STANDARD DATA DICTIONARY #352.5 -- IB CLINIC STOP CODE BILