Supply

The effective start date from which an HCPCS code became valid and billable under CMS or payer guidelines. Used in claims adjudication to validate that a submitted procedure or supply code was active during the date of service, preventing payment errors and compliance violations.

The blood oxygen 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 actual dollar amount reimbursed by the payer for a claim line billed under a specific HCPCS code, after applying contractual adjustments, co-pays, deductibles, and coordination of benefits. Used in claims payment reconciliation, provider remittance, and healthcare financial reporting.

The date on which payment was issued to the provider or supplier for services billed under a specific HCPCS code. Used in claims financial reconciliation, cash flow reporting, and remittance processing to track reimbursement timing against adjudication and contractual payment cycle requirements.

The higher-level HCPCS code or category to which a specific code belongs within the CMS code hierarchy. Used in reference data management to organize procedure and supply codes into logical groupings for fee schedule configuration, utilization analysis, and reimbursement policy administration.

A ratio or percentage value associated with an HCPCS code used in reimbursement calculations, such as coinsurance rates, allowed amount percentages relative to fee schedules, or cost-sharing ratios applied during claims adjudication for Medicare, Medicaid, or commercial insurance plan processing.

The defined time interval during which an HCPCS code is valid, applicable, or subject to specific billing rules, such as a coverage period, frequency limitation window, or fee schedule effective range. Used in claims adjudication to enforce CMS and payer-specific utilization and billing policies.

Contact telephone number associated with a HCPCS Level II code entry, typically linked to the administering body, code maintainer, or reference organization responsible for managing that procedure or supply code within payer and claims systems.

The standardized display label assigned to a HCPCS Level II procedure or supply code, used in claims processing, remittance advice, and benefits administration to present a human-readable description consistent across payer and provider billing systems.

The monetary value assigned to a HCPCS Level II code representing the reimbursement amount or allowable charge for a procedure, service, or durable medical equipment item, used in claims adjudication and fee schedule management within payer systems.

A flag identifying whether a HCPCS Level II code is the principal procedure or service code on a claim, distinguishing it from secondary or incidental codes to support claims adjudication, reimbursement prioritization, and utilization reporting.

A ranking value assigned to a HCPCS Level II code that determines its processing order or reimbursement precedence when multiple procedure or supply codes appear on a single claim, guiding adjudication logic in payer and billing systems.

The heart rate value 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 numeric count of units, doses, or service instances billed under a specific HCPCS Level II code on a claim, used to calculate total reimbursement amounts and validate appropriate utilization against coverage policies in claims processing.

The racial or ethnic classification of the member or patient associated with a HCPCS Level II coded service, used in healthcare equity analyses, population health reporting, and disparity studies linked to procedure and supply utilization data.

The per-unit reimbursement value applied to a HCPCS Level II code in a payer fee schedule, representing the allowable payment per service unit, dosage, or supply item used in claims adjudication and contract rate management.

An assessment score or quality value associated with a HCPCS Level II coded procedure or supply, used in value-based programs, quality reporting, and performance measurement to evaluate service effectiveness and outcomes across payer datasets.

A proportional value relating a HCPCS Level II code to a benchmark, such as a relative value unit or cost comparison metric, used in fee schedule development, contract analysis, and reimbursement rate modeling within payer systems.

A narrative or coded explanation associated with a HCPCS Level II claim line, documenting the clinical or administrative justification for the service, procedure, or supply billed, supporting medical necessity review and claims adjudication decisions.

The date on which a claim or transaction containing a HCPCS Level II coded service was received by the payer or claims processing system, used for timely filing compliance tracking, adjudication queue management, and audit reporting.