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File Version: K, CCW Data Documentation 01/09/2019

For most files, a table of variables will display below, with links to the variable definitions. If no table displays, or if you need additional information for a specific variable, please see the CCW website. Data documentation is available for all files and codebooks for many.

If you are unable to locate the information you need, please contact ResDAC.

Short SAS NameLong SAS NameVariable Name
1BENE_IDBENE_IDEncrypted CCW Beneficiary ID
2CLM_IDCLM_IDClaim ID
3RIC_CDNCH_NEAR_LINE_REC_IDENT_CDNCH Near Line Record Identification Code (RIC)
4CLM_TYPENCH_CLM_TYPE_CDNCH Claim Type Code
5FROM_DTCLM_FROM_DTClaim From Date (FFS)
6THRU_DTCLM_THRU_DTClaim Through Date (FFS)
7WKLY_DTNCH_WKLY_PROC_DTNCH Weekly Claim Processing Date
8FI_CLM_PROC_DTFI_CLM_PROC_DTFI Claim Process Date
9QUERY_CDCLAIM_QUERY_CODEClaim Query Code
10PROVIDERPRVDR_NUMProvider Number
11FAC_TYPECLM_FAC_TYPE_CDClaim Facility Type Code (FFS)
12TYPESRVCCLM_SRVC_CLSFCTN_TYPE_CDClaim Service Classification Type Code (FFS)
13FREQ_CDCLM_FREQ_CDClaim Frequency Code (FFS)
14FI_NUMFI_NUMFI or MAC Number
15NOPAY_CDCLM_MDCR_NON_PMT_RSN_CDClaim Medicare Non Payment Reason Code
16PMT_AMTCLM_PMT_AMTClaim (Medicare) Payment Amount
17PRPAYAMTNCH_PRMRY_PYR_CLM_PD_AMTNCH Primary Payer (if not Medicare) Claim Paid Amount
18PRPAY_CDNCH_PRMRY_PYR_CDNCH Primary Payer Code (if not Medicare)
19ACTIONCDFI_CLM_ACTN_CDFI or MAC Claim Action Code
20PRVSTATEPRVDR_STATE_CDNCH Provider SSA State Code
21ORGNPINMORG_NPI_NUMOrganization (or group) NPI Number
22AT_UPINAT_PHYSN_UPINClaim Attending Physician UPIN Number
23AT_NPIAT_PHYSN_NPIClaim Attending Physician NPI Number (FFS)
24AT_PHYSN_SPCLTY_CDAT_PHYSN_SPCLTY_CDClaim Attending Physician Specialty Code
25OP_UPINOP_PHYSN_UPINClaim Operating Physician UPIN Number
26OP_NPIOP_PHYSN_NPIClaim Operating Physician NPI Number (FFS)
27OP_PHYSN_SPCLTY_CDOP_PHYSN_SPCLTY_CDClaim Operating Physician Specialty Code
28OT_UPINOT_PHYSN_UPINClaim Other Physician UPIN Number
29OT_NPIOT_PHYSN_NPIClaim Other Physician NPI Number (FFS)
30OT_PHYSN_SPCLTY_CDOT_PHYSN_SPCLTY_CDClaim Other Physician Specialty Code
500RNDRNG_PHYSN_NPIRNDRNG_PHYSN_NPIRendering Physician NPI (FFS)
32RNDRNG_PHYSN_SPCLTY_CDRNDRNG_PHYSN_SPCLTY_CDClaim or Revenue Center Rendering Physician Specialty Code
33MCOPDSWCLM_MCO_PD_SWClaim MCO Paid Switch
34STUS_CDPTNT_DSCHRG_STUS_CDPatient Discharge Status Code (FFS)
35PPS_INDCLM_PPS_IND_CDClaim PPS Indicator Code
36TOT_CHRGCLM_TOT_CHRG_AMTClaim Total Charge Amount
37ADMSN_DTCLM_ADMSN_DTClaim Admission Date (FFS)
38TYPE_ADMCLM_IP_ADMSN_TYPE_CDClaim Inpatient Admission Type Code (FFS)
