Supply

The date on which a HCPCS code record was marked as deleted or retired from the active code set. Used in fee schedule maintenance, claims validation, and audit processes to identify when a code was removed from use and enforce correct billing within applicable effective date ranges.

A flag indicating whether a HCPCS code record has been logically deleted or retired from active use. Used in claims adjudication and fee schedule management to prevent billing of invalid codes, supporting soft-delete data governance patterns without permanently removing historical records.

The official textual description of a HCPCS code as defined by CMS, identifying the specific procedure, service, supply, or drug the code represents. Used in claims display, EOB generation, provider billing guides, and clinical coding workflows to communicate billed service details in human-readable format.

Supplemental or granular information associated with a HCPCS code record, such as billing guidelines, coverage criteria, or service-specific attributes. Used in claims adjudication, utilization management, and provider education to provide context beyond the standard code description for accurate billing and reimbursement.

The deadline by which a HCPCS procedure code submission, verification, or associated action must be completed. Used in claims processing and billing workflows to enforce timely filing requirements and track outstanding coding obligations on medical or DME claims.

The electronic mail address associated with a HCPCS code record, typically linked to the billing entity, vendor, or supplier responsible for submitting claims under that procedure code. Used in claims administration and DME supplier communication workflows.

The date on which a HCPCS procedure or supply code is no longer applicable for use on claims or service records. Marks the conclusion of a service period, authorization window, or the code's active billing eligibility within the claims or fee schedule system.

The specific time at which a service billed under a HCPCS code concluded. Used in claims and clinical billing records to capture precise service duration, particularly relevant for infusion therapy, outpatient procedures, and time-based DME or professional services.

The identifier of the user or system that entered the HCPCS code record into the billing or claims management system. Supports audit trail requirements, coding quality reviews, and accountability tracking within claims processing and medical billing workflows.

The ethnicity classification associated with a patient encounter billed under a HCPCS code. Used in claims analytics and health equity reporting to track demographic patterns in procedure and supply utilization across member populations and service categories.

The date after which a HCPCS procedure or supply code is retired and no longer valid for claim submission. Used in fee schedule maintenance, payer contract management, and claims editing systems to prevent billing with obsolete or deleted HCPCS codes.

A reference identifier assigned to a HCPCS code record by an external system, trading partner, or payer platform. Enables cross-system reconciliation of procedure and supply codes between claims processing systems, clearinghouses, and fee schedule management databases.

The facsimile number associated with the billing entity, DME supplier, or service provider linked to a HCPCS code record. Used in claims administration and prior authorization workflows where fax-based communication is required for documentation exchange.

The monetary charge associated with a specific HCPCS procedure or supply code, representing the billed, allowed, or reimbursable amount. Used in fee schedule configuration, claims adjudication, and cost analysis across medical, DME, and ancillary service billing systems.

The given name of the individual, such as a patient or rendering provider, associated with a HCPCS code transaction or billing record. Used in claims processing and DME order management to identify the person for whom the procedure or supply was rendered.

A binary indicator applied to a HCPCS code record to denote a specific condition, such as code validity, pricing exception, or coverage status. Used in claims adjudication and fee schedule systems to trigger special handling rules during billing and reimbursement processing.

The complete descriptive name associated with a HCPCS procedure or supply code record, including the official long descriptor as defined by CMS. Used in claims documentation, remittance reporting, and fee schedule displays to provide human-readable identification of billed services.

The biological sex classification of the patient associated with a HCPCS code transaction. Used in claims analytics, utilization review, and coverage edits to validate gender-specific procedure or supply eligibility and support demographic reporting on service utilization.

The blood sugar level 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.

The blood hemoglobin level 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.