Outpatient 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*
16PRSTATENCH Provider State Code*
17ORGNPINMOrganization NPI Number
18AT_UPINClaim Attending Physician UPIN Number
19AT_NPIClaim Attending Physician NPI Number
20OP_UPINClaim Operating Physician UPIN Number
21OP_NPIClaim Operating Physician NPI Number
22OT_UPINClaim Other Physician UPIN Number
23OT_NPIClaim Other Physician NPI Number
24MCOPDSWClaim MCO Paid Switch**
25STUS_CDPatient Discharge Status Code*
26TOT_CHRGClaim Total Charge Amount**
27BLDDEDAMNCH Beneficiary Blood Deductible Liability Amount*
28PCCHGAMTNCH Professional Component Charge Amount*
29PRNCPAL_DGNS_CDClaim Principal Diagnosis Code
30PRNCPAL_DGNS_VRSN_CDPrimary Claim Diagnosis Code Diagnosis Version Code (ICD-9 or ICD-10)*
31ICD_DGNS_CD1Claim Diagnosis Code I
32ICD_DGNS_VRSN_CD1Claim Diagnosis Code I Diagnosis Version Code (ICD-9 or ICD-10)*
33ICD_DGNS_CD2Claim Diagnosis Code II
34ICD_DGNS_VRSN_CD2Claim Diagnosis Code II Diagnosis Version Code (ICD-9 or ICD-10)*
35ICD_DGNS_CD3Claim Diagnosis Code III
36ICD_DGNS_VRSN_CD3Claim Diagnosis Code III Diagnosis Version Code (ICD-9 or ICD-10)*
37ICD_DGNS_CD4Claim Diagnosis Code IV
38ICD_DGNS_VRSN_CD4Claim Diagnosis Code IV Diagnosis Version Code (ICD-9 or ICD-10)*
39ICD_DGNS_CD5Claim Diagnosis Code V
40ICD_DGNS_VRSN_CD5Claim Diagnosis Code V Diagnosis Version Code (ICD-9 or ICD-10)*
41ICD_DGNS_CD6Claim Diagnosis Code VI
42ICD_DGNS_VRSN_CD6Claim Diagnosis Code VI Diagnosis Version Code (ICD-9 or ICD-10)*
43ICD_DGNS_CD7Claim Diagnosis Code VII
44ICD_DGNS_VRSN_CD7Claim Diagnosis Code VII Diagnosis Version Code (ICD-9 or ICD-10)*
45ICD_DGNS_CD8Claim Diagnosis Code VIII
46ICD_DGNS_VRSN_CD8Claim Diagnosis Code VIII Diagnosis Version Code (ICD-9 or ICD-10)*
47ICD_DGNS_CD9Claim Diagnosis Code IX
48ICD_DGNS_VRSN_CD9Claim Diagnosis Code IX Diagnosis Version Code (ICD-9 or ICD-10)*
49ICD_DGNS_CD10Claim Diagnosis Code X
50ICD_DGNS_VRSN_CD10Claim Diagnosis Code X Diagnosis Version Code (ICD-9 or ICD-10)*
51ICD_DGNS_CD11Claim Diagnosis Code XI
52ICD_DGNS_VRSN_CD11Claim Diagnosis Code XI Diagnosis Version Code (ICD-9 or ICD-10)*
53ICD_DGNS_CD12Claim Diagnosis Code XII
54ICD_DGNS_VRSN_CD12Claim Diagnosis Code XII Diagnosis Version Code (ICD-9 or ICD-10)*
55ICD_DGNS_CD13Claim Diagnosis Code XIII
56ICD_DGNS_VRSN_CD13Claim Diagnosis Code XIII Diagnosis Version Code (ICD-9 or ICD-10)*
57ICD_DGNS_CD14Claim Diagnosis Code XIV
58ICD_DGNS_VRSN_CD14Claim Diagnosis Code XIV Diagnosis Version Code (ICD-9 or ICD-10)*
59ICD_DGNS_CD15Claim Diagnosis Code XV
60ICD_DGNS_VRSN_CD15Claim Diagnosis Code XV Diagnosis Version Code (ICD-9 or ICD-10)*
61ICD_DGNS_CD16Claim Diagnosis Code XVI
62ICD_DGNS_VRSN_CD16Claim Diagnosis Code XVI Diagnosis Version Code (ICD-9 or ICD-10)*
63ICD_DGNS_CD17Claim Diagnosis Code XVII
64ICD_DGNS_VRSN_CD17Claim Diagnosis Code XVII Diagnosis Version Code (ICD-9 or ICD-10)*
65ICD_DGNS_CD18Claim Diagnosis Code XVIII
66ICD_DGNS_VRSN_CD18Claim Diagnosis Code XVIII Diagnosis Version Code (ICD-9 or ICD-10)*
67ICD_DGNS_CD19Claim Diagnosis Code XIX
