this field will be populated with data. Claims processed prior to 8/18/00 will contain spaces in this field.
SOURCE: CWF
Variable Name : PMTTHD{x} where { x } ranges from 1 to 58
Effective with Version I, a fifth modifier to the procedure code to make it more specific than the fourth modifier code to identify the procedures performed on the beneficiary for the claim.
DB2 ALIAS: REV_HCPCS_5TH_CD
SAS ALIAS: MDFR_CD5
STANDARD ALIAS: REV_CNTR_HCPCS_5TH_MDFR_CD
TITLE ALIAS: FIFTH_MODIFIER EDIT-RULES: CARRIER INFORMATION FILE
COMMENT: NOTE: Beginning with NCH weekly process date 8/18/00, this field will be populated with data. Claims processed prior to 8/18/00 will contain spaces in this field.
SOURCE: CWF
Variable Name : PMTTHD{x} where { x } ranges from 1 to 58
Label : Revenue Center Payment Method Indicator Code
Effective with Version 'I', the code used to identify how the service is priced for payment. This field is made up of two pieces of data, 1st position being the service indicator and the 2nd position being the payment indicator. NOTE: Beginning with NCH weekly process date 8/18/00, this field will be populated with data. Claims processed prior to 8/18/00 will contain spaces in this field.
Effective with Version 'I', the code used to identify how the service is priced for payment. This field is made up of two pieces of data, 1st position being the service indicator and the 2nd position being the payment indicator. NOTE: Beginning with NCH weekly process date 8/18/00, this field will be populated with data. Claims processed prior to 8/18/00 will contain spaces in this field.
DB2 ALIAS: REV_PMT_MTHD_CD
SAS ALIAS: PMTMTHD
STANDARD ALIAS: REV_CNTR_PMT_MTHD_IND_CD
SYSTEM ALIAS: LTPMTHD
TITLE ALIAS: PMT_MTHD
CODES:
REFER TO: REV_CNTR_PMT_MTHD_IND_TB
IN THE CODES APPENDIX
SOURCE:
CWF
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