39SRC_ADMSCLM_SRC_IP_ADMSN_CDClaim Source Inpatient Admission Code (FFS)
40PTNTSTUSNCH_PTNT_STATUS_IND_CDNCH Patient Status Indicator Code
41PER_DIEMCLM_PASS_THRU_PER_DIEM_AMTClaim Pass Thru Per Diem Amount
42DED_AMTNCH_BENE_IP_DDCTBL_AMTNCH Beneficiary Inpatient (or other Part A) Deductible Amount
43COIN_AMTNCH_BENE_PTA_COINSRNC_LBLTY_AMNCH Beneficiary Part A Coinsurance Liability Amount
44BLDDEDAMNCH_BENE_BLOOD_DDCTBL_LBLTY_AMNCH Beneficiary Blood Deductible Liability Amount
45PCCHGAMTNCH_PROFNL_CMPNT_CHRG_AMTProfessional Component Charge Amount
46NCCHGAMTNCH_IP_NCVRD_CHRG_AMTNCH Inpatient (or other Part A) Non-covered Charge Amount
47TDEDAMTNCH_IP_TOT_DDCTN_AMTNCH Inpatient (or other Part A) Total Deductible/Coinsurance Amount
48PPS_CPTLCLM_TOT_PPS_CPTL_AMTClaim Total PPS Capital Amount
49CPTL_FSPCLM_PPS_CPTL_FSP_AMTClaim PPS Capital Federal Specific Portion (FSP) Amount
50CPTLOUTLCLM_PPS_CPTL_OUTLIER_AMTClaim PPS Capital Outlier Amount
51DISP_SHRCLM_PPS_CPTL_DSPRPRTNT_SHR_AMTClaim PPS Capital Disproportionate Share Amount
52IME_AMTCLM_PPS_CPTL_IME_AMTClaim PPS Capital Indirect Medical Education (IME) Amount
53CPTL_EXPCLM_PPS_CPTL_EXCPTN_AMTClaim PPS Capital Exception Amount
54HLDHRMLSCLM_PPS_OLD_CPTL_HLD_HRMLS_AMTClaim PPS Old Capital Hold Harmless Amount
55DRGWTAMTCLM_PPS_CPTL_DRG_WT_NUMClaim PPS Capital DRG Weight Number
56UTIL_DAYCLM_UTLZTN_DAY_CNTClaim Medicare Utilization Day Count
57COIN_DAYBENE_TOT_COINSRNC_DAYS_CNTBeneficiary Total Coinsurance Days Count
58LRD_USEBENE_LRD_USED_CNTBeneficiary Medicare Lifetime Reserve Days (LRD) Used Count
59NUTILDAYCLM_NON_UTLZTN_DAYS_CNTClaim Medicare Non Utilization Days Count
60BLDFRNSHNCH_BLOOD_PNTS_FRNSHD_QTYNCH Blood Pints Furnished Quantity
61NCOVFROMNCH_VRFD_NCVRD_STAY_FROM_DTNCH Verified Non-covered Stay From Date
62NCOVTHRUNCH_VRFD_NCVRD_STAY_THRU_DTNCH Verified Non-covered Stay Through Date
63CARETHRUNCH_ACTV_OR_CVRD_LVL_CARE_THRUNCH Active or Covered Level Care Thru Date
64EXHST_DTNCH_BENE_MDCR_BNFTS_EXHTD_DT_INCH Beneficiary Medicare Benefits Exhausted Date
65DSCHRGDTNCH_BENE_DSCHRG_DTNCH Beneficiary Discharge Date
66CLM_DRG_CDCLM_DRG_CDClaim Diagnosis Related Group Code (or MS-DRG Code)
67OUTLR_CDCLM_DRG_OUTLIER_STAY_CDClaim Diagnosis Related Group Outlier Stay Code
68OUTLRPMTNCH_DRG_OUTLIER_APRVD_PMT_AMTNCH DRG Outlier Approved Payment Amount
69ADMTG_DGNS_CDADMTG_DGNS_CDClaim Admitting Diagnosis Code (FFS)
70PRNCPAL_DGNS_CDPRNCPAL_DGNS_CDClaim Principal Diagnosis Code (FFS)
71ICD_DGNS_CD1ICD_DGNS_CD1Claim Diagnosis Code I (FFS)
72CLM POA IND SW1CLM_POA_IND_SW1Claim Diagnosis Code I Diagnosis Present on Admission (POA) Indicator Code (FFS)