68ICD_DGNS_VRSN_CD19Claim Diagnosis Code XIX Diagnosis Version Code (ICD-9 or ICD-10)*
69ICD_DGNS_CD20Claim Diagnosis Code XX
70ICD_DGNS_VRSN_CD20Claim Diagnosis Code XX Diagnosis Version Code (ICD-9 or ICD-10)*
71ICD_DGNS_CD21Claim Diagnosis Code XXI
72ICD_DGNS_VRSN_CD21Claim Diagnosis Code XXI Diagnosis Version Code (ICD-9 or ICD-10)*
73ICD_DGNS_CD22Claim Diagnosis Code XXII
74ICD_DGNS_VRSN_CD22Claim Diagnosis Code XXII Diagnosis Version Code (ICD-9 or ICD-10)*
75ICD_DGNS_CD23Claim Diagnosis Code XXIII
76ICD_DGNS_VRSN_CD23Claim Diagnosis Code XXIII Diagnosis Version Code (ICD-9 or ICD-10)*
77ICD_DGNS_CD24Claim Diagnosis Code XXIV
78ICD_DGNS_VRSN_CD24Claim Diagnosis Code XXIV Diagnosis Version Code (ICD-9 or ICD-10)*
79ICD_DGNS_CD25Claim Diagnosis Code XXV
80ICD_DGNS_VRSN_CD25Claim Diagnosis Code XXV Diagnosis Version Code (ICD-9 or ICD-10)*
81FST_DGNS_E_CDFirst Claim Diagnosis E Code
82FST_DGNS_E_VRSN_CDFirst Claim Diagnosis E Code Diagnosis Version Code (ICD-9 or ICD-10)*
83ICD_DGNS_E_CD1Claim Diagnosis E Code I
84ICD_DGNS_E_VRSN_CD1Claim Diagnosis E Code I Diagnosis Version Code (ICD-9 or ICD-10)*
85ICD_DGNS_E_CD2Claim Diagnosis E Code II
86ICD_DGNS_E_VRSN_CD2Claim Diagnosis E Code II Diagnosis Version Code (ICD-9 or ICD-10)*
87ICD_DGNS_E_CD3Claim Diagnosis E Code III
88ICD_DGNS_E_VRSN_CD3Claim Diagnosis E Code III Diagnosis Version Code (ICD-9 or ICD-10)*
89ICD_DGNS_E_CD4Claim Diagnosis E Code IV
90ICD_DGNS_E_VRSN_CD4Claim Diagnosis E Code IV Diagnosis Version Code (ICD-9 or ICD-10)*
91ICD_DGNS_E_CD5Claim Diagnosis E Code V
92ICD_DGNS_E_VRSN_CD5Claim Diagnosis E Code V Diagnosis Version Code (ICD-9 or ICD-10)*
93ICD_DGNS_E_CD6Claim Diagnosis E Code VI
94ICD_DGNS_E_VRSN_CD6Claim Diagnosis E Code VI Diagnosis Version Code (ICD-9 or ICD-10)*
95ICD_DGNS_E_CD7Claim Diagnosis E Code VII
96ICD_DGNS_E_VRSN_CD7Claim Diagnosis E Code VII Diagnosis Version Code (ICD-9 or ICD-10)*
97ICD_DGNS_E_CD8Claim Diagnosis E Code VIII
98ICD_DGNS_E_VRSN_CD8Claim Diagnosis E Code VIII Diagnosis Version Code (ICD-9 or ICD-10)
99ICD_DGNS_E_CD9Claim Diagnosis E Code IX
100ICD_DGNS_E_VRSN_CD9Claim Diagnosis E Code IX Diagnosis Version Code (ICD-9 or ICD-10)*
101ICD_DGNS_E_CD10Claim Diagnosis E Code X
102ICD_DGNS_E_VRSN_CD10Claim Diagnosis E Code X Diagnosis Version Code (ICD-9 or ICD-10)*
103ICD_DGNS_E_CD11Claim Diagnosis E Code XI
104ICD_DGNS_E_VRSN_CD11Claim Diagnosis E Code XI Diagnosis Version Code (ICD-9 or ICD-10)*
105ICD_DGNS_E_CD12Claim Diagnosis E Code XII
106ICD_DGNS_E_VRSN_CD12Claim Diagnosis E Code XII Diagnosis Version Code (ICD-9 or ICD-10)*
107ICD_PRCDR_CD1Claim Procedure Code I
108ICD_PRCDR_VRSN_CD1Claim Procedure Code I Claim Procedure Version Code (ICD-9 or ICD-10)*
109PRCDR_DT1Claim Procedure Code I Date
110ICD_PRCDR_CD2Claim Procedure Code II
111ICD_PRCDR_VRSN_CD2Claim Procedure Code II Claim Procedure Version Code (ICD-9 or ICD-10)*
112PRCDR_DT2Claim Procedure Code II Date
113ICD_PRCDR_CD3Claim Procedure Code III
114ICD_PRCDR_VRSN_CD3Claim Procedure Code III Claim Procedure Version Code (ICD-9 or ICD-10)*
115PRCDR_DT3Claim Procedure Code III Date
116ICD_PRCDR_CD4Claim Procedure Code IV
