Transitional Drug Add-On Payment Amount

SAS Name
TRNSTNL_DRUG_ADD_ON_PYMT_AMT

This field houses the amount for the Transitional Drug Add-On Payment Adjustment (TDAPA) for ESRD claims (72X) with injectable, intravenous, and oral calcimimetics when reported with an AX modifier. These services qualify for an add-on payment from the ESRD Pricer.

Comments

This field is new in 2018, and applies only to Hospital Outpatient claims.

Source: NCH