Blue Button 2.0 Implementation Guide

Line Provider Participating Indicator Code

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{
  "resourceType" : "CodeSystem",
  "id" : "prtcptng-ind-cd",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns="http://www.w3.org/1999/xhtml"><h2>Line Provider Participating Indicator Code</h2><div><p>Code indicating whether or not a provider is participating (accepting assignment) for this line item service on the non-institutional claim. Source: https://bluebutton.cms.gov/resources/variables/prtcptng<em>ind</em>cd</p>
</div><p>This code system https://bluebutton.cms.gov/assets/ig/CodeSystem-prtcptng-ind-cd defines the following codes:</p><table class="codes"><tr><td><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td>1<a name="prtcptng-ind-cd-1"> </a></td><td>Participating</td><td>Participating</td></tr><tr><td>2<a name="prtcptng-ind-cd-2"> </a></td><td>All or some covered and allowed expenses applied to deductible Participating</td><td>All or some covered and allowed expenses applied to deductible Participating</td></tr><tr><td>3<a name="prtcptng-ind-cd-3"> </a></td><td>Assignment accepted/non-participating</td><td>Assignment accepted/non-participating</td></tr><tr><td>4<a name="prtcptng-ind-cd-4"> </a></td><td>Assignment not accepted/non-participating</td><td>Assignment not accepted/non-participating</td></tr><tr><td>5<a name="prtcptng-ind-cd-5"> </a></td><td>Assignment accepted but all or some covered and allowed expenses applied to deductible Non-participating.</td><td>Assignment accepted but all or some covered and allowed expenses applied to deductible Non-participating.</td></tr><tr><td>6<a name="prtcptng-ind-cd-6"> </a></td><td>Assignment not accepted and all covered and allowed expenses applied to deductible non- participating.</td><td>Assignment not accepted and all covered and allowed expenses applied to deductible non- participating.</td></tr><tr><td>7<a name="prtcptng-ind-cd-7"> </a></td><td>Participating provider not accepting assignment</td><td>Participating provider not accepting assignment</td></tr></table></div>"
  },
  "url" : "https://bluebutton.cms.gov/assets/ig/CodeSystem-prtcptng-ind-cd",
  "identifier" : {
    "value" : "https://bluebutton.cms.gov/assets/ig/CodeSystem-prtcptng-ind-cd.html"
  },
  "version" : "1.1.1",
  "name" : "Line Provider Participating Indicator Code",
  "title" : "Line Provider Participating Indicator Code",
  "status" : "active",
  "date" : "2018-11-27T15:56:35+00:00",
  "publisher" : "CMS Blue Button 2.0 Team",
  "description" : "Code indicating whether or not a provider is participating (accepting assignment) for this line item service on the non-institutional claim. Source: https://bluebutton.cms.gov/resources/variables/prtcptng_ind_cd",
  "caseSensitive" : true,
  "valueSet" : "https://bluebutton.cms.gov/assets/ig/ValueSet-prtcptng-ind-cd",
  "hierarchyMeaning" : "is-a",
  "content" : "complete",
  "concept" : [
    {
      "code" : "1",
      "display" : "Participating",
      "definition" : "Participating"
    },
    {
      "code" : "2",
      "display" : "All or some covered and allowed expenses applied to deductible Participating",
      "definition" : "All or some covered and allowed expenses applied to deductible Participating"
    },
    {
      "code" : "3",
      "display" : "Assignment accepted/non-participating",
      "definition" : "Assignment accepted/non-participating"
    },
    {
      "code" : "4",
      "display" : "Assignment not accepted/non-participating",
      "definition" : "Assignment not accepted/non-participating"
    },
    {
      "code" : "5",
      "display" : "Assignment accepted but all or some covered and allowed expenses applied to deductible Non-participating.",
      "definition" : "Assignment accepted but all or some covered and allowed expenses applied to deductible Non-participating."
    },
    {
      "code" : "6",
      "display" : "Assignment not accepted and all covered and allowed expenses applied to deductible non- participating.",
      "definition" : "Assignment not accepted and all covered and allowed expenses applied to deductible non- participating."
    },
    {
      "code" : "7",
      "display" : "Participating provider not accepting assignment",
      "definition" : "Participating provider not accepting assignment"
    }
  ]
}