Inpatient 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
3PROVIDERProvider Number*
4THRU_DTClaim Through Date
5RIC_CDNCH Near Line Record Identification Code*
6CLM_TYPENCH Claim Type Code*
7QUERY_CDClaim Query Code*
8FAC_TYPEClaim Facility Type Code*
9TYPESRVCClaim Service Classification Type Code*
10FREQ_CDClaim Frequency Code*
11FI_NUMFI Number*
12NOPAY_CDClaim Medicare Non Payment Reason Code*
13PMT_AMTClaim Payment Amount*
14PRPAYAMTNCH Primary Payer Claim Paid Amount*
15PRPAY_CDNCH Primary Payer Code*
16ACTIONCDFI or MAC Claim Action Code*
17PRSTATENCH Provider State Code*
18ORGNPINMOrganization NPI Number
19AT_UPINClaim Attending Physician UPIN Number
20AT_NPIClaim Attending Physician NPI Number
21OP_UPINClaim Operating Physician UPIN Number
22OP_NPIClaim Operating Physician NPI Number
23OT_UPINClaim Other Physician UPIN Number
24OT_NPIClaim Other Physician NPI Number
25MCOPDSWClaim MCO Paid Switch**
26STUS_CDPatient Discharge Status Code*
27PPS_INDClaim PPS Indicator Code*
28TOT_CHRGClaim Total Charge Amount**
29ADMSN_DTClaim Admission Date
30TYPE_ADMClaim Inpatient Admission Type Code*
31SRC_ADMSClaim Source Inpatient Admission Code*
32PTNTSTUSNCH Patient Status Indicator Code*
33PER_DIEMClaim Pass Thru Per Diem Amount
34DED_AMTNCH Beneficiary Inpatient Deductible Amount*
35COIN_AMTNCH Beneficiary Part A Coinsurance Liability Amount*
36BLDDEDAMNCH Beneficiary Blood Deductible Liability Amount*
37PCCHGAMTNCH Professional Component Charge Amount*
38NCCHGAMTNCH Inpatient Noncovered Charge Amount*
39PPS_CPTLClaim Total PPS Capital Amount*
40CPTL_FSPClaim PPS Capital FSP Amount*
41CPTLOUTLClaim PPS Capital Outlier Amount*
42DISP_SHRClaim PPS Capital Disproportionate Share Amount
43IME_AMTClaim PPS Capital IME Amount
44CPTL_EXPClaim PPS Capital Exception Amount*
45HLDHRMLSClaim PPS Old Capital Hold Harmless Amount
46DRGWTAMTClaim PPS Capital DRG Weight Number*
47UTIL_DAYClaim Utilization Day Count
48COIN_DAYBeneficiary Total Coinsurance Days Count
49LRD_USEBeneficiary LRD Used Count
50NUTILDAYClaim Non Utilization Days Count
51BLDFRNSHNCH Blood Pints Furnished Quantity
52NCOVFROMNCH Verified Noncovered Stay From Date
53NCOVTHRUNCH Verified Noncovered Stay Through Date
54EXHST_DTNCH Beneficiary Medicare Benefits Exhausted Date
55DSCHRGDTNCH Beneficiary Discharge Date
56DRG_CDClaim Diagnosis Related Group Code
57OUTLR_CDClaim Diagnosis Related Group Outlier Stay Code*
58OUTLRPMTNCH DRG Outlier Approved Payment Amount
59ADMTG_DGNS_CDClaim Admitting Diagnosis Code
60ADMTG_DGNS_VRSN_CDClaim Admitting Diagnosis Code Diagnosis Version Code (ICD-9 or ICD-10)*
61PRNCPAL_DGNS_CDClaim Principal Diagnosis Code
62PRNCPAL_DGNS_VRSN_CDPrimary Claim Diagnosis Code Diagnosis Version Code (ICD-9 or ICD-10)*
63ICD_DGNS_CD1Claim Diagnosis Code I
64ICD_DGNS_VRSN_CD1Claim Diagnosis Code I Diagnosis Version Code (ICD-9 or ICD-10)*
