"Variable Name","Variable Label (VAR)","VAR Type","VAR Length","Range of Values","Value Description"
"SURVEY","NCHS SURVEY NAME","Char",20,"-","-"
"PUBLICID","NHIS PUBLIC USE ID","Char",14,"ID","-"
"SEQN","NHANES SAMPLE SEQUENCE NUMBER (PUBLIC ID)","Num",8,"ID","-"
"RESNUM","NNHS RESIDENT ID NUMBER (PUBLIC)","Num",8,"ID","-"
"PATNUM","Patient/Discharge Record (Case) Number in public-use file","Num",8,"ID","-"
"FILE_YEAR4","Beneficiary Enrollment Reference Year (YYYY)","Num",4,"1999-2013","-"
"NCHS_CLM_ID","NCHS CLAIM ID","Num",8,"-","-"
"NCH_CLM_TYPE_CD","NCH Claim Type Code","Char",2,40,"Outpatient claim"
"RLT_VAL_CD_SEQ","Claim Related Value Code Sequence","Char",2,"-","-"
"CLM_VAL_CD","Claim Value Code","Char",2,"**OTHER**","Miscoded"
"CLM_VAL_CD","Claim Value Code","Char",2,01,"Most Common Semi-Private Rate - to provide for the recording of hospital's most common semi-private rate."
"CLM_VAL_CD","Claim Value Code","Char",2,02,"Hospital Has No Semi-Private Rooms - Entering this code requires $0.00 amount."
"CLM_VAL_CD","Claim Value Code","Char",2,04,"Inpatient professional component charges which are combined billed - For use only by some all inclusive rate hospitals. (Eff 9/93)"
"CLM_VAL_CD","Claim Value Code","Char",2,05,"Professional component included in charges and also billed separately to carrier - For use on Medicare and Medicaid bills if the state requests this information."
"CLM_VAL_CD","Claim Value Code","Char",2,06,"Medicare blood deductible - Total cash blood deductible (Part A blood deductible)."
"CLM_VAL_CD","Claim Value Code","Char",2,07,"Medicare cash deductible (term 9/30/93) reserved for national assignment."
"CLM_VAL_CD","Claim Value Code","Char",2,08,"Medicare Part A lifetime reserve amount in first calendar year - Lifetime reserve amount charged in the year of admission. (not stored in NCH until 2/93)"
"CLM_VAL_CD","Claim Value Code","Char",2,09,"Medicare Part A coinsurance amount in the first calendar year - Coinsurance amount charged in the year of admission. (not stored in NCH until 2/93)"
"CLM_VAL_CD","Claim Value Code","Char",2,10,"Medicare Part A lifetime reserve amount in the second calendar year - Lifetime reserve amount charged in the year of discharge where the bill spans two calendar years. (in NCH until 2/93)"
"CLM_VAL_CD","Claim Value Code","Char",2,12,"Amount is that portion of higher priority EGHP insurance payment made on behalf of aged bene provider applied to Medicare covered services on this bill.  Six zeroes indicate provider claimed condition"
"CLM_VAL_CD","Claim Value Code","Char",2,13,"Amount is that portion of higher priority EGHP insurance payment made on behalf of ESRD bene provider applied to Medicare covered services on this bill. Six zeroes indicate the provider claimed condit"
"CLM_VAL_CD","Claim Value Code","Char",2,14,"That portion of payment from higher priority no fault auto/other liability insurance made on behalf of bene provider applied to Medicare covered services on this bill. Six zeroes indicate provider cla"
"CLM_VAL_CD","Claim Value Code","Char",2,15,"That portion of a payment from a higher priority WC plan made on behalf of a bene that the provider applied to Medicare covered services on this bill. Six zeroes indicate the provider claimed conditio"
"CLM_VAL_CD","Claim Value Code","Char",2,16,"That portion of a payment from higher priority PHS or other federal agency made on behalf of a bene the provider applied to Medicare covered services on this bill. Six zeroes indicate provider claimed"
"CLM_VAL_CD","Claim Value Code","Char",2,17,"Operating Outlier amount - Providers do not report this.  For payer internal use only.  Indicates the amount of day or cost outlier payment to be made.  (Do not include any PPS capital outlier payment"
"CLM_VAL_CD","Claim Value Code","Char",2,18,"Operating Disproportionate share amount - Providers do not report this.  For payer internal use only.  Indicates the disproportionate share amount applicable to the bill.  Use the amount provided by t"
"CLM_VAL_CD","Claim Value Code","Char",2,19,"Operating Indirect medical education amount - Providers do not report this.  For payer internal use only.  Indicates the indirect medical education amount applicable to the bill.  (Do not include PPS"
"CLM_VAL_CD","Claim Value Code","Char",2,21,"Catastrophic - Medicaid - Eligibility requirements to be determined at state level.  (Medicaid specific/deleted 9/93)"
"CLM_VAL_CD","Claim Value Code","Char",2,22,"Surplus - Medicaid - Eligibility requirements to be determined at state level. (Medicaid specific/deleted 9/93)"
"CLM_VAL_CD","Claim Value Code","Char",2,23,"Recurring monthly income - Medicaid - Eligibility requirements to be determined at state level. (Medicaid specific/deleted 9/93)"
"CLM_VAL_CD","Claim Value Code","Char",2,24,"Medicaid rate code - Medicaid - Eligibility requirements to be determined at state level. (Medicaid specific/deleted 9/93)"
"CLM_VAL_CD","Claim Value Code","Char",2,25,"Offset to the Patient Payment Amount (Prescription Drugs) - Prescription drugs paid for out of a long-term care facility resident/patient's fund in the billing period submitted (Statement Covers Perio"
"CLM_VAL_CD","Claim Value Code","Char",2,28,"Offset to the Patient (Payment Amount - Dental Services) - Dental services paid for out of a long term care facility resident/patient's funds in the billing period submitted (Statement Covers Period)."
"CLM_VAL_CD","Claim Value Code","Char",2,29,"Offset to the Patient (Payment Amount - Chiropractic Services) - Chiropratic services paid for out of a long term care facility resident/patient's funds in the billing period submitted (Statement Cove"
"CLM_VAL_CD","Claim Value Code","Char",2,31,"Patient liability amount - Amount shown is that which you or the PRO approved to charge the bene for noncovered accommodations, diagnostic procedures or treatments."
"CLM_VAL_CD","Claim Value Code","Char",2,32,"Multiple patient ambulance transport - The number of patients transported during one ambulance ride to the same destination. (eff. 4/1/2003)"
"CLM_VAL_CD","Claim Value Code","Char",2,33,"Offset to the Patient Payment Amount (Podiatric Services) -- Podiatric services paid out of a long-term care facility resident/patient's funds in the billing period submitted."
"CLM_VAL_CD","Claim Value Code","Char",2,34,"Offset to the Patient Payment Amount (Medical Services) -- Other medical services paid out of a long-term care facility resident/patient's funds in the billing period submitted."
"CLM_VAL_CD","Claim Value Code","Char",2,35,"Offset to the Patient Payment Amount (Health Insurance Premiums) -- Other medical services paid out of a long-term care facility resident/patient's funds in the billing period submitted."
"CLM_VAL_CD","Claim Value Code","Char",2,37,"Pints of blood furnished - Total number of pints of whole blood or units of packed red cells furnished to the patient. (eff 10/93)"
"CLM_VAL_CD","Claim Value Code","Char",2,38,"Blood deductible pints - The number of unreplaced pints of whole blood or units of packed red cells furnished for which the patient is responsible.  (eff 10/93)"
"CLM_VAL_CD","Claim Value Code","Char",2,39,"Pints of blood replaced - The total number of pints of whole blood or units of packed red cells furnished to the patient that have been replaced by or on behalf of the patient. (eff 10/93)"
"CLM_VAL_CD","Claim Value Code","Char",2,40,"New coverage not implemented by HMO - amount shown is for inpatient charges covered by HMO (eff 3/92).  (use this code when the bill includes inpatient charges for newly covered services which are not"
"CLM_VAL_CD","Claim Value Code","Char",2,41,"Amount is that portion of a payment from higher priority BL program made on behalf of bene the provider applied to Medicare covered services on this  bill. Six zeroes indicate the provider claimed con"
"CLM_VAL_CD","Claim Value Code","Char",2,42,"Amount is that portion of a payment from higher priority VA made on behalf of bene the provider applied to Medicare covered services on this bill. Six zeroes indicate the provider claimed conditional"
"CLM_VAL_CD","Claim Value Code","Char",2,43,"Disabled bene under age 65 with LGHP - Amount is that portion of a payment from a higher priority LGHP made on behalf of a disabled Medicare bene the provider applied to Medicare covered services on t"
"CLM_VAL_CD","Claim Value Code","Char",2,44,"Amount provider agreed to accept from primary payer when amount less than charges but more than payment received - When a lesser amount is received and the received amount is less than charges, a Medi"
"CLM_VAL_CD","Claim Value Code","Char",2,45,"Accident Hour - The hour the accident occurred that necessitated medical treatment."
"CLM_VAL_CD","Claim Value Code","Char",2,46,"Number of grace days - Following the date of the PRO/UR determination, this is the number of days determined by the PRO/UR to be necessary to arrange for the patient's post-discharge care. (eff 10/93)"
"CLM_VAL_CD","Claim Value Code","Char",2,47,"Any liability insurance - Amount is that portion from a higher priority liability insurance made on behalf of Medicare bene the provider is applying to Medicare covered services on this bill. (Eff 9/9"
"CLM_VAL_CD","Claim Value Code","Char",2,48,"Hemoglobin reading - The patient's most recent hemoglobin reading taken before the start of the billing period (eff. 1/3/2006). Prior to 1/3/2006 defined as the latest hemoglobin reading taken during"
"CLM_VAL_CD","Claim Value Code","Char",2,49,"Hematocrit reading - The patient's most recent hematocrit reading taken before the start of the billing period (eff. 1/3/2006). Prior to 1/3/2006 defined as hematocrit reading taken during the billing"
"CLM_VAL_CD","Claim Value Code","Char",2,50,"Physical therapy visits - Indicates the number of physical therapy visits from onset (at billing provider) through this billing period."
"CLM_VAL_CD","Claim Value Code","Char",2,51,"Occupational therapy visits - Indicates the number of occupational therapy visits from onset (at the billing provider) through this billing period."
"CLM_VAL_CD","Claim Value Code","Char",2,52,"Speech therapy visits - Indicates the number of speech therapy visits from onset (at billing provider) through this billing period."
"CLM_VAL_CD","Claim Value Code","Char",2,53,"Cardiac rehabilitation - Indicates the number of cardiac rehabilitation visits from onset (at billing provider) through this billing period."
"CLM_VAL_CD","Claim Value Code","Char",2,54,"New birth weight in grams - Actual birth weight or weight at time of admission for an extramural birth.  Required on all claims with type of admission of '4' and on other claims as required by law."
"CLM_VAL_CD","Claim Value Code","Char",2,55,"Eligibility Threshold for Charity Care - code identifies the corresponding value amount at which a health care facility determines the eligibility threshold of charity care."
"CLM_VAL_CD","Claim Value Code","Char",2,56,"Hours skilled nursing provided - The number of hours skilled nursing provided during the billing period.  Count only hours spent in the home."
"CLM_VAL_CD","Claim Value Code","Char",2,57,"Home health visit hours - The number of home health aide services provided during the billing period.  Count only the hours spent in the home."
"CLM_VAL_CD","Claim Value Code","Char",2,58,"Arterial blood gas - Arterial blood gas value at beginning of each reporting period for oxygen therapy. This value or value 59 will be required on the initial bill for oxygen therapy and on the fourth"
"CLM_VAL_CD","Claim Value Code","Char",2,59,"Oxygen saturation - Oxygen saturation at the beginning of each reporting period for oxygen therapy.  This value or value 58 will be required on the initial bill for oxygen therapy and on the fourth mo"
"CLM_VAL_CD","Claim Value Code","Char",2,60,"HHA branch MSA - MSA in which HHA branch is located."
"CLM_VAL_CD","Claim Value Code","Char",2,61,"Location of HHA service or hospice service - the balanced budget act (BBA) requires that the geographic location of where the service was provided be furnished instead of the geographic location of th"
"CLM_VAL_CD","Claim Value Code","Char",2,66,"Medicare Spend-down Amount -- The dollar amount that was used to meet th4e recipient's spend-down liability for this claim."
"CLM_VAL_CD","Claim Value Code","Char",2,67,"Peritoneal dialysis - The number of hours of peritoneal dialysis provided during the billing period (only the hours spent in the home). (eff. 10/97)"
"CLM_VAL_CD","Claim Value Code","Char",2,68,"EPO drug - Number of units of EPO administered relating to the billing period."
"CLM_VAL_CD","Claim Value Code","Char",2,69,"Reserved for national assignment"
"CLM_VAL_CD","Claim Value Code","Char",2,70,"Interest amount - (Providers do not report this.)  Report the amount applied to this bill."
"CLM_VAL_CD","Claim Value Code","Char",2,71,"Funding of ESRD networks - (Providers do not report this.)  Report the amount the Medicare payment was reduced to help fund the ESRD networks."
"CLM_VAL_CD","Claim Value Code","Char",2,72,"Flat rate surgery charge - Code indicates the amount of the charge for outpatient surgery where the hospital has such a charging structure."
"CLM_VAL_CD","Claim Value Code","Char",2,73,"Drug deductible - (For internal use by third party payers only).  Report the amount of the drug deductible to be applied to the claim."
"CLM_VAL_CD","Claim Value Code","Char",2,74,"Drug coinsurance - (For internal use by third party payers only).  Report the amount of drug coinsurance to be applied to the claim."
"CLM_VAL_CD","Claim Value Code","Char",2,76,"Report provider's percentage of billed charges interim rate during billing period.  Applies to OP hospital, SNF and HHA claims where interim rate is applicable. Report to left of dollar/cents delimite"
"CLM_VAL_CD","Claim Value Code","Char",2,77,"New Technology Add-on Payment Amount - Amount of payments made for discharges involving approved new technologies. If the total covered costs of the discharge exceed the DRG payment for the case (incl"
"CLM_VAL_CD","Claim Value Code","Char",2,78,"Payer code - This codes is set aside for payer use only.  Providers do not report these codes."
"CLM_VAL_CD","Claim Value Code","Char",2,79,"Payer code - This code is set aside for payer use only.  Providers do not report these codes."
"CLM_VAL_CD","Claim Value Code","Char",2,80,"Reserved for state assignment."
"CLM_VAL_CD","Claim Value Code","Char",2,81,"Reserved for state assignment."
"CLM_VAL_CD","Claim Value Code","Char",2,82,"Reserved for state assignment."
"CLM_VAL_CD","Claim Value Code","Char",2,83,"Reserved for state assignment."
"CLM_VAL_CD","Claim Value Code","Char",2,84,"Reserved for state assignment."
"CLM_VAL_CD","Claim Value Code","Char",2,85,"Reserved for state assignment."
"CLM_VAL_CD","Claim Value Code","Char",2,86,"Reserved for state assignment."
"CLM_VAL_CD","Claim Value Code","Char",2,87,"Reserved for state assignment."
"CLM_VAL_CD","Claim Value Code","Char",2,88,"Reserved for state assignment."
"CLM_VAL_CD","Claim Value Code","Char",2,89,"Reserved for state assignment."
"CLM_VAL_CD","Claim Value Code","Char",2,90,"Reserved for state assignment."
"CLM_VAL_CD","Claim Value Code","Char",2,91,"Reserved for state assignment."
"CLM_VAL_CD","Claim Value Code","Char",2,92,"Reserved for state assignment."
"CLM_VAL_CD","Claim Value Code","Char",2,93,"Reserved for state assignment."
"CLM_VAL_CD","Claim Value Code","Char",2,94,"Reserved for state assignment."
"CLM_VAL_CD","Claim Value Code","Char",2,95,"Reserved for state assignment."
"CLM_VAL_CD","Claim Value Code","Char",2,96,"Reserved for state assignment."
"CLM_VAL_CD","Claim Value Code","Char",2,97,"Reserved for state assignment."
"CLM_VAL_CD","Claim Value Code","Char",2,98,"Reserved for state assignment."
"CLM_VAL_CD","Claim Value Code","Char",2,99,"Reserved for state assignment."
"CLM_VAL_CD","Claim Value Code","Char",2,"A0","Special Zip Code Reporting - five digit zip code of the location from which the beneficiary is initially placed on board the ambulance. (eff. 9/01)"
"CLM_VAL_CD","Claim Value Code","Char",2,"A1","Deductible Payer A - The amount assumed by the provider to be applied to the patient's deductible amount to the invovling the indicated payer. (eff. 10/93) - Prior value 07"
"CLM_VAL_CD","Claim Value Code","Char",2,"A2","Coinsurance Payer A - The amount assumed by the provider to be applied to the patient's Part B coinsurance amount involving the indicated payer. (eff 10/93)"
"CLM_VAL_CD","Claim Value Code","Char",2,"A3","Estimated Responsibility Payer A - The amount estimated by the provider to be paid by the indicated payer."
"CLM_VAL_CD","Claim Value Code","Char",2,"A4","Self-administered drugs administered in an emergency situation - Ordinarily the only noncovered self-administered drug paid for under Medicare in an emergency situation is insulin administered to a pa"
"CLM_VAL_CD","Claim Value Code","Char",2,"A5","Covered self-administered drugs -- The amount included in covered charges for self-administrable drugs administered  to the patient because the drug was not self-administered  in the form and situatio"
"CLM_VAL_CD","Claim Value Code","Char",2,"A6","Covered self-administered drugs -Diagnostic study and Other --- the amount included in covered charges for self-administrable drugs administered to the patient because the drug was necessary for diagn"
"CLM_VAL_CD","Claim Value Code","Char",2,"A7","Copayment A -- The amount assumed by the provider to be applied toward the patient's copayment amount involving the indicated payer."
"CLM_VAL_CD","Claim Value Code","Char",2,"A8","Patient Weight -- Weight of patient in kilograms.  Report this data only when the health plan has a predefined change in reimbursement that is affected by weight."
"CLM_VAL_CD","Claim Value Code","Char",2,"A9","Patient Height - Height of patient in centimeters.  Report this data only when the health plan has a predefined change in reimbursement that is affected by height."
"CLM_VAL_CD","Claim Value Code","Char",2,"AA","Regulatory Surcharges, Assessments, Allowances or Health Care Related Taxes (Payer A) -- The amount of regulatory surcharges, assessments, allowances or health care related taxes pertaining to the ind"
"CLM_VAL_CD","Claim Value Code","Char",2,"AB","Other Assessments or Allowances (Payer A) -- The amount of other assessments or allowances pertaining to the indicated payer (eff. 10/2003)."
"CLM_VAL_CD","Claim Value Code","Char",2,"B1","Deductible Payer B - The amount assumed by the provider to be applied to the patient's deductible amount involving the indicated payer. (eff 10/93)  - Prior value 07"
"CLM_VAL_CD","Claim Value Code","Char",2,"B2","Coinsurance Payer B - the amount assumed by the provider to be applied to the patient's Part B coinsurance amount involving the indicated payer. (eff 10/93)"
"CLM_VAL_CD","Claim Value Code","Char",2,"B3","Estimated Responsibility Payer B - The amount estimated by the provider to be paid by the indicated payer."
"CLM_VAL_CD","Claim Value Code","Char",2,"BA","Regulatory Surcharges, Assessments, Allowances or Health Care Related Taxes (Payer B) -- The amount of regulatory surcharges, assessments, allowances or health care related taxes pertaining to the ind"
"CLM_VAL_CD","Claim Value Code","Char",2,"C1","Deductible Payer C - The amount assumed by the provider to be applied to the patient's deductible amount involving the indicated payer. (eff 10/93)  - Prior value 07"
"CLM_VAL_CD","Claim Value Code","Char",2,"C2","Coinsurance Payer C - The amount assumed by the provider to be applied to the patient's Part B coinsurance amount involving the indicated payer. (eff 10/93)"
"CLM_VAL_CD","Claim Value Code","Char",2,"C3","Estimated Responsibility Payer C - The stop"
"CLM_VAL_CD","Claim Value Code","Char",2,"D3","Estimated Responsibility Patient - The amount estimated by the provider to be paid by the indicated patient."
"CLM_VAL_CD","Claim Value Code","Char",2,"D4","Clinical Trial Number Assigned by NLM/NIH - Eight digit numeric National Library of Medicine/National Institute of Health clinical trial registry number or a default number of '99999999' if the trial"
"CLM_VAL_CD","Claim Value Code","Char",2,"G8","Facility Where Inpatient Hospice Service Is Delivered - MSA or Core Based Statistical Area (CBSA) number (or rural state code) of the facility where inpatient hospice is delivered. (Eff. 1/1/08)"
"CLM_VAL_AMT","Claim Value Amount","Num",8,"-","-"