Durable Medical Equipment 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*
7TYPESRVCClaim Service Classification Type Code*
8FREQ_CDClaim Frequency Code*
9PMT_AMTClaim Payment Amount*
10PRPAYAMTCarrier Claim Primary Payer Paid Amount*
11ASGMNTCDCarrier Claim Provider Assignment Indicator Switch*
12PROV_PMTNCH Claim Provider Payment Amount*
13BENE_PMTNCH Claim Beneficiary Payment Amount*
14SBMTCHRGNCH Carrier Claim Submitted Charge Amount*
15ALOWCHRGNCH Carrier Claim Allowed Charge Amount*
16DEDAPPLYCarrier Claim Cash Deductible Applied Amount*
17HCPCS_YRCarrier Claim HCPCS Year Code
18PRNCPAL_DGNS_CDClaim Principal Diagnosis Code
19PRNCPAL_DGNS_VRSN_CDPrimary Claim Diagnosis Code Diagnosis Version Code (ICD-9 or ICD-10)*
20ICD_DGNS_CD1Claim Diagnosis Code I
21ICD_DGNS_VRSN_CD1Claim Diagnosis Code I Diagnosis Version Code (ICD-9 or ICD-10)*
22ICD_DGNS_CD2Claim Diagnosis Code II
23ICD_DGNS_VRSN_CD2Claim Diagnosis Code II Diagnosis Version Code (ICD-9 or ICD-10)*
24ICD_DGNS_CD3Claim Diagnosis Code III
25ICD_DGNS_VRSN_CD3Claim Diagnosis Code III Diagnosis Version Code (ICD-9 or ICD-10)*
26ICD_DGNS_CD4Claim Diagnosis Code IV
27ICD_DGNS_VRSN_CD4Claim Diagnosis Code IV Diagnosis Version Code (ICD-9 or ICD-10)*
28ICD_DGNS_CD5Claim Diagnosis Code V
29ICD_DGNS_VRSN_CD5Claim Diagnosis Code V Diagnosis Version Code (ICD-9 or ICD-10)*
30ICD_DGNS_CD6Claim Diagnosis Code VI
31ICD_DGNS_VRSN_CD6Claim Diagnosis Code VI Diagnosis Version Code (ICD-9 or ICD-10)*
32ICD_DGNS_CD7Claim Diagnosis Code VII
33ICD_DGNS_VRSN_CD7Claim Diagnosis Code VII Diagnosis Version Code (ICD-9 or ICD-10)*
34ICD_DGNS_CD8Claim Diagnosis Code VIII
35ICD_DGNS_VRSN_CD8Claim Diagnosis Code VIII Diagnosis Version Code (ICD-9 or ICD-10)*
36ICD_DGNS_CD9Claim Diagnosis Code IX
37ICD_DGNS_VRSN_CD9Claim Diagnosis Code IX Diagnosis Version Code (ICD-9 or ICD-10)*
38ICD_DGNS_CD10Claim Diagnosis Code X
39ICD_DGNS_VRSN_CD10Claim Diagnosis Code X Diagnosis Version Code (ICD-9 or ICD-10)*
40ICD_DGNS_CD11Claim Diagnosis Code XI
41ICD_DGNS_VRSN_CD11Claim Diagnosis Code XI Diagnosis Version Code (ICD-9 or ICD-10)*
42ICD_DGNS_CD12Claim Diagnosis Code XII
43ICD_DGNS_VRSN_CD12Claim Diagnosis Code XII Diagnosis Version Code (ICD-9 or ICD-10)*
44RFR_UPINDMERC Claim Ordering Physician UPIN Number
45RFR_NPIDMERC Claim Ordering Physician NPI Number
46DOB_DTLDS Age Category*
47GNDR_CDGender Code from Claim*
48RACE_CDRace Code from Claim*
49CNTY_CDCounty Code from Claim (SSA)
50STATE_CDState Code from Claim (SSA)*
51CWF_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*
6HCFASPCLLine CMS Provider Specialty Code*
7PRTCPTGLine Provider Participating Indicator Code*
8SRVC_CNTLine Service Count
9TYPSRVCBLine HCFA Type Service Code*
10PLCSRVCLine Place Of Service Code*
11EXPNSDT2Line Last Expense Date
12HCPCS_CDHealth Care Common Procedure Coding System
13MDFR_CD1Line HCPCS Initial Modifier Code
14MDFR_CD2Line HCPCS Second Modifier Code
15BETOSLine NCH BETOS Code
16LINEPMTLine NCH Payment Amount
17LBENPMTLine Beneficiary Payment Amount
18LPRVPMTLine Provider Payment Amount
19LDEDAMTLine Beneficiary Part B Deductible Amount
20LPRPAYCDLine Beneficiary Primary Payer Code*
21LPRPDAMTLine Beneficiary Primary Payer Paid Amount
22COINAMTLine Coinsurance Amount
23PRPYALOWLine Primary Payer Allowed Charge Amount
24LSBMTCHGLine Submitted Charge Amount
25LALOWCHGLine Allowed Charge Amount
26PRCNGINDLine Processing Indicator Code*
27PMTINDSWLine Payment 80%/100% Code
28DED_SWLine Service Deductible Indicator Switch*
29LINE_ICD_DGNS_CDLine Diagnosis Code
30LINE_ICD_DGNS_VRSN_CDLine Diagnosis Code Diagnosis Version Code (ICD-9 or ICD-10)*
31DME_PURCLine DME Purchase Price Amount*
32SUPLRNUMDMERC Line Supplier Provider Number
33SUP_NPIDMERC Line Item Supplier NPI Number
34PRCNG_STDMERC Line Pricing State Code*
35PRVSTATEDMERC Line Provider State Code*
36MDFR_CD3DMERC Line HCPCS Third Modifier Code
37MDFR_CD4DMERC Line HCPCS Fourth Modifier Code
38SCRNSVGSDMERC Line Screen Savings Amount*
39DME_UNITDMERC Line Miles/Time/Units/Services Count
40UNIT_INDDMERC Line Miles/Time/Units/Services Indicator Code*
41HCTHGBRSHematocrit/Hemoglobin Test Results
42HCTHGBTPHematocrit/Hemoglobin Test Type Code*
43LNNDCCDLine National Drug Code