65CLM POA IND SW1Claim Diagnosis Code I Diagnosis Present on Admission Indicator Code**
66ICD_DGNS_CD2Claim Diagnosis Code II
67ICD_DGNS_VRSN_CD2Claim Diagnosis Code II Diagnosis Version Code (ICD-9 or ICD-10)*
68CLM POA IND SW2Claim Diagnosis Code II Diagnosis Present on Admission Indicator Code*
69ICD_DGNS_CD3Claim Diagnosis Code III
70ICD_DGNS_VRSN_CD3Claim Diagnosis Code III Diagnosis Version Code (ICD-9 or ICD-10)*
71CLM POA IND SW3Claim Diagnosis Code III Diagnosis Present on Admission Indicator Code*
72ICD_DGNS_CD4Claim Diagnosis Code IV
73ICD_DGNS_VRSN_CD4Claim Diagnosis Code IV Diagnosis Version Code (ICD-9 or ICD-10)*
74CLM POA IND SW4Claim Diagnosis Code IV Diagnosis Present on Admission Indicator Code*
75ICD_DGNS_CD5Claim Diagnosis Code V
76ICD_DGNS_VRSN_CD5Claim Diagnosis Code V Diagnosis Version Code (ICD-9 or ICD-10)*
77CLM POA IND SW5Claim Diagnosis Code V Diagnosis Present on Admission Indicator Code*
78ICD_DGNS_CD6Claim Diagnosis Code VI
79ICD_DGNS_VRSN_CD6Claim Diagnosis Code VI Diagnosis Version Code (ICD-9 or ICD-10)*
80CLM POA IND SW6Claim Diagnosis Code VI Diagnosis Present on Admission Indicator Code*
81ICD_DGNS_CD7Claim Diagnosis Code VII
82ICD_DGNS_VRSN_CD7Claim Diagnosis Code VII Diagnosis Version Code (ICD-9 or ICD-10)*
83CLM POA IND SW7Claim Diagnosis Code VII Diagnosis Present on Admission Indicator Code*
84ICD_DGNS_CD8Claim Diagnosis Code VIII
85ICD_DGNS_VRSN_CD8Claim Diagnosis Code VIII Diagnosis Version Code (ICD-9 or ICD-10)*
86CLM POA IND SW8Claim Diagnosis Code VIII Diagnosis Present on Admission Indicator Code*
87ICD_DGNS_CD9Claim Diagnosis Code IX
88ICD_DGNS_VRSN_CD9Claim Diagnosis Code IX Diagnosis Version Code (ICD-9 or ICD-10)*
89CLM POA IND SW9Claim Diagnosis Code IX Diagnosis Present on Admission Indicator Code*
90ICD_DGNS_CD10Claim Diagnosis Code X
91ICD_DGNS_VRSN_CD10Claim Diagnosis Code X Diagnosis Version Code (ICD-9 or ICD-10)*
92CLM POA IND SW10Claim Diagnosis Code X Diagnosis Present on Admission Indicator Code*
93ICD_DGNS_CD11Claim Diagnosis Code XI
94ICD_DGNS_VRSN_CD11Claim Diagnosis Code XI Diagnosis Version Code (ICD-9 or ICD-10)*
95CLM POA IND SW11Claim Diagnosis Code XI Diagnosis Present on Admission Indicator Code*
96ICD_DGNS_CD12Claim Diagnosis Code XII
97ICD_DGNS_VRSN_CD12Claim Diagnosis Code XII Diagnosis Version Code (ICD-9 or ICD-10)*
98CLM POA IND SW12Claim Diagnosis Code XII Diagnosis Present on Admission Indicator Code*
99ICD_DGNS_CD13Claim Diagnosis Code XIII
100ICD_DGNS_VRSN_CD13Claim Diagnosis Code XIII Diagnosis Version Code (ICD-9 or ICD-10)*
101CLM POA IND SW13Claim Diagnosis Code XIII Diagnosis Present on Admission Indicator Code*
102ICD_DGNS_CD14Claim Diagnosis Code XIV
103ICD_DGNS_VRSN_CD14Claim Diagnosis Code XIV Diagnosis Version Code (ICD-9 or ICD-10)*
104CLM POA IND SW14Claim Diagnosis Code XIV Diagnosis Present on Admission Indicator Code*
105ICD_DGNS_CD15Claim Diagnosis Code XV
106ICD_DGNS_VRSN_CD15Claim Diagnosis Code XV Diagnosis Version Code (ICD-9 or ICD-10)*
107CLM POA IND SW15Claim Diagnosis Code XV Diagnosis Present on Admission Indicator Code*
108ICD_DGNS_CD16Claim Diagnosis Code XVI
109ICD_DGNS_VRSN_CD16Claim Diagnosis Code XVI Diagnosis Version Code (ICD-9 or ICD-10)*
110CLM POA IND SW16Claim Diagnosis Code XVI Diagnosis Present on Admission Indicator Code*
111ICD_DGNS_CD17Claim Diagnosis Code XVII
112ICD_DGNS_VRSN_CD12Claim Diagnosis Code XII Diagnosis Version Code (ICD-9 or ICD-10)*
113CLM POA IND SW17Claim Diagnosis Code XVII Diagnosis Present on Admission Indicator Code*
114ICD_DGNS_CD18Claim Diagnosis Code XVIII
115ICD_DGNS_VRSN_CD18Claim Diagnosis Code XVIII Diagnosis Version Code (ICD-9 or ICD-10)*
116CLM POA IND SW18Claim Diagnosis Code XVIII Diagnosis Present on Admission Indicator Code*
117ICD_DGNS_CD19Claim Diagnosis Code XIX
118ICD_DGNS_VRSN_CD19Claim Diagnosis Code XIX Diagnosis Version Code (ICD-9 or ICD-10)*
119CLM POA IND SW19Claim Diagnosis Code XIX Diagnosis Present on Admission Indicator Code*
120ICD_DGNS_CD20Claim Diagnosis Code XX
121ICD_DGNS_VRSN_CD20Claim Diagnosis Code XX Diagnosis Version Code (ICD-9 or ICD-10)*
122CLM POA IND SW20Claim Diagnosis Code XX Diagnosis Present on Admission Indicator Code*
123ICD_DGNS_CD21Claim Diagnosis Code XXI
124ICD_DGNS_VRSN_CD21Claim Diagnosis Code XXI Diagnosis Version Code (ICD-9 or ICD-10)*
125CLM POA IND SW21Claim Diagnosis Code XXI Diagnosis Present on Admission Indicator Code*
126ICD_DGNS_CD22Claim Diagnosis Code XXII
127ICD_DGNS_VRSN_CD22Claim Diagnosis Code XXII Diagnosis Version Code (ICD-9 or ICD-10)*
128CLM POA IND SW22Claim Diagnosis Code XXII Diagnosis Present on Admission Indicator Code*
129ICD_DGNS_CD23Claim Diagnosis Code XXIII
130ICD_DGNS_VRSN_CD23Claim Diagnosis Code XXIII Diagnosis Version Code (ICD-9 or ICD-10)*
131CLM POA IND SW23Claim Diagnosis Code XXIII Diagnosis Present on Admission Indicator Code*
132ICD_DGNS_CD24Claim Diagnosis Code XXIV
133ICD_DGNS_VRSN_CD24Claim Diagnosis Code XXIV Diagnosis Version Code (ICD-9 or ICD-10)*
134CLM POA IND SW24Claim Diagnosis Code XXIV Diagnosis Present on Admission Indicator Code*
135ICD_DGNS_CD25Claim Diagnosis Code XXV
136ICD_DGNS_VRSN_CD25Claim Diagnosis Code XXV Diagnosis Version Code (ICD-9 or ICD-10)*
137CLM POA IND SW25Claim Diagnosis Code XXV Diagnosis Present on Admission Indicator Code*
138FST_DGNS_E_CDFirst Claim Diagnosis E Code
139FST_DGNS_E_VRSN_CDFirst Claim Diagnosis E Code Diagnosis Version Code (ICD-9 or ICD-10)*
140ICD_DGNS_E_CD1Claim Diagnosis E Code I
141ICD_DGNS_E_VRSN_CD1Claim Diagnosis E Code I Diagnosis Version Code (ICD-9 or ICD-10)*
142CLM E POA IND SW1Claim Diagnosis E Code I Diagnosis Present on Admission Indicator Code*
143ICD_DGNS_E_CD2Claim Diagnosis E Code II