117ICD_PRCDR_VRSN_CD4Claim Procedure Code IV Claim Procedure Version Code (ICD-9 or ICD-10)*
118PRCDR_DT4Claim Procedure Code IV Date
119ICD_PRCDR_CD5Claim Procedure Code V
120ICD_PRCDR_VRSN_CD5Claim Procedure Code V Claim Procedure Version Code (ICD-9 or ICD-10)*
121PRCDR_DT5Claim Procedure Code V Date
122ICD_PRCDR_CD6Claim Procedure Code VI
123ICD_PRCDR_VRSN_CD6Claim Procedure Code VI Claim Procedure Version Code (ICD-9 or ICD-10)*
124PRCDR_DT6Claim Procedure Code VI Date
125ICD_PRCDR_CD7Claim Procedure Code VII
126ICD_PRCDR_VRSN_CD7Claim Procedure Code VII Claim Procedure Version Code (ICD-9 or ICD-10)*
127PRCDR_DT7Claim Procedure Code VII Date
128ICD_PRCDR_CD8Claim Procedure Code VIII
129ICD_PRCDR_VRSN_CD8Claim Procedure Code VIII Claim Procedure Version Code (ICD-9 or ICD-10)*
130PRCDR_DT8Claim Procedure Code VIII Date
131ICD_PRCDR_CD9Claim Procedure Code IX
132ICD_PRCDR_VRSN_CD9Claim Procedure Code IX Claim Procedure Version Code (ICD-9 or ICD-10)*
133PRCDR_DT9Claim Procedure Code IX Date
134ICD_PRCDR_CD10Claim Procedure Code X
135ICD_PRCDR_VRSN_CD10Claim Procedure Code X Claim Procedure Version Code (ICD-9 or ICD-10)*
136PRCDR_DT10Claim Procedure Code X Date
137ICD_PRCDR_CD11Claim Procedure Code XI
138ICD_PRCDR_VRSN_CD11Claim Procedure Code XI Claim Procedure Version Code (ICD-9 or ICD-10)*
139PRCDR_DT11Claim Procedure Code XI Date
140ICD_PRCDR_CD12Claim Procedure Code XII
141ICD_PRCDR_VRSN_CD12Claim Procedure Code XII Claim Procedure Version Code (ICD-9 or ICD-10)*
142PRCDR_DT12Claim Procedure Code XII Date
143ICD_PRCDR_CD13Claim Procedure Code XIII
144ICD_PRCDR_VRSN_CD13Claim Procedure Code XIII Claim Procedure Version Code (ICD-9 or ICD-10)*
145PRCDR_DT13Claim Procedure Code XIII Date
146ICD_PRCDR_CD14Claim Procedure Code XIV
147ICD_PRCDR_VRSN_CD14Claim Procedure Code XIV Claim Procedure Version Code (ICD-9 or ICD-10)*
148PRCDR_DT14Claim Procedure Code XIV Date
149ICD_PRCDR_CD15Claim Procedure Code XV
150ICD_PRCDR_VRSN_CD15Claim Procedure Code XV Claim Procedure Version Code (ICD-9 or ICD-10)*
151PRCDR_DT15Claim Procedure Code XV Date
152ICD_PRCDR_CD16Claim Procedure Code XVI
153ICD_PRCDR_VRSN_CD16Claim Procedure Code XVI Claim Procedure Version Code (ICD-9 or ICD-10)*
154PRCDR_DT16Claim Procedure Code XVI Date
155ICD_PRCDR_CD17Claim Procedure Code XVII
156ICD_PRCDR_VRSN_CD17Claim Procedure Code XVII Claim Procedure Version Code (ICD-9 or ICD-10)*
157PRCDR_DT17Claim Procedure Code XVII Date
158ICD_PRCDR_CD18Claim Procedure Code XVIII
159ICD_PRCDR_VRSN_CD18Claim Procedure Code XVIII Claim Procedure Version Code (ICD-9 or ICD-10)*
160PRCDR_DT18Claim Procedure Code XVIII Date
161ICD_PRCDR_CD19Claim Procedure Code XIX
162ICD_PRCDR_VRSN_CD19Claim Procedure Code XIX Claim Procedure Version Code (ICD-9 or ICD-10)*
163PRCDR_DT19Claim Procedure Code XIX Date
164ICD_PRCDR_CD20Claim Procedure Code XX
165ICD_PRCDR_VRSN_CD20Claim Procedure Code XX Claim Procedure Version Code (ICD-9 or ICD-10)*
166PRCDR_DT20Claim Procedure Code XX Date
167ICD_PRCDR_CD21Claim Procedure Code XXI
168ICD_PRCDR_VRSN_CD21Claim Procedure Code XXI Claim Procedure Version Code (ICD-9 or ICD-10)*