73ICD_DGNS_CD2ICD_DGNS_CD2Claim Diagnosis Code II (FFS)
74CLM POA IND SW2CLM_POA_IND_SW2Claim Diagnosis Code II Diagnosis Present on Admission (POA) Indicator Code (FFS)
75ICD_DGNS_CD3ICD_DGNS_CD3Claim Diagnosis Code III (FFS)
76CLM POA IND SW3CLM_POA_IND_SW3Claim Diagnosis Code III Diagnosis Present on Admission (POA) Indicator Code (FFS)
77ICD_DGNS_CD4ICD_DGNS_CD4Claim Diagnosis Code IV (FFS)
78CLM POA IND SW4CLM_POA_IND_SW4Claim Diagnosis Code IV Diagnosis Present on Admission (POA) Indicator Code (FFS)
79ICD_DGNS_CD5ICD_DGNS_CD5Claim Diagnosis Code V (FFS)
80CLM POA IND SW5CLM_POA_IND_SW5Claim Diagnosis Code V Diagnosis Present on Admission Indicator (POA) Code (FFS)
81ICD_DGNS_CD6ICD_DGNS_CD6Claim Diagnosis Code VI (FFS)
82CLM POA IND SW6CLM_POA_IND_SW6Claim Diagnosis Code VI Diagnosis Present on Admission (POA) Indicator Code (FFS)
83ICD_DGNS_CD7ICD_DGNS_CD7Claim Diagnosis Code VII (FFS)
84CLM POA IND SW7CLM_POA_IND_SW7Claim Diagnosis Code VII Diagnosis Present on Admission (POA) Indicator Code (FFS)
85ICD_DGNS_CD8ICD_DGNS_CD8Claim Diagnosis Code VIII (FFS)
86CLM POA IND SW8CLM_POA_IND_SW8Claim Diagnosis Code VIII Diagnosis Present on Admission (POA) Indicator Code (FFS)
87ICD_DGNS_CD9ICD_DGNS_CD9Claim Diagnosis Code IX (FFS)
88CLM POA IND SW9CLM_POA_IND_SW9Claim Diagnosis Code IX Diagnosis Present on Admission (POA) Indicator Code (FFS)
89ICD_DGNS_CD10ICD_DGNS_CD10Claim Diagnosis Code X (FFS)
90CLM POA IND SW10CLM_POA_IND_SW10Claim Diagnosis Code X Diagnosis Present on Admission (POA) Indicator Code (FFS)
91ICD_DGNS_CD11ICD_DGNS_CD11Claim Diagnosis Code XI (FFS)
92CLM POA IND SW11CLM_POA_IND_SW11Claim Diagnosis Code XI Diagnosis Present on Admission (POA) Indicator Code (FFS)
93ICD_DGNS_CD12ICD_DGNS_CD12Claim Diagnosis Code XII (FFS)
94CLM POA IND SW12CLM_POA_IND_SW12Claim Diagnosis Code XII Diagnosis Present on Admission (POA) Indicator Code (FFS)
95ICD_DGNS_CD13ICD_DGNS_CD13Claim Diagnosis Code XIII (FFS)
96CLM POA IND SW13CLM_POA_IND_SW13Claim Diagnosis Code XIII Diagnosis Present on Admission (POA) Indicator Code (FFS)
97ICD_DGNS_CD14ICD_DGNS_CD14Claim Diagnosis Code XIV (FFS)
98CLM POA IND SW14CLM_POA_IND_SW14Claim Diagnosis Code XIV Diagnosis Present on Admission (POA) Indicator Code (FFS)
99ICD_DGNS_CD15ICD_DGNS_CD15Claim Diagnosis Code XV (FFS)
100CLM POA IND SW15CLM_POA_IND_SW15Claim Diagnosis Code XV Diagnosis Present on Admission (POA) Indicator Code (FFS)
101ICD_DGNS_CD16ICD_DGNS_CD16Claim Diagnosis Code XVI (FFS)
102CLM POA IND SW16CLM_POA_IND_SW16Claim Diagnosis Code XVI Diagnosis Present on Admission (POA) Indicator Code
103ICD_DGNS_CD17ICD_DGNS_CD17Claim Diagnosis Code XVII (FFS)