144ICD_DGNS_E_VRSN_CD2Claim Diagnosis E Code II Diagnosis Version Code (ICD-9 or ICD-10)*
145CLM E POA IND SW2Claim Diagnosis E Code II Diagnosis Present on Admission Indicator Code*
146ICD_DGNS_E_CD3Claim Diagnosis E Code III
147ICD_DGNS_E_VRSN_CD3Claim Diagnosis E Code III Diagnosis Version Code (ICD-9 or ICD-10)*
148CLM E POA IND SW3Claim Diagnosis E Code III Diagnosis Present on Admission Indicator Code*
149ICD_DGNS_E_CD4Claim Diagnosis E Code IV
150ICD_DGNS_E_VRSN_CD4Claim Diagnosis E Code IV Diagnosis Version Code (ICD-9 or ICD-10)*
151CLM E POA IND SW4Claim Diagnosis E Code IV Diagnosis Present on Admission Indicator Code*
152ICD_DGNS_E_CD5Claim Diagnosis E Code V
153ICD_DGNS_E_VRSN_CD5Claim Diagnosis E Code V Diagnosis Version Code (ICD-9 or ICD-10)*
154CLM E POA IND SW5Claim Diagnosis E Code V Diagnosis Present on Admission Indicator Code*
155ICD_DGNS_E_CD6Claim Diagnosis E Code VI
156ICD_DGNS_E_VRSN_CD6Claim Diagnosis E Code VI Diagnosis Version Code (ICD-9 or ICD-10)*
157CLM E POA IND SW6Claim Diagnosis E Code VI Diagnosis Present on Admission Indicator Code*
158ICD_DGNS_E_CD7Claim Diagnosis E Code VII
159ICD_DGNS_E_VRSN_CD7Claim Diagnosis E Code VII Diagnosis Version Code (ICD-9 or ICD-10)*
160CLM E POA IND SW7Claim Diagnosis E Code VII Diagnosis Present on Admission Indicator Code*
161ICD_DGNS_E_CD8Claim Diagnosis E Code VIII
162ICD_DGNS_E_VRSN_CD8Claim Diagnosis E Code VIII Diagnosis Version Code (ICD-9 or ICD-10)
163CLM E POA IND SW8Claim Diagnosis E Code VIII Diagnosis Present on Admission Indicator Code*
164ICD_DGNS_E_CD9Claim Diagnosis E Code IX
165ICD_DGNS_E_VRSN_CD9Claim Diagnosis E Code IX Diagnosis Version Code (ICD-9 or ICD-10)*
166CLM E POA IND SW9Claim Diagnosis E Code IX Diagnosis Present on Admission Indicator Code*
167ICD_DGNS_E_CD10Claim Diagnosis E Code X
168ICD_DGNS_E_VRSN_CD10Claim Diagnosis E Code X Diagnosis Version Code (ICD-9 or ICD-10)*
169CLM E POA IND SW10Claim Diagnosis E Code X Diagnosis Present on Admission Indicator Code*
170ICD_DGNS_E_CD11Claim Diagnosis E Code XI
171ICD_DGNS_E_VRSN_CD11Claim Diagnosis E Code XI Diagnosis Version Code (ICD-9 or ICD-10)*
172CLM E POA IND SW11Claim Diagnosis E Code XI Diagnosis Present on Admission Indicator Code*
173ICD_DGNS_E_CD12Claim Diagnosis E Code XII
174ICD_DGNS_E_VRSN_CD12Claim Diagnosis E Code XII Diagnosis Version Code (ICD-9 or ICD-10)*
175CLM E POA IND SW12Claim Diagnosis E Code XII Diagnosis Present on Admission Indicator Code*
176ICD_PRCDR_CD1Claim Procedure Code I
177ICD_PRCDR_VRSN_CD1Claim Procedure Code I Claim Procedure Version Code (ICD-9 or ICD-10)*
178PRCDR_DT1Claim Procedure Code I Date
179ICD_PRCDR_CD2Claim Procedure Code II
180ICD_PRCDR_VRSN_CD2Claim Procedure Code II Claim Procedure Version Code (ICD-9 or ICD-10)*
181PRCDR_DT2Claim Procedure Code II Date
182ICD_PRCDR_CD3Claim Procedure Code III
