Updated research request forms and data security approval requirement effective 4/24/23
This variable is contained in the following files:
SAS Name
CARR_LINE_RDCD_PMT_PHYS_ASTN_C
The code on the carrier (non-DMERC) line item that identifies the line items that have been paid a reduced fee schedule amount (65%, 75% or 85%) because a physician's assistant performed the service.
| Code | Code value |
|---|---|
| BLANK | Adjustment situation (where CLM_DISP_CD equal 3) |
| 0 | N/A |
| 1 | 65% A) Physician assistants assisting in surgery B) Nurse midwives |
| 2 | 75% A) Physician assistants performing services in a hospital (other than assisting surgery) B) Nurse practitioners and clinical nurse specialists performing services in rural areas C) Clinical social worker services |
| 3 | 85% A) Physician assistant services for other than assisting surgery B) Nurse practitioners services |
Source: NCH