STANDARD DATA DICTIONARY #163.99 -- FEE BASIS FEE SCHEDULE FILE                                                   6/27/25    PAGE 1
STORED IN ^FBAA(163.99,  *** NO DATA STORED YET ***   SITE: WWW.BMIRWIN.COM   UCI: VISTA,VISTA                     (VERSION 3.5)   

DATA          NAME                  GLOBAL        DATA
ELEMENT       TITLE                 LOCATION      TYPE
-----------------------------------------------------------------------------------------------------------------------------------
This file stores the default amount paid for outpatient medical payments. It is populated using the fee schedule option found on 
the supervisor menu.  
 
Per VHA Directive 10-93-142, this file definition should not be modified.  


              DD ACCESS: @
              RD ACCESS: #
              WR ACCESS: #
             DEL ACCESS: #
           LAYGO ACCESS: #
IDENTIFIED BY: 
      "WRITE": D WRITE^FBAAPAA

CROSS
REFERENCED BY: CPT CODE-MODIFIER(B)



163.99,.01    CPT CODE-MODIFIER      0;1 FREE TEXT (Required)

              INPUT TRANSFORM:  K:X[""""!($A(X)=45) X I $D(X) K:$L(X)>60!($L(X)<5) X I $D(X) D INPUT^FBAAUTL5
              LAST EDITED:      JUN 01, 1999 
              HELP-PROMPT:      Answer must be 5-60 characters in length. Answer must be a valid CPT code or CPT code followed by a 
                                dash (-) followed by up to 18 valid CPT Modifiers delimited by commas. Eg. 90050 or 74020-26,32 
              DESCRIPTION:      This file contains historical cost statistics which will be used to calculate the Fee Schedule.
                                This data is compiled by running the FBAA FEE SCHEDULE option.  

              TECHNICAL DESCR:  This field is free text.  However, the input transform checks for the validity of the CPT Code or
                                CPT Code-Modifier combination.  

              NOTES:            XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER

              CROSS-REFERENCE:  163.99^B 
                                1)= S ^FBAA(163.99,"B",$E(X,1,60),DA)=""
                                2)= K ^FBAA(163.99,"B",$E(X,1,60),DA)
                                Length of cross-reference subscript increased to maximum field length (60 characters) for use
                                during fee schedule calculations.  



163.99,1      FISCAL YEAR            FY;0 Multiple #163.991

              DESCRIPTION:
                                This is a multiple field that will allow for the storage of historical costing data by fiscal year.  


163.991,.01     FISCAL YEAR            0;1 NUMBER (Required)

                INPUT TRANSFORM:  K:+X'=X!(X>9999)!(X<1900)!(X?.E1"."1N.N)!(X>($E(DT,1,3)+1700+$E(DT,4))) X S:$D(X) DINUM=X
                LAST EDITED:      JAN 14, 1998 
                HELP-PROMPT:      Type a Number between 1900 and 9999, 0 Decimal Digets. Answer CANNOT exceed current Fiscal Year. 
                DESCRIPTION:      This is the fiscal year for which the report was run. There is only one entry per fiscal year
                                  regardless of the date range as long as the dates fall within the fiscal year.  

                NOTES:            XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER

                CROSS-REFERENCE:  163.991^AC^MUMPS 
                                  1)= S ^FBAA(163.99,"AC",$E(X,1,30),DA)=""
                                  2)= K ^FBAA(163.99,"AC",$E(X,1,30),DA)


163.991,1       TOTAL OCCURANCES       0;2 NUMBER (Required)

                INPUT TRANSFORM:  K:+X'=X!(X>9999999)!(X<8)!(X?.E1"."1N.N) X
                HELP-PROMPT:      Type a Number between 8 and 9999999, 0 Decimal Digits 
                DESCRIPTION:      Total number of payments for a specific CPT code during a fiscal year. There must be at least 8
                                  occurrences in order to be used in calculating the Fee schedule.  


163.991,4       SEVENTY-FIFTH PERCENTILE 0;5 NUMBER (Required)

                INPUT TRANSFORM:  S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>9999999.99)!(X<0) X
                LAST EDITED:      SEP 30, 1991 
                HELP-PROMPT:      Type a Dollar Amount between 0 and 9999999.99, 2 Decimal Digits 
                DESCRIPTION:      This is internally calculated and stores the 75th percentile dollar amount based on amount
                                  claimed by the vendor for the CPT code.  Amounts are per unit of service when BEGINNING DATE is
                                  on or after October 2004.  


163.991,5       DATE COMPILED          0;6 DATE (Required)

                INPUT TRANSFORM:  S %DT="EX" D ^%DT S X=Y K:Y<1 X
                LAST EDITED:      MAR 22, 1989 
                DESCRIPTION:
                                  This is the date that the FBAAPAY routine was run.  


163.991,6       BEGINNING DATE         0;7 DATE (Required)

                INPUT TRANSFORM:  S %DT="EX" D ^%DT S X=Y K:Y<1 X
                LAST EDITED:      MAR 22, 1989 
                DESCRIPTION:      The user can enter a date range within a fiscal year. This is the beginning date of that range.  
                                  If a fiscal year is selected this field gets set to 10/1.  


163.991,7       ENDING DATE            0;8 DATE (Required)

                INPUT TRANSFORM:  S %DT="EX" D ^%DT S X=Y K:Y<1 X
                LAST EDITED:      MAR 22, 1989 
                DESCRIPTION:      The user can enter a date range within a fiscal year. This is the ending date for that range. If 
                                  a fiscal year is selected this field gets set to 9/30.  





INPUT TEMPLATE(S):
FBAA EDIT SCHEDULE            SEP 08, 1994@09:02  USER #1555 

PRINT TEMPLATE(S):

SORT TEMPLATE(S):

FORM(S)/BLOCK(S):