183ICD_PRCDR_VRSN_CD3Claim Procedure Code III Claim Procedure Version Code (ICD-9 or ICD-10)*
184PRCDR_DT3Claim Procedure Code III Date
185ICD_PRCDR_CD4Claim Procedure Code IV
186ICD_PRCDR_VRSN_CD4Claim Procedure Code IV Claim Procedure Version Code (ICD-9 or ICD-10)*
187PRCDR_DT4Claim Procedure Code IV Date
188ICD_PRCDR_CD5Claim Procedure Code V
189ICD_PRCDR_VRSN_CD5Claim Procedure Code V Claim Procedure Version Code (ICD-9 or ICD-10)*
190PRCDR_DT5Claim Procedure Code V Date
191ICD_PRCDR_CD6Claim Procedure Code VI
192ICD_PRCDR_VRSN_CD6Claim Procedure Code VI Claim Procedure Version Code (ICD-9 or ICD-10)*
193PRCDR_DT6Claim Procedure Code VI Date
194ICD_PRCDR_CD7Claim Procedure Code VII
195ICD_PRCDR_VRSN_CD7Claim Procedure Code VII Claim Procedure Version Code (ICD-9 or ICD-10)*
196PRCDR_DT7Claim Procedure Code VII Date
197ICD_PRCDR_CD8Claim Procedure Code VIII
198ICD_PRCDR_VRSN_CD8Claim Procedure Code VIII Claim Procedure Version Code (ICD-9 or ICD-10)*
199PRCDR_DT8Claim Procedure Code VIII Date
200ICD_PRCDR_CD9Claim Procedure Code IX
201ICD_PRCDR_VRSN_CD9Claim Procedure Code IX Claim Procedure Version Code (ICD-9 or ICD-10)*
202PRCDR_DT9Claim Procedure Code IX Date
203ICD_PRCDR_CD10Claim Procedure Code X
204ICD_PRCDR_VRSN_CD10Claim Procedure Code X Claim Procedure Version Code (ICD-9 or ICD-10)*
205PRCDR_DT10Claim Procedure Code X Date
206ICD_PRCDR_CD11Claim Procedure Code XI
207ICD_PRCDR_VRSN_CD11Claim Procedure Code XI Claim Procedure Version Code (ICD-9 or ICD-10)*
208PRCDR_DT11Claim Procedure Code XI Date
209ICD_PRCDR_CD12Claim Procedure Code XII
210ICD_PRCDR_VRSN_CD12Claim Procedure Code XII Claim Procedure Version Code (ICD-9 or ICD-10)*
211PRCDR_DT12Claim Procedure Code XII Date
212ICD_PRCDR_CD13Claim Procedure Code XIII
213ICD_PRCDR_VRSN_CD13Claim Procedure Code XIII Claim Procedure Version Code (ICD-9 or ICD-10)*
214PRCDR_DT13Claim Procedure Code XIII Date
215ICD_PRCDR_CD14Claim Procedure Code XIV
216ICD_PRCDR_VRSN_CD14Claim Procedure Code XIV Claim Procedure Version Code (ICD-9 or ICD-10)*
217PRCDR_DT14Claim Procedure Code XIV Date
218ICD_PRCDR_CD15Claim Procedure Code XV
219ICD_PRCDR_VRSN_CD15Claim Procedure Code XV Claim Procedure Version Code (ICD-9 or ICD-10)*
220PRCDR_DT15Claim Procedure Code XV Date
221ICD_PRCDR_CD16Claim Procedure Code XVI
222ICD_PRCDR_VRSN_CD16Claim Procedure Code XVI Claim Procedure Version Code (ICD-9 or ICD-10)*
223PRCDR_DT16Claim Procedure Code XVI Date
224ICD_PRCDR_CD17Claim Procedure Code XVII
225ICD_PRCDR_VRSN_CD17Claim Procedure Code XVII Claim Procedure Version Code (ICD-9 or ICD-10)*
226PRCDR_DT17Claim Procedure Code XVII Date
227ICD_PRCDR_CD18Claim Procedure Code XVIII
228ICD_PRCDR_VRSN_CD18Claim Procedure Code XVIII Claim Procedure Version Code (ICD-9 or ICD-10)*
229PRCDR_DT18Claim Procedure Code XVIII Date
230ICD_PRCDR_CD19Claim Procedure Code XIX
