Blue Button 2.0 Implementation Guide

Line Provider Participating Indicator Code

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Raw xml


<CodeSystem xmlns="https://bluebutton.cms.gov/assets/ig">
  <id value="prtcptng-ind-cd"/>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <url value="https://bluebutton.cms.gov/assets/ig/CodeSystem-prtcptng-ind-cd"/>
  <identifier>
    <value value="https://bluebutton.cms.gov/assets/ig/CodeSystem-prtcptng-ind-cd.html"/>
  </identifier>
  <version value="1.1.1"/>
  <name value="Line Provider Participating Indicator Code"/>
  <title value="Line Provider Participating Indicator Code"/>
  <status value="active"/>
  <date value="2018-11-27T15:56:35+00:00"/>
  <publisher value="CMS Blue Button 2.0 Team"/>
  <description
               value="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 value="true"/>
  <valueSet value="https://bluebutton.cms.gov/assets/ig/ValueSet-prtcptng-ind-cd"/>
  <hierarchyMeaning value="is-a"/>
  <content value="complete"/>
  <concept>
    <code value="1"/>
    <display value="Participating"/>
    <definition value="Participating"/>
  </concept>
  <concept>
    <code value="2"/>
    <display
             value="All or some covered and allowed expenses applied to deductible Participating"/>
    <definition
                value="All or some covered and allowed expenses applied to deductible Participating"/>
  </concept>
  <concept>
    <code value="3"/>
    <display value="Assignment accepted/non-participating"/>
    <definition value="Assignment accepted/non-participating"/>
  </concept>
  <concept>
    <code value="4"/>
    <display value="Assignment not accepted/non-participating"/>
    <definition value="Assignment not accepted/non-participating"/>
  </concept>
  <concept>
    <code value="5"/>
    <display
             value="Assignment accepted but all or some covered and allowed expenses applied to deductible Non-participating."/>
    <definition
                value="Assignment accepted but all or some covered and allowed expenses applied to deductible Non-participating."/>
  </concept>
  <concept>
    <code value="6"/>
    <display
             value="Assignment not accepted and all covered and allowed expenses applied to deductible non- participating."/>
    <definition
                value="Assignment not accepted and all covered and allowed expenses applied to deductible non- participating."/>
  </concept>
  <concept>
    <code value="7"/>
    <display value="Participating provider not accepting assignment"/>
    <definition value="Participating provider not accepting assignment"/>
  </concept>
</CodeSystem>