Blue Button 2.0 Implementation Guide

Revenue Center Deductible Coinsurance Code

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{
  "resourceType" : "CodeSystem",
  "id" : "rev-cntr-ddctbl-coinsrnc-cd",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns="http://www.w3.org/1999/xhtml"><h2>Revenue Center Deductible Coinsurance Code</h2><div><p>Code indicating whether the revenue center charges are subject to deductible and/or coinsurance. Source: https://bluebutton.cms.gov/resources/variables/rev<em>cntr</em>ddctbl<em>coinsrnc</em>cd</p>
</div><p>This code system https://bluebutton.cms.gov/assets/ig/CodeSystem-rev-cntr-ddctbl-coinsrnc-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>0<a name="rev-cntr-ddctbl-coinsrnc-cd-0"> </a></td><td>Charges are subject to deductible and coinsurance</td><td>Charges are subject to deductible and coinsurance</td></tr><tr><td>1<a name="rev-cntr-ddctbl-coinsrnc-cd-1"> </a></td><td>Charges are not subject to deductible</td><td>Charges are not subject to deductible</td></tr><tr><td>2<a name="rev-cntr-ddctbl-coinsrnc-cd-2"> </a></td><td>Charges are not subject to coinsurance</td><td>Charges are not subject to coinsurance</td></tr><tr><td>3<a name="rev-cntr-ddctbl-coinsrnc-cd-3"> </a></td><td>Charges are not subject to deductible or coinsurance</td><td>Charges are not subject to deductible or coinsurance</td></tr><tr><td>4<a name="rev-cntr-ddctbl-coinsrnc-cd-4"> </a></td><td>No charge or units associated with this revenue center code. (For multiple HCPCS per single revenue center code) For revenue center code 0001, the following MSP override values may be present:</td><td>No charge or units associated with this revenue center code. (For multiple HCPCS per single revenue center code) For revenue center code 0001, the following MSP override values may be present:</td></tr><tr><td>M<a name="rev-cntr-ddctbl-coinsrnc-cd-M"> </a></td><td>Override code; EGHP (employer group health plan) services involved</td><td>Override code; EGHP (employer group health plan) services involved</td></tr><tr><td>N<a name="rev-cntr-ddctbl-coinsrnc-cd-N"> </a></td><td>Override code; non-EGHP services involved</td><td>Override code; non-EGHP services involved</td></tr><tr><td>X<a name="rev-cntr-ddctbl-coinsrnc-cd-X"> </a></td><td>Override code: MSP (Medicare is secondary payer) cost avoided</td><td>Override code: MSP (Medicare is secondary payer) cost avoided</td></tr></table></div>"
  },
  "url" : "https://bluebutton.cms.gov/assets/ig/CodeSystem-rev-cntr-ddctbl-coinsrnc-cd",
  "identifier" : {
    "value" : "https://bluebutton.cms.gov/assets/ig/CodeSystem-rev-cntr-ddctbl-coinsrnc-cd.html"
  },
  "version" : "1.1.1",
  "name" : "Revenue Center Deductible Coinsurance Code",
  "title" : "Revenue Center Deductible Coinsurance Code",
  "status" : "active",
  "date" : "2018-11-27T15:56:35+00:00",
  "publisher" : "CMS Blue Button 2.0 Team",
  "description" : "Code indicating whether the revenue center charges are subject to deductible and/or coinsurance. Source: https://bluebutton.cms.gov/resources/variables/rev_cntr_ddctbl_coinsrnc_cd",
  "caseSensitive" : true,
  "valueSet" : "https://bluebutton.cms.gov/assets/ig/ValueSet-rev-cntr-ddctbl-coinsrnc-cd",
  "hierarchyMeaning" : "is-a",
  "content" : "complete",
  "concept" : [
    {
      "code" : "0",
      "display" : "Charges are subject to deductible and coinsurance",
      "definition" : "Charges are subject to deductible and coinsurance"
    },
    {
      "code" : "1",
      "display" : "Charges are not subject to deductible",
      "definition" : "Charges are not subject to deductible"
    },
    {
      "code" : "2",
      "display" : "Charges are not subject to coinsurance",
      "definition" : "Charges are not subject to coinsurance"
    },
    {
      "code" : "3",
      "display" : "Charges are not subject to deductible or coinsurance",
      "definition" : "Charges are not subject to deductible or coinsurance"
    },
    {
      "code" : "4",
      "display" : "No charge or units associated with this revenue center code. (For multiple HCPCS per single revenue center code) For revenue center code 0001, the following MSP override values may be present:",
      "definition" : "No charge or units associated with this revenue center code. (For multiple HCPCS per single revenue center code) For revenue center code 0001, the following MSP override values may be present:"
    },
    {
      "code" : "M",
      "display" : "Override code; EGHP (employer group health plan) services involved",
      "definition" : "Override code; EGHP (employer group health plan) services involved"
    },
    {
      "code" : "N",
      "display" : "Override code; non-EGHP services involved",
      "definition" : "Override code; non-EGHP services involved"
    },
    {
      "code" : "X",
      "display" : "Override code: MSP (Medicare is secondary payer) cost avoided",
      "definition" : "Override code: MSP (Medicare is secondary payer) cost avoided"
    }
  ]
}