Blue Button 2.0 Implementation Guide

Revenue Center Deductible Coinsurance Code

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<CodeSystem xmlns="https://bluebutton.cms.gov/assets/ig">
  <id value="rev-cntr-ddctbl-coinsrnc-cd"/>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <url value="https://bluebutton.cms.gov/assets/ig/CodeSystem-rev-cntr-ddctbl-coinsrnc-cd"/>
  <identifier>
    <value
           value="https://bluebutton.cms.gov/assets/ig/CodeSystem-rev-cntr-ddctbl-coinsrnc-cd.html"/>
  </identifier>
  <version value="1.1.1"/>
  <name value="Revenue Center Deductible Coinsurance Code"/>
  <title value="Revenue Center Deductible Coinsurance 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 the revenue center charges are subject to deductible and/or coinsurance. Source: https://bluebutton.cms.gov/resources/variables/rev_cntr_ddctbl_coinsrnc_cd"/>
  <caseSensitive value="true"/>
  <valueSet value="https://bluebutton.cms.gov/assets/ig/ValueSet-rev-cntr-ddctbl-coinsrnc-cd"/>
  <hierarchyMeaning value="is-a"/>
  <content value="complete"/>
  <concept>
    <code value="0"/>
    <display value="Charges are subject to deductible and coinsurance"/>
    <definition value="Charges are subject to deductible and coinsurance"/>
  </concept>
  <concept>
    <code value="1"/>
    <display value="Charges are not subject to deductible"/>
    <definition value="Charges are not subject to deductible"/>
  </concept>
  <concept>
    <code value="2"/>
    <display value="Charges are not subject to coinsurance"/>
    <definition value="Charges are not subject to coinsurance"/>
  </concept>
  <concept>
    <code value="3"/>
    <display value="Charges are not subject to deductible or coinsurance"/>
    <definition value="Charges are not subject to deductible or coinsurance"/>
  </concept>
  <concept>
    <code value="4"/>
    <display
             value="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
                value="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:"/>
  </concept>
  <concept>
    <code value="M"/>
    <display
             value="Override code; EGHP (employer group health plan) services involved"/>
    <definition
                value="Override code; EGHP (employer group health plan) services involved"/>
  </concept>
  <concept>
    <code value="N"/>
    <display value="Override code; non-EGHP services involved"/>
    <definition value="Override code; non-EGHP services involved"/>
  </concept>
  <concept>
    <code value="X"/>
    <display
             value="Override code: MSP (Medicare is secondary payer) cost avoided"/>
    <definition
                value="Override code: MSP (Medicare is secondary payer) cost avoided"/>
  </concept>
</CodeSystem>