104CLM POA IND SW17CLM_POA_IND_SW17Claim Diagnosis Code XVII Diagnosis Present on Admission (POA) Indicator Code (FFS)
105ICD_DGNS_CD18ICD_DGNS_CD18Claim Diagnosis Code XVIII (FFS)
106CLM POA IND SW18CLM_POA_IND_SW18Claim Diagnosis Code XVIII Diagnosis Present on Admission (POA) Indicator Code (FFS)
107ICD_DGNS_CD19ICD_DGNS_CD19Claim Diagnosis Code XIX (FFS)
108CLM POA IND SW19CLM_POA_IND_SW19Claim Diagnosis Code XIX Diagnosis Present on Admission (POA) Indicator Code (FFS)
109ICD_DGNS_CD20ICD_DGNS_CD20Claim Diagnosis Code XX (FFS)
110CLM POA IND SW20CLM_POA_IND_SW20Claim Diagnosis Code XX Diagnosis Present on Admission (POA) Indicator Code
111ICD_DGNS_CD21ICD_DGNS_CD21Claim Diagnosis Code XXI (FFS)
112CLM POA IND SW21CLM_POA_IND_SW21Claim Diagnosis Code XXI Diagnosis Present on Admission (POA) Indicator Code (FFS)
113ICD_DGNS_CD22ICD_DGNS_CD22Claim Diagnosis Code XXII (FFS)
114CLM POA IND SW22CLM_POA_IND_SW22Claim Diagnosis Code XXII Diagnosis Present on Admission (POA) Indicator Code (FFS)
115ICD_DGNS_CD23ICD_DGNS_CD23Claim Diagnosis Code XXIII (FFS)
116CLM POA IND SW23CLM_POA_IND_SW23Claim Diagnosis Code XXIII Diagnosis Present on Admission (POA) Indicator Code (FFS)
117ICD_DGNS_CD24ICD_DGNS_CD24Claim Diagnosis Code XXIV (FFS)
118CLM POA IND SW24CLM_POA_IND_SW24Claim Diagnosis Code XXIV Diagnosis Present on Admission (POA) Indicator Code (FFS)
119ICD_DGNS_CD25ICD_DGNS_CD25Claim Diagnosis Code XXV (FFS)
120CLM POA IND SW25CLM_POA_IND_SW25Claim Diagnosis Code XXV Diagnosis Present on Admission (POA) Indicator Code (FFS)
121FST_DGNS_E_CDFST_DGNS_E_CDFirst Claim Diagnosis E Code (FFS)
122ICD_DGNS_E_CD1ICD_DGNS_E_CD1Claim Diagnosis E Code I (FFS)
123CLM E POA IND SW1CLM_E_POA_IND_SW1Claim Diagnosis E Code I Diagnosis Present on Admission (POA) Indicator Code (FFS)
124ICD_DGNS_E_CD2ICD_DGNS_E_CD2Claim Diagnosis E Code II (FFS)
125CLM E POA IND SW2CLM_E_POA_IND_SW2Claim Diagnosis E Code II Diagnosis Present on Admission (POA) Indicator Code (FFS)
126ICD_DGNS_E_CD3ICD_DGNS_E_CD3Claim Diagnosis E Code III (FFS)
127CLM E POA IND SW3CLM_E_POA_IND_SW3Claim Diagnosis E Code III Diagnosis Present on Admission (POA) Indicator Code (FFS)
128ICD_DGNS_E_CD4ICD_DGNS_E_CD4Claim Diagnosis E Code IV (FFS)
129CLM E POA IND SW4CLM_E_POA_IND_SW4Claim Diagnosis E Code IV Diagnosis Present on Admission (POA) Indicator Code (FFS)
130ICD_DGNS_E_CD5ICD_DGNS_E_CD5Claim Diagnosis E Code V (FFS)
131CLM E POA IND SW5CLM_E_POA_IND_SW5Claim Diagnosis E Code V Diagnosis Present on Admission (POA) Indicator Code (FFS)
132ICD_DGNS_E_CD6ICD_DGNS_E_CD6Claim Diagnosis E Code VI (FFS)
133CLM E POA IND SW6CLM_E_POA_IND_SW6Claim Diagnosis E Code VI Diagnosis Present on Admission (POA) Indicator Code (FFS)
