Source Codes

(1) Admission Source Code (Data Element: MC021) SOURCE: National Uniform Billing Data Element Specifications AVAILABLE FROM: National Uniform Billing Committee American Hospital Association 840 Lake Shore Drive Chicago, IL 60697 ABSTRACT: A variety of codes explaining who recommended admission to a medical facility. (2) Admission Type Code (Data Element: MC020) SOURCE: National Uniform Billing Data Element Specifications AVAILABLE FROM: National Uniform Billing Committee American Hospital Association 840 Lake Shore Drive Chicago, IL 60697 ABSTRACT: A variety of codes explaining the priority of the admission to a medical facility. (3) Current Procedural Terminology (CPT) Codes (Data Element: MC055) SOURCE: Physicians' Current Procedural Terminology (CPT) Manual AVAILABLE FROM: Order Department American Medical Association 515 North State Street Chicago, IL 60610 ABSTRACT: A listing of descriptive terms and identifying codes for reporting medical services and procedures performed by physicians. (4) Health Care Common Procedural Coding System (Data Element: MC055) SOURCE: Health Care Common Procedural Coding System AVAILABLE FROM: www.cms.gov/medicare/hcpcs.htm Centers for Medicare and Medicaid Services Center for Health Plans and Providers CCPP/DCPC C5-08-27 7500 Security Boulevard Baltimore, MD 21244-1850 ABSTRACT: HCPCSisthe Centersfor Medicare and Medicaid Services (CMS) coding scheme to group procedures performed for payment to providers. (5) Centers for Medicare and Medicaid Services National Plan ID (Data Elements: DC002, HD003, MC002, ME002, PC002, TR003) SOURCE: Plan ID Database AVAILABLE FROM: Centers for Medicare and Medicaid Services Centers for Beneficiary Services Administration Group Division of Membership Operations SI-05-06 7500 Security Boulevard Baltimore, MD 21244-1850 ABSTRACT: The Centers for Medicare and Medicaid Services is developing the Plan ID, which will be proposed as the standard unique identifier for each health plan under the Health Insurance Portability and Accountability Act of 1996. (6) Centers for Medicare and Medicaid Services National Provider Identifier (Data Elements: DC020, MC026) SOURCE: National Provider System AVAILABLE FROM: Centers for Medicare and Medicaid Services Office of Information Services Security and Standards Group Director, Division of Health Care Information Systems 7500 Security Boulevard Baltimore, MD 21244-1850 ABSTRACT: The Centers for Medicare and Medicaid Services is developing the National Provider Identifiers, which is proposed as the standard unique identifier for each health care provider under the Health Insurance Portability and Accountability Act of 1996. (7) International Classification of Diseases Clinical Mod (ICD-9-CM) Procedure (Data Elements: MC040, MC041, MC043, MC044, MC045, MC046, MC047, MC048, MC049, MC050, MC051, MC052, MC053, MC058) SOURCE: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9­ CM) AVAILABLE FROM: U.S. National Center for Health Statistics Commission of Professional and Hospital Activities 1968 Green Road Ann Arbor, MI 48105 ABSTRACT: The International Classification of Diseases, 9th Revision, Clinical Modification, describes the classification of morbidity and mortality information for statistical purposes and for the indexing of hospital records by disease and operations. (8) National Association of Boards of Pharmacy Number (Data Element: PC021) SOURCE: National Association of Boards of Pharmacy Database and Listings AVAILABLE FROM: National Council for Prescription Drug Program 4201 North 24th Street Suite 365 Phoenix, AZ 85016 ABSTRACT: A unique number assigned in the U.S. and its territories to individual clinic, hospital, chain, and independent pharmacy locations that conduct businessat retailbybilling third-party drug benefit payers. The National Council for Prescription Drug Programs (NCPDP) maintains this database under contract from the National Association of Boards of Pharmacy. The National Association of Boards of Pharmacy is a seven-digit numeric number with the following format SSNNNNC, where SS=NCPDP assigned state code number, NNNN=NCPDP assigned pharmacy location number, and C=check digit calculated by algorithm from previous six digits. (9) National Association of Insurance Commissioners (NAIC) Code (Data Elements: DC001, HD002, MC001, ME001, PC001, TR002) SOURCE: National Association of Insurance Commissioners Company Code List Manual AVAILABLE FROM: National Association of Insurance Commissioners Publications Department 12th Street, Suite 1100 Kansas City, MO 64105-1925 ABSTRACT: Codes that uniquely identify each insurance company. (10) National Drug Code (Data Element: PC026) SOURCE: Blue Book, Price Alert, National Drug Data File AVAILABLE FROM: First Databank, The Hearst