231ICD_PRCDR_VRSN_CD19Claim Procedure Code XIX Claim Procedure Version Code (ICD-9 or ICD-10)*
232PRCDR_DT19Claim Procedure Code XIX Date
233ICD_PRCDR_CD20Claim Procedure Code XX
234ICD_PRCDR_VRSN_CD20Claim Procedure Code XX Claim Procedure Version Code (ICD-9 or ICD-10)*
235PRCDR_DT20Claim Procedure Code XX Date
236ICD_PRCDR_CD21Claim Procedure Code XXI
237ICD_PRCDR_VRSN_CD21Claim Procedure Code XXI Claim Procedure Version Code (ICD-9 or ICD-10)*
238PRCDR_DT21Claim Procedure Code XXI Date
239ICD_PRCDR_CD22Claim Procedure Code XXII
240ICD_PRCDR_VRSN_CD22Claim Procedure Code XXII Claim Procedure Version Code (ICD-9 or ICD-10)*
241PRCDR_DT22Claim Procedure Code XXII Date
242ICD_PRCDR_CD23Claim Procedure Code XXIII
243ICD_PRCDR_VRSN_CD23Claim Procedure Code XXIII Claim Procedure Version Code (ICD-9 or ICD-10)*
244PRCDR_DT23Claim Procedure Code XXIII Date
245ICD_PRCDR_CD24Claim Procedure Code XXIV
246ICD_PRCDR_VRSN_CD24Claim Procedure Code XXIV Claim Procedure Version Code (ICD-9 or ICD-10)*
247PRCDR_DT24Claim Procedure Code XXIV Date
248ICD_PRCDR_CD25Claim Procedure Code XXV
249ICD_PRCDR_VRSN_CD25Claim Procedure Code XXV Claim Procedure Version Code (ICD-9 or ICD-10)*
250PRCDR_DT25Claim Procedure Code XXV Date
251DOB_DTLDS Age Category*
252GNDR_CDGender Code from Claim*
253RACE_CDRace Code from Claim*
254CNTY_CDCounty Code from Claim (SSA)
255STATE_CDState Code from Claim (SSA)*
256CWF_BENE_MDCR_STUS_CDCWF Beneficiary Medicare Status Code*

Condition Code File

Short SAS NameVariable NameLimitationCode table
1DSYSRTKYLDS Beneficiary ID
2CLAIMNOLDS Claim Number
3RLTCNDSQClaim Related Condition Code Sequence
4THRU_DTClaim Through Date
5CLM_TYPENCH Claim Type Code*
6RLT_CONDClaim Related Condition Code*

Occurrence Code File

Short SAS NameVariable NameLimitationCode table
1DSYSRTKYLDS Beneficiary ID
2CLAIMNOLDS Claim Number
3RLTOCRSQClaim Related Occurrence Code Sequence
4THRU_DTClaim Through Date
5CLM_TYPENCH Claim Type Code*
6OCRNC_CDClaim Related Occurrence Code*
7OCRNCDTClaim Related Occurrence Date

Value Code File

Short SAS NameVariable NameLimitationCode table
1DSYSRTKYLDS Beneficiary ID
2CLAIMNOLDS Claim Number
3RLTVALSQClaim Related Value Code Sequence
4THRU_DTClaim Through Date
5CLM_TYPENCH Claim Type Code*
6VAL_CDClaim Value Code*
7VAL_AMTClaim Value Amount*

Revenue Center File

Short SAS NameVariable NameLimitationCode table
1DSYSRTKYLDS Beneficiary ID
2CLAIMNOLDS Claim Number
3CLM_LNClaim Line Number
4THRU_DTClaim Through Date
5CLM_TYPENCH Claim Type Code*
6REV_CNTRRevenue Center Code*
7HCPCS_CDRevenue Center HCFA Common Procedure Coding System
8REV_UNITRevenue Center Unit Count
9REV_RATERevenue Center Rate Amount
10REV_CHRGRevenue Center Total Charge Amount**
11REV_NCVRRevenue Center Non-Covered Charge Amount*
12REVDEDCDRevenue Center Deductible Coinsurance Code*
13APCHIPPSRevenue Center APC/HIPPS*