134ICD_DGNS_E_CD7ICD_DGNS_E_CD7Claim Diagnosis E Code VII (FFS)
135CLM E POA IND SW7CLM_E_POA_IND_SW7Claim Diagnosis E Code VII Diagnosis Present on Admission (POA) Indicator Code (FFS)
136ICD_DGNS_E_CD8ICD_DGNS_E_CD8Claim Diagnosis E Code VIII (FFS)
137CLM E POA IND SW8CLM_E_POA_IND_SW8Claim Diagnosis E Code VIII Diagnosis Present on Admission (POA) Indicator Code (FFS)
138ICD_DGNS_E_CD9ICD_DGNS_E_CD9Claim Diagnosis E Code IX (FFS)
139CLM E POA IND SW9CLM_E_POA_IND_SW9Claim Diagnosis E Code IX Diagnosis Present on Admission (POA) Indicator Code (FFS)
140ICD_DGNS_E_CD10ICD_DGNS_E_CD10Claim Diagnosis E Code X (FFS)
141CLM E POA IND SW10CLM_E_POA_IND_SW10Claim Diagnosis E Code X Diagnosis Present on Admission (POA) Indicator Code (FFS)
142ICD_DGNS_E_CD11ICD_DGNS_E_CD11Claim Diagnosis E Code XI
143CLM E POA IND SW11CLM_E_POA_IND_SW11Claim Diagnosis E Code XI Diagnosis Present on Admission (POA) Indicator Code
144ICD_DGNS_E_CD12ICD_DGNS_E_CD12Claim Diagnosis E Code XII
145CLM E POA IND SW12CLM_E_POA_IND_SW12Claim Diagnosis E Code XII Diagnosis Present on Admission (POA) Indicator Code
146ICD_PRCDR_CD1ICD_PRCDR_CD1Claim Procedure Code I (FFS)
147PRCDR_DT1PRCDR_DT1Claim Procedure Code I Date (FFS)
148ICD_PRCDR_CD2ICD_PRCDR_CD2Claim Procedure Code II (FFS)
149PRCDR_DT2PRCDR_DT2Claim Procedure Code II Date (FFS)
150ICD_PRCDR_CD3ICD_PRCDR_CD3Claim Procedure Code III (FFS)
151PRCDR_DT3PRCDR_DT3Claim Procedure Code III Date (FFS)
152ICD_PRCDR_CD4ICD_PRCDR_CD4Claim Procedure Code IV (FFS)
153PRCDR_DT4PRCDR_DT4Claim Procedure Code IV Date (FFS)
154ICD_PRCDR_CD5ICD_PRCDR_CD5Claim Procedure Code V (FFS)
155PRCDR_DT5PRCDR_DT5Claim Procedure Code V Date (FFS)
156ICD_PRCDR_CD6ICD_PRCDR_CD6Claim Procedure Code VI (FFS)
157PRCDR_DT6PRCDR_DT6Claim Procedure Code VI Date (FFS)
158ICD_PRCDR_CD7ICD_PRCDR_CD7Claim Procedure Code VII (FFS)
159PRCDR_DT7PRCDR_DT7Claim Procedure Code VII Date (FFS)
160ICD_PRCDR_CD8ICD_PRCDR_CD8Claim Procedure Code VIII (FFS)
161PRCDR_DT8PRCDR_DT8Claim Procedure Code VIII Date (FFS)
162ICD_PRCDR_CD9ICD_PRCDR_CD9Claim Procedure Code IX (FFS)
163PRCDR_DT9PRCDR_DT9Claim Procedure Code IX Date (FFS)
164ICD_PRCDR_CD10ICD_PRCDR_CD10Claim Procedure Code X (FFS)
165PRCDR_DT10PRCDR_DT10Claim Procedure Code X Date (FFS)
166ICD_PRCDR_CD11ICD_PRCDR_CD11Claim Procedure Code XI (FFS)
167PRCDR_DT11PRCDR_DT11Claim Procedure Code XI Date (FFS)
168ICD_PRCDR_CD12ICD_PRCDR_CD12Claim Procedure Code XII (FFS)
169PRCDR_DT12PRCDR_DT12Claim Procedure Code XII Date (FFS)
170ICD_PRCDR_CD13ICD_PRCDR_CD13Claim Procedure Code XIII (FFS)
171PRCDR_DT13PRCDR_DT13Claim Procedure Code XIII Date (FFS)
172ICD_PRCDR_CD14ICD_PRCDR_CD14Claim Procedure Code XIV
173PRCDR_DT14PRCDR_DT14Claim Procedure Code XIV Date
174ICD_PRCDR_CD15ICD_PRCDR_CD15Claim Procedure Code XV
175PRCDR_DT15PRCDR_DT15Claim Procedure Code XV Date
176ICD_PRCDR_CD16ICD_PRCDR_CD16Claim Procedure Code XVI
177PRCDR_DT16PRCDR_DT16Claim Procedure Code XVI Date
178ICD_PRCDR_CD17ICD_PRCDR_CD17Claim Procedure Code XVII
179PRCDR_DT17PRCDR_DT17Claim Procedure Code XVII Date
180ICD_PRCDR_CD18ICD_PRCDR_CD18Claim Procedure Code XVIII
181PRCDR_DT18PRCDR_DT18Claim Procedure Code XVIII Date
182ICD_PRCDR_CD19ICD_PRCDR_CD19Claim Procedure Code XIX
183PRCDR_DT19PRCDR_DT19Claim Procedure Code XIX Date
184ICD_PRCDR_CD20ICD_PRCDR_CD20Claim Procedure Code XX
185PRCDR_DT20PRCDR_DT20Claim Procedure Code XX Date
186ICD_PRCDR_CD21ICD_PRCDR_CD21Claim Procedure Code XXI
187PRCDR_DT21PRCDR_DT21Claim Procedure Code XXI Date
188ICD_PRCDR_CD22ICD_PRCDR_CD22Claim Procedure Code XXII
189PRCDR_DT22PRCDR_DT22Claim Procedure Code XXII Date
190ICD_PRCDR_CD23ICD_PRCDR_CD23Claim Procedure Code XXIII
191PRCDR_DT23PRCDR_DT23Claim Procedure Code XXIII Date
192ICD_PRCDR_CD24ICD_PRCDR_CD24Claim Procedure Code XXIV
193PRCDR_DT24PRCDR_DT24Claim Procedure Code XXIV Date
194ICD_PRCDR_CD25ICD_PRCDR_CD25Claim Procedure Code XXV
195PRCDR_DT25PRCDR_DT25Claim Procedure Code XXV Date
196IME_OPIME_OP_CLM_VAL_AMTOperating Indirect Medical Education (IME) Amount
197DSH_OPDSH_OP_CLM_VAL_AMTOperating Disproportionate Share (DSH) Amount
198DOB_DTDOB_DTDate of Birth from Claim
199GNDR_CDGNDR_CDGender Code from Claim
200RACE_CDBENE_RACE_CDBeneficiary Race Code (FFS)
201CNTY_CDBENE_CNTY_CDCounty Code from Claim (SSA)
202BENE_STATE_CDBENE_STATE_CDBeneficiary Residence (SSA) State Code (FFS)
203ZIP_CDBENE_MLG_CNTCT_ZIP_CDZip Code of Residence from Claim
204CLM_MDCL_RECCLM_MDCL_RECClaim Medical Record Number (FFS)
205CLM_TRTMT_AUTHRZTN_NUM CLM_TRTMT_AUTHRZTN_NUMClaim Treatment Authorization Number
206CLM_PRCR_RTRN_CDCLM_PRCR_RTRN_CDClaim Pricer Return Code
207CLM_SRVC_FAC_ZIP_CDCLM_SRVC_FAC_ZIP_CDClaim service facility ZIP code (where service was provided)
208CLM_IP_LOW_VOL_PMT_AMT CLM_IP_LOW_VOL_PMT_AMTClaim Inpatient Low Volume Payment Amount
209CLM_CARE_IMPRVMT_MODEL_CD1CLM_CARE_IMPRVMT_MODEL_CD1Claim Care Improvement Model 1 Code (bundled payment)
210CLM_CARE_IMPRVMT_MODEL_CD2CLM_CARE_IMPRVMT_MODEL_CD2Claim Care Improvement Model 2 Code
211CLM_CARE_IMPRVMT_MODEL_CD3CLM_CARE_IMPRVMT_MODEL_CD3Claim Care Improvement Model 3 Code
212CLM_CARE_IMPRVMT_MODEL_CD4CLM_CARE_IMPRVMT_MODEL_CD4Claim Care Improvement Model 4 Code
213CLM_BNDLD_MODEL_1_DSCNT_PCTCLM_BNDLD_MODEL_1_DSCNT_PCTClaim Bundled Model 1 Discount Percent
214CLM_BASE_OPRTG_DRG_AMTCLM_BASE_OPRTG_DRG_AMTClaim Base Operating DRG Amount