Corporation 1111 Bayhill Drive San Bruno, CA 94066 ABSTRACT: The National Drug Code is a coding convention established by the Food and Drug Administration to identify the labeler, product number, and package sizes of FDA-approved prescription drugs. There are over 170,000 National Drug Codes on file. (11) National Uniform Billing Committee (NUBC) Codes (Data Element: MC054) SOURCE: National Uniform Billing Data Element Specifications AVAILABLE FROM: National Uniform Billing Committee American Hospital Association 840 Lake Shore Drive Chicago, IL 60697 ABSTRACT: Revenue codes are a classification of hospital charges in a standard grouping that is controlled by the National Uniform Billing Committee. Place of service codes specify the type of location where a service is provided. (12) Discharge Status Code (Data Element: MC023) SOURCE: National Uniform Billing Data Element Specifications AVAILABLE FROM: National Uniform Billing Committee American Hospital Association 840 Lake Shore Drive Chicago, IL 60697 ABSTRACT: A variety of codes indicating member status as of the date of service-thru field. (13) States and Outlying Areas of the U.S. (Data Elements: DC015, DC028, MC015, MC034, ME016, PC015, PC023) SOURCE: National Zip Code and Post Office Directory AVAILABLE FROM: U.S. Postal Service National Information Data Center P.O. Box 2977 Washington, DC 20013 ABSTRACT: Provides names, abbreviations, and codes for the 50 states, the District of Columbia, and the outlying areas of the U.S. The entities listed are considered to be the first order divisions of the U.S. Microfiche. (14) Uniform Billing Claim Form Bill Type (Data Element: MC036) SOURCE: National Uniform Billing Data Element Specifications Type of Bill Positions 1 and 2 AVAILABLE FROM: National Uniform Billing Committee American Hospital Association 840 Lake Shore Drive Chicago, IL 60697 ABSTRACT: A variety of codes describing the type of medical facility. (15) X12 Directories SOURCE: X12.3 Data Element Directory; X12.22 Segment Directory AVAILABLE FROM: Data Interchange Standards Association, Inc. (DISA) Suite 200 1800 Diagonal Road Alexandria, VA 22314-2852 ABSTRACT: The data element directory contains the format and descriptions of data elements used to construct X12 segments. It also contains code lists associated with these data elements. The segment director contains the format and definitions of the data segments used to construct the X12 transaction sets. (16) ZIP Code (Data Elements: DC016, DC029, MC016, MC035, ME017, PC016, PC024) SOURCE: National Zip Code and Post Office Directory, Publication 65, The USPS Domestic Mail Manual AVAILABLE FROM: U.S. Postal Service Washington, DC 20260 New Orders Superintendent of Documents P.O. Box 371954 Pittsburgh, PA 15250-7954 ABSTRACT: The ZIP Code is a geographic identifier of areas within the United States and its territories for purposes of expediting mail distributionbythe U.S. PostalService. It is five or nine numeric digits. The ZIP Code structure divides the U.S. into ten large groups of states. The leftmost digit identifies one of these groups. The next two digits identifya smaller geographic area within the large group. The two right-most digits identify a local delivery area. In the nine digit ZIP Code, the four digits that follow the hyphen further subdivide the delivery service area. The two leftmost digits identify a sector that may consist of several large buildings, blocks or groups of streets. The rightmost digits divide the sector into segments suchas a street, a block, a floor of a building, or a cluster of mailboxes. The USPS Domestics Mail Manual includes information on the use of the new 11-digit ZIP code. (17) Race and Ethnicity Codes (Data Elements: ME020, ME021, ME022, ME023, ME024, ME025 and ME026) Source: Massachusetts Division of Health Care Finance and Policy Hospital Inpatient Discharge Data Electronic Records Submission Specification, September 2006 And Hierarchy for Reporting Ethnicity, September 14, 2006 Available from: Massachusetts Division of Health Care Finance and Policy 2 Boylston Street Boston, MA 02116 ABSTRACT: This document provides the technical and data specifications, including edit specifications, required for the Massachusetts Hospital Inpatient Discharge Data. (18) Language Codes (Data Element: ME027) SOURCE: Guidelines for the Implementation, Interpretation and Enforcement ofthe Boston Public Health Commission's Standardized Data Collection Regulation AVAILABLE FROM: Boston Public Health Commission 1010 Massachusetts Avenue Boston, MA 02118 ABSTRACT: This document provides technicaland data specifications for acute hospitals to report race, ethnicityand language data for all inpatient, outpatientobservation, and outpatient emergency department visits. .