169PRCDR_DT21Claim Procedure Code XXI Date
170ICD_PRCDR_CD22Claim Procedure Code XXII
171ICD_PRCDR_VRSN_CD22Claim Procedure Code XXII Claim Procedure Version Code (ICD-9 or ICD-10)*
172PRCDR_DT22Claim Procedure Code XXII Date
173ICD_PRCDR_CD23Claim Procedure Code XXIII
174ICD_PRCDR_VRSN_CD23Claim Procedure Code XXIII Claim Procedure Version Code (ICD-9 or ICD-10)*
175PRCDR_DT23Claim Procedure Code XXIII Date
176ICD_PRCDR_CD24Claim Procedure Code XXIV
177ICD_PRCDR_VRSN_CD24Claim Procedure Code XXIV Claim Procedure Version Code (ICD-9 or ICD-10)*
178PRCDR_DT24Claim Procedure Code XXIV Date
179ICD_PRCDR_CD25Claim Procedure Code XXV
180ICD_PRCDR_VRSN_CD25Claim Procedure Code XXV Claim Procedure Version Code (ICD-9 or ICD-10)*
181PRCDR_DT25Claim Procedure Code XXV Date
182RSN_VISIT_CD1Reason for Visit Diagnosis Code I
183RSN VISIT VRSN CD1Reason for Visit Diagnosis Code I Diagnosis Version Code (ICD-9 or ICD-10)*
184RSN_VISIT_CD2Reason for Visit Diagnosis Code II
185RSN VISIT VRSN CD2Reason for Visit Diagnosis Code II Diagnosis Version Code (ICD-9 or ICD-10)*
186RSN_VISIT_CD3Reason for Visit Diagnosis Code III
187RSN VISIT VRSN CD3Reason for Visit Diagnosis Code III Diagnosis Version Code (ICD-9 or ICD-10)*
188PTB_DEDNCH Beneficiary Part B Deductible Amount
189PTB_COINNCH Beneficiary Part B Coinsurance Amount
190PRVDRPMTClaim Outpatient Provider Payment Amount
191BENEPMTClaim Outpatient Beneficiary Payment Amount*
192DOB_DTLDS Age Category*
193GNDR_CDGender Code from Claim*
194RACE_CDRace Code from Claim*
195CNTY_CDCounty Code from Claim (SSA)
196STATE_CDState Code from Claim (SSA)*
197CWF_BENE_MDCR_STUS_CDCWF Beneficiary Medicare Status Code*
198ACTIONCDFI or MAC Claim Action 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*
7REV_DTRevenue Center Date
8APCHIPPSRevenue Center APC/HIPPS*
9HCPCS_CDRevenue Center HCFA Common Procedure Coding System
10MDFR_CD1Revenue Center HCPCS Initial Modifier Code
11MDFR_CD2Revenue Center HCPCS Second Modifier Code
12PMTMTHDRevenue Center Payment Method Indicator Code*
13DSCNTINDRevenue Center Discount Indicator Code*
14PACKGINDRevenue Center Packaging Indicator Code*
15OTAF_1Revenue Center Obligation to Accept As Full (OTAF) Payment Code
16IDENDCRevenue Center IDE NDC UPC Number
17REV_UNITRevenue Center Unit Count
18REV_RATERevenue Center Rate Amount
19REVBLOODRevenue Center Blood Deductible Amount
20REVDCTBLRevenue Center Cash Deductible Amount
21WAGEADJRevenue Center Coinsurance/Wage Adjusted Coinsurance Amount*
22RDCDCOINRevenue Center Reduced Coinsurance Amount*
23REV_MSP1Revenue Center 1st Medicare Secondary Payer Paid Amount*
24REV_MSP2Revenue Center 2nd Medicare Secondary Payer Paid Amount*
25RPRVDPMTRevenue Center Provider Payment Amount
26RBENEPMTRevenue Center Beneficiary Payment Amount
27PTNTRESPRevenue Center Patient Responsibility Payment*
28REVPMTRevenue Center Payment Amount
29REV_CHRGRevenue Center Total Charge Amount**
30REV_NCVRRevenue Center Non-Covered Charge Amount*
31REVSTINDRevenue Center Status Indicator Code*
32REV_CNTR_PRCNG_IND_CDRevenue Center Pricing Indicator Code*