Domain
Supply
Inventory, equipment, devices and procurement
800 supply terms
Date on which a HCPCS-coded service, prior authorization, or supply order was formally cancelled before fulfillment or completion. Used in claims management, utilization review, and durable medical equipment workflows to update authorization status, prevent erroneous billing, and maintain accurate records of voided service requests.
Classification grouping assigned to a HCPCS code that organizes procedures, supplies, or equipment into defined service categories such as durable medical equipment, drugs, transportation, or outpatient services. Used in claims analytics, fee schedule administration, and payer reporting to segment utilization data by service type for population and cost management.
The primary symptom or reason for visit associated with a HCPCS procedure code on a claim. Links the reported complaint to the billed service, supporting medical necessity review, utilization management, and clinical coding accuracy in claims processing.
Identifies a subordinate HCPCS code within a parent-child hierarchy, used to represent add-on codes, bundled services, or code relationships in claims adjudication. Supports billing logic, unbundling edits, and fee schedule structures in medical and DME claims.
The city associated with a HCPCS code record, typically linked to the rendering provider, supplier, or service location. Used in DME and ancillary claims processing to validate geographic eligibility, jurisdiction, and fee schedule assignment for billed procedures.
The classification tier assigned to a HCPCS code, grouping procedures, supplies, or services into categories such as DME, drugs, or temporary codes. Used in claims adjudication, fee schedule assignment, and utilization analysis across medical and pharmacy benefit systems.
The alphanumeric HCPCS Level I or Level II code identifying a specific medical procedure, supply, drug, or service billed on a claim. Standardized by CMS, this code drives claims adjudication, fee schedule pricing, and reimbursement determination across payers and benefit programs.
A free-text notation attached to a HCPCS code record providing supplemental context, billing guidance, or administrative notes. Used by coding staff and claims analysts to document clarifications, coverage conditions, or special handling instructions related to the billed procedure or supply.
The date on which the service, procedure, or supply associated with a HCPCS code was completed. Used in claims processing to validate service timelines, apply timely filing rules, and reconcile authorization periods against actual rendered service dates.
A flag identifying whether the HCPCS code record or associated service contains sensitive information subject to enhanced privacy protections, such as behavioral health, substance use, or reproductive services. Governs data access controls and disclosure restrictions under applicable regulations.
The total number of occurrences or units associated with a HCPCS code in a given dataset, claim batch, or reporting period. Used in utilization analytics, claims volume reporting, and fee schedule audits to measure procedure frequency and identify billing pattern anomalies.
The country associated with a HCPCS code record, typically linked to the service location or supplier address. Used in international claims processing, foreign provider billing, and geographic validation to ensure correct fee schedule application and jurisdictional compliance.
The identifier of the user or system that originally created the HCPCS code record in the data system. Supports audit trail requirements, data governance, and change management by tracking the source of record entry in claims, fee schedule, or coding reference databases.
The calendar date on which the HCPCS code record was first entered into the system. Used in audit trails, fee schedule versioning, and data governance processes to establish record provenance and support historical analysis of HCPCS code additions and updates.
The timestamp capturing the exact time a HCPCS code record was created in the system. Combined with the created date, this value supports precise audit logging, system reconciliation, and chronological tracking of HCPCS record entry in claims or reference data environments.
The kidney function marker for a healthcare common procedure coding system. Used in healthcare data management and clinical workflows. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for hcpcs management and reporting.
A general date value associated with a HCPCS code event or transaction, such as the effective date of a code change or the date of service on a claim line. Provides temporal context for fee schedule applicability, claims adjudication, and historical reporting of billed procedures.
A combined date and time value associated with a HCPCS code transaction or event. Provides precise temporal tracking for claims processing, procedure logging, and system audit trails, enabling accurate sequencing of HCPCS-coded services and administrative actions in healthcare data systems.
The Drug Enforcement Administration registration number associated with a HCPCS code record, typically used when the code represents a controlled substance or scheduled drug. Required for compliance validation, prescriber verification, and pharmacy claims adjudication under federal drug scheduling regulations.
The date of death for a healthcare common procedure coding system. Used to track temporal information related to hcpcs death date. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for hcpcs management and reporting.