| 1 | BENE_ID | Encrypted 723 Beneficiary ID (Unique Key) | |
| 2 | State_cd | State Code (MESF) | |
| 3 | MSIS_ID | Encrypted Medicaid State ID Number | |
| 4 | REF_YR | Record Reference Year | |
| 5 | DM_SOURCE | Dual or Medicaid only enrollee | |
| 6 | BENE_DEATH_DT TYPE: DATE | Date of Death | |
| 7 | NDI_DOD | NDI Date of Death_MESF | |
| 8 | NDI_MATCH | Death confirmed through NDI match | |
| 9 | NDI_STATE_DEATH_CD | NDI State of Death | |
| 10 | DEATH_CERT_NUM | NDI Death Certificate Number | |
| 11 | ICD_CODE | ICD-10 Code | |
| 12 | ICD_TITLE | ICD-10 Code Description | |
| 13 | ICD_CODE_358 | 358 ICD-10 Cause of Death Recodes | |
| 14 | ICD_CODE_113 | 113 ICD-10 Cause of Death Recodes | |
| 15 | ICD_CODE_130 | 130 ICD-10 Cause of Death Recodes | |
| 16 | ENTITY_COND_1 (through ENTITY_COND_20) | NDI Entity Axis Cause of Death - Condition 1 (through Condition 20) | |
| 17 | RECORD_COND_1 (through RECORD_COND_20) | NDI Record Axis Cause of Death - Condition 1 (through Condition 20) | |