215CLM_VBP_PRTCPNT_IND_CD CLM_VBP_PRTCPNT_IND_CDClaim Value-Based Purchasing (VBP) Participant Indicator Code
216CLM_VBP_ADJSTMT_PCT CLM_VBP_ADJSTMT_PCTClaim VBP Adjustment Percent
217CLM_HRR_PRTCPNT_IND_CDCLM_HRR_PRTCPNT_IND_CDClaim Hospital Readmission Reduction (HRR) Participant Indicator Code
218CLM_HRR_ADJSTMT_PCT CLM_HRR_ADJSTMT_PCTClaim HRR Adjustment Percent
219CLM_MODEL_4_READMSN_IND_CD CLM_MODEL_4_READMSN_IND_CDClaim Model 4 Readmission Indicator Code
220CLM_UNCOMPD_CARE_PMT_AMT CLM_UNCOMPD_CARE_PMT_AMTClaim Uncompensated Care Payment Amount
221CLM_BNDLD_ADJSTMT_PMT_AMTCLM_BNDLD_ADJSTMT_PMT_AMTClaim Bundled Adjustment Payment Amount
222CLM_VBP_ADJSTMT_PMT_AMTCLM_VBP_ADJSTMT_PMT_AMTClaim Value-Based Purchasing Adjustment Payment Amount
223CLM_HRR_ADJSTMT_PMT_AMTCLM_HRR_ADJSTMT_PMT_AMTClaim Hospital Readmission Reduction (HRR) Adjustment Payment Amount
224EHR_PYMT_ADJSTMT_AMTEHR_PYMT_ADJSTMT_AMTClaim Electronic Health Record (EHR) Payment Adjustment Amount
225PPS_STD_VAL_PYMT_AMTPPS_STD_VAL_PYMT_AMTStandard Payment Amount
226FINL_STD_AMT FINL_STD_AMTClaim Final Standard Payment Amount
231CLM_FULL_STD_PYMT_AMTCLM_FULL_STD_PYMT_AMTClaim Full Standard Payment Amount
232CLM_SS_OUTLIER_STD_PYMT_AMT CLM_SS_OUTLIER_STD_PYMT_AMTClaim Short Stay Outlier (SSO) Standard Payment Amount
227HAC_PGM_RDCTN_IND_SWHAC_PGM_RDCTN_IND_SWClaim Hospital Acquired Condition (HAC) Program Reduction Indicator Switch
228EHR_PGM_RDCTN_IND_SW EHR_PGM_RDCTN_IND_SWClaim Electronic Health Records (EHR) Program Reduction Indicator Switch
229CLM_SITE_NTRL_PYMT_CST_AMTCLM_SITE_NTRL_PYMT_CST_AMTClaim Site Neutral Payment Based on Cost Amount
230CLM_SITE_NTRL_PYMT_IPPS_AMTCLM_SITE_NTRL_PYMT_IPPS_AMTClaim Site Neutral Payment Based on Inpatient Prospective Payment System (IPPS) Amounts
233CLM_NEXT_GNRTN_ACO_IND_1_CDCLM_NEXT_GNRTN_ACO_IND_CD1Claim Next Generation (NG) Accountable Care Organization (ACO) Indicator Code - Population-Based Payment (PBP)
234CLM_NEXT_GNRTN_ACO_IND_2_CDCLM_NEXT_GNRTN_ACO_IND_CD2Claim Next Generation (NG) Accountable Care Organization (ACO) Indicator Code - Telehealth
235CLM_NEXT_GNRTN_ACO_IND_3_CDCLM_NEXT_GNRTN_ACO_IND_CD3Claim Next Generation (NG) Accountable Care Organization (ACO) Indicator Code - Post Discharge HH visits
236CLM_NEXT_GNRTN_ACO_IND_4_CDCLM_NEXT_GNRTN_ACO_IND_CD4Claim Next Generation (NG) Accountable Care Organization (ACO) Indicator Code - 3-day SNF waiver
237CLM_NEXT_GNRTN_ACO_IND_5_CDCLM_NEXT_GNRTN_ACO_IND_CD5Claim Next Generation (NG) Accountable Care Organization (ACO) Indicator Code - Capitation
238ACO_ID_NUMACO_ID_NUMClaim Accountable Care Organization (ACO) Identification Number
400CLM_BENE_ID_TYPE_CDCLM_BENE_ID_TYPE_CDClaim Beneficiary Identifier Type Code

Revenue Center File

Short SAS NameLong SAS NameVariable Name
1BENE_IDBENE_IDEncrypted CCW Beneficiary ID
2CLM_IDCLM_IDClaim ID
3THRU_DTCLM_THRU_DTClaim Through Date (FFS)
4CLM_LNCLM_LINE_NUMClaim Line Number
5CLM_TYPENCH_CLM_TYPE_CDNCH Claim Type Code
6REV_CNTRREV_CNTRRevenue Center Code (FFS)
7HCPCS_CDHCPCS_CDHealthcare Common Procedure Coding System (HCPCS) Code (FFS)
8MDFR_CD1HCPCS_1st_mdfr_cdHCPCS Initial Modifier Code (FFS)
9MDFR_CD2HCPCS_2ND_MDFR_CDHCPCS Second Modifier Code (FFS)
10MDFR_CD3HCPCS_3RD_MDFR_CDHCPCS Third Modifier Code (FFS)
11REV_UNITREV_CNTR_UNIT_CNTRevenue Center Unit Count (FFS)
12REV_RATEREV_CNTR_RATE_AMTRevenue Center Rate Amount
13REV_CHRGREV_CNTR_TOT_CHRG_AMTRevenue Center Total Charge Amount
14REV_NCVRREV_CNTR_NCVRD_CHRG_AMTRevenue Center Non-Covered Charge Amount
15REVDEDCDREV_CNTR_DDCTBL_COINSRNC_CDRevenue Center Deductible Coinsurance Code
16REV_CNTR_NDC_QTYREV_CNTR_NDC_QTYRevenue Center National Drug Code (NDC) Quantity (FFS)
17REV_CNTR_NDC_QTY_QLFR_CDREV_CNTR_NDC_QTY_QLFR_CDRevenue Center NDC Quantity Qualifier Code (FFS)
18RNDRNG_PHYSN_UPINRNDRNG_PHYSN_UPINRevenue Center Rendering Physician UPIN
501RNDRNG_PHYSN_NPIRNDRNG_PHYSN_NPIRendering Physician NPI (FFS)
20RNDRNG_PHYSN_SPCLTY_CDRNDRNG_PHYSN_SPCLTY_CDClaim or Revenue Center Rendering Physician Specialty Code
21IDENDCREV_CNTR_IDE_NDC_UPC_NUMRevenue Center IDE, NDC, or UPC Number (FFS)
22REV_CNTR_PRCNG_IND_CDREV_CNTR_PRCNG_IND_CDRevenue Center Pricing Indicator Code
23THRPY_CAP_IND_CD1THRPY_CAP_IND_CD1Therapy cap Indicator 1 Code
24THRPY_CAP_IND_CD2THRPY_CAP_IND_CD2Therapy cap Indicator 2 Code

Condition Code File

Short SAS NameLong SAS NameVariable Name
1BENE_IDBENE_IDEncrypted CCW Beneficiary ID
2CLM_IDCLM_IDClaim ID
3CLM_TYPENCH_CLM_TYPE_CDNCH Claim Type Code
4RLTCNDSQRLT_COND_CD_SEQClaim Related Condition Code Sequence
5RLT_CONDCLM_RLT_COND_CDClaim Related Condition Code (FFS)

Occurrence Code File

Short SAS NameLong SAS NameVariable Name
1BENE_IDBENE_IDEncrypted CCW Beneficiary ID
2CLM_IDCLM_IDClaim ID
3CLM_TYPENCH_CLM_TYPE_CDNCH Claim Type Code
4RLTOCRSQRLT_OCRNC_CD_SEQClaim Related Occurrence Code Sequence
5OCRNC_CDCLM_RLT_OCRNC_CDClaim Related Occurrence Code (FFS)
6OCRNCDTCLM_RLT_OCRNC_DTClaim Related Occurrence Date (FFS)

Span Code File

Short SAS NameLong SAS NameVariable Name
1BENE_IDBENE_IDEncrypted CCW Beneficiary ID
2CLM_IDCLM_IDClaim ID
3CLM_TYPENCH_CLM_TYPE_CDNCH Claim Type Code
4RLTSPNSQRLT_SPAN_CD_SEQClaim Related Span Code Sequence
5SPAN_CDCLM_SPAN_CDClaim Occurrence Span Code (FFS)
6SPANFROMCLM_SPAN_FROM_DTClaim Occurrence Span From Date (FFS)
7SPANTHRUCLM_SPAN_THRU_DTClaim Occurrence Span Through Date (FFS)

Value Code File

Short SAS NameLong SAS NameVariable Name
1BENE_IDBENE_IDEncrypted CCW Beneficiary ID
2CLM_IDCLM_IDClaim ID
3CLM_TYPENCH_CLM_TYPE_CDNCH Claim Type Code
4RLTVALSQRLT_VAL_CD_SEQClaim Related Value Code Sequence
5VAL_CDCLM_VAL_CDClaim Value Code (FFS)
6VAL_AMTCLM_VAL_AMTClaim Value Amount

Demonstrations/Innovations Code File

Short SAS NameLong SAS NameVariable Name
1BENE_IDBENE_IDEncrypted CCW Beneficiary ID
2CLM_IDCLM_IDClaim ID
3CLM_TYPENCH_CLM_TYPE_CDNCH Claim Type Code
4DEMO_ID_SQNC_NUMDEMO_ID_SQNC_NUMDemonstration sequence number
5DEMO_ID_NUMDEMO_ID_NUMDemonstration number
6DEMO_INFO_TXTDEMO_INFO_TXTDemo information text
CSV