Carrier LDS

File Version: J

Additional Data Documentation:

Variable List:

* = Limitations and/or code table are available for variable.
Short SAS NameVariable NameLimitationCode table
1DSYSRTKYLDS Beneficiary ID
2CLAIMNOClaim Number
3THRU_DTClaim Through Date
4RIC_CDNCH Near Line Record Identification Code*
5CLM_TYPENCH Claim Type Code*
6DISP_CDClaim Disposition Code*
7CARR_NUMCarrier Number*
8PMTDNLCDCarrier Claim Payment Denial Code*
9PMT_AMTClaim Payment Amount*
10PRPAYAMTCarrier Claim Primary Payer Paid Amount
11RFR_UPINCarrier Claim Referring Physician UPIN Number
12RFR_NPICarrier Claim Referring Physician NPI Number
13ASGMNTCDCarrier Claim Provider Assignment Indicator Switch*
14PROV_PMTNCH Claim Provider Payment Amount*
15BENE_PMTNCH Claim Beneficiary Payment Amount*
16SBMTCHRGNCH Carrier Claim Submitted Charge Amount*
17ALOWCHRGNCH Carrier Claim Allowed Charge Amount*
18DEDAPPLYCarrier Claim Cash Deductible Applied Amount*
19HCPCS_YRCarrier Claim HCPCS Year Code
20RFR_PRFLCarrier Claim Referring PIN Number
21PRNCPAL_DGNS_CDClaim Principal Diagnosis Code
22PRNCPAL_DGNS_VRSN_CDPrimary Claim Diagnosis Code Diagnosis Version Code (ICD-9 or ICD-10)*
23ICD_DGNS_CD1Claim Diagnosis Code I
24ICD_DGNS_VRSN_CD1Claim Diagnosis Code I Diagnosis Version Code (ICD-9 or ICD-10)*
25ICD_DGNS_CD2Claim Diagnosis Code II
26ICD_DGNS_VRSN_CD2Claim Diagnosis Code II Diagnosis Version Code (ICD-9 or ICD-10)*
27ICD_DGNS_CD3Claim Diagnosis Code III
28ICD_DGNS_VRSN_CD3Claim Diagnosis Code III Diagnosis Version Code (ICD-9 or ICD-10)*
29ICD_DGNS_CD4Claim Diagnosis Code IV
30ICD_DGNS_VRSN_CD4Claim Diagnosis Code IV Diagnosis Version Code (ICD-9 or ICD-10)*
31ICD_DGNS_CD5Claim Diagnosis Code V
32ICD_DGNS_VRSN_CD5Claim Diagnosis Code V Diagnosis Version Code (ICD-9 or ICD-10)*
33ICD_DGNS_CD6Claim Diagnosis Code VI
34ICD_DGNS_VRSN_CD6Claim Diagnosis Code VI Diagnosis Version Code (ICD-9 or ICD-10)*
35ICD_DGNS_CD7Claim Diagnosis Code VII
36ICD_DGNS_VRSN_CD7Claim Diagnosis Code VII Diagnosis Version Code (ICD-9 or ICD-10)*
37ICD_DGNS_CD8Claim Diagnosis Code VIII
38ICD_DGNS_VRSN_CD8Claim Diagnosis Code VIII Diagnosis Version Code (ICD-9 or ICD-10)*
39ICD_DGNS_CD9Claim Diagnosis Code IX
40ICD_DGNS_VRSN_CD9Claim Diagnosis Code IX Diagnosis Version Code (ICD-9 or ICD-10)*
41ICD_DGNS_CD10Claim Diagnosis Code X
42ICD_DGNS_VRSN_CD10Claim Diagnosis Code X Diagnosis Version Code (ICD-9 or ICD-10)*
43ICD_DGNS_CD11Claim Diagnosis Code XI
44ICD_DGNS_VRSN_CD11Claim Diagnosis Code XI Diagnosis Version Code (ICD-9 or ICD-10)*
45ICD_DGNS_CD12Claim Diagnosis Code XII
46ICD_DGNS_VRSN_CD12Claim Diagnosis Code XII Diagnosis Version Code (ICD-9 or ICD-10)*
47DOB_DTLDS Age Category*
48GNDR_CDGender Code from Claim*
49RACE_CDRace Code from Claim*
50CNTY_CDCounty Code from Claim (SSA)
51STATE_CDState Code from Claim (SSA)*
52CWF_BENE_MDCR_STUS_CDCWF Beneficiary Medicare Status Code*

LINE ITEMS

Short SAS NameVariable NameLimitationCode table
1DSYSRTKYLDS Beneficiary ID
2CLAIMNOLDS Claim Number
3CLM_LNClaim Line Number
4THRU_DTClaim Through Date
5CLM_TYPENCH Claim Type Code*
6PRF_PRFLCarrier Line Claim Performing PIN Number
7PRF_UPINCarrier Line Performing UPIN Number*
8PRFNPICarrier Line Performing NPI Number
9PRGRPNPICarrier Line Performing Group NPI Number
10PRV_TYPECarrier Line Provider Type Code*
11PRVSTATELine NCH Provider State Code*
12HCFASPCLLine CMS Provider Specialty Code*
13PRTCPTGLine Provider Participating Indicator Code*
14ASTNT_CDCarrier Line Reduced Payment Physician Assistant Code*
15SRVC_CNTLine Service Count
16TYPSRVCBLine HCFA Type Service Code*
17PLCSRVCLine Place Of Service Code*
18LCLTY_CDCarrier Line Pricing Locality Code
19EXPNSDT2Line Last Expense Date
20HCPCS_CDHealth Care Common Procedure Coding System
21MDFR_CD1Line HCPCS Initial Modifier Code
22MDFR_CD2Line HCPCS Second Modifier Code
23BETOSLine NCH BETOS Code*
24LINEPMTLine NCH Payment Amount
25LBENPMTLine Beneficiary Payment Amount
26LPRVPMTLine Provider Payment Amount
27LDEDAMTLine Beneficiary Part B Deductible Amount
28LPRPAYCDLine Beneficiary Primary Payer Code*
29LPRPDAMTLine Beneficiary Primary Payer Paid Amount
30COINAMTLine Coinsurance Amount
31LSBMTCHGLine Submitted Charge Amount
32LALOWCHGLine Allowed Charge Amount
33PRCNGINDLine Processing Indicator Code*
34PMTINDSWLine Payment 80%/100% Code
35DED_SWLine Service Deductible Indicator Switch*
36MTUS_CNTCarrier Line Miles/Time/Units/Services Count
37MTUS_INDCarrier Line Miles/Time/Units/Services Indicator Code*
38LINE_ICD_DGNS_CDLine Diagnosis Code
39LINE_ICD_DGNS_VRSN_CDLine Diagnosis Code Diagnosis Version Code (ICD-9 or ICD-10)*
40HCTHGBRSHematocrit/Hemoglobin Test Results
41HCTHGBTPHematocrit/Hemoglobin Test Type Code*
42LNNDCCDLine National Drug Code
43CARR_LINE_CLIA_LAB_NUMClinical Laboratory Improvement Amendments monitored laboratory number
44CARR_LINE_ANSTHSA_UNIT_CNTCarrier Line Anesthesia Unit Count