The MA APCD reserves this field 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 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) Required when = 002 and MC036 = Report the code that applies to External External Code 11, 18, 21, facility claims where Type of Bill = an Admission Code Source 14 - Admission Source 28, 41, 65, MC 22 11/8/12 char[1] inpatient setting. This code indicates 98% A1 Source Source Admission Code 66, 84, 86 how the patient was referred into an 14 - Text Source or 89 (type inpatient setting at the facility. of bill indicates an inpatient visit)
MC 20 Filler 10/30/14 Filler Filler char[4] Filler The MA APCD reserves this field 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 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 MC 22 Admission Source 11/8/12 External Code Source 14 - Text External Code Source 14 - Admission Source char[1] Admission Source Code Report the code that applies to facility claims where Type of Bill = an inpatient setting. This code indicates how the patient was referred into an inpatient setting at the facility. Required when = 002 and MC036 = 11, 18, 21, 28, 41, 65, 66, 84, 86 or 89 (type of bill indicates an inpatient visit) 98% A1
apcd-medical-claim-file-submission-guide.docx