Required when MC094 = 002 and MC036 = Report the date of admit to a facility Century Year 11, 18, 21, Admission Full Date Inpatient Admit in CCYYMMDD Format. Only MC 19 11/8/12 Month Day - int[8] 28, 41, 65, 98% A1 Date - Integer Date applies to facility claims where Type CCYYMMDD 66, 84, 86 of Bill = an inpatient setting. or 89 (type of bill indicates an inpatient visit) The MA APCD reserves this for MC 20 Filler 10/30/14 Filler Filler char[4] Filler future use. Do not populate with any All 0% Z data. Required when MC094 = 002 and Report Admit Type as it applies to External MC036 = facility claims where Type of Bill = an Code External Code 11, 18, 21, Admission Admission Type inpatient setting. This code MC 21 11/8/12 Source Source 14 - int[1] 28, 41, 65, 98% A1 Type Code indicates the type of admission into 14 - Admission Type 66, 84, 86 an inpatient setting. Also known as Integer or 89 (type Admission Priority. of bill indicates an inpatient visit)
MC 19 Admission Date 11/8/12 Full Date - Integer Century Year Month Day - CCYYMMDD int[8] Inpatient Admit Date Report the date of admit to a facility in CCYYMMDD Format. Only applies to facility claims where Type of Bill = an inpatient setting. Required when MC094 = 002 and MC036 = 11, 18, 21, 28, 41, 65, 66, 84, 86 or 89 (type of bill indicates an inpatient visit) 98% A1 MC 20 Filler 10/30/14 Filler Filler char[4] Filler The MA APCD reserves this for future use. Do not populate with any data. All 0% Z MC 21 Admission Type 11/8/12 External Code Source 14 - Integer External Code Source 14 - Admission Type int[1] Admission Type Code Report Admit Type as it applies to facility claims where Type of Bill = an inpatient setting. This code indicates the type of admission into an inpatient setting. Also known as Admission Priority. Required when MC094 = 002 and MC036 = 11, 18, 21, 28, 41, 65, 66, 84, 86 or 89 (type of bill indicates an inpatient visit) 98% A1
v6-apcd-medical-claim-file-submission-guide-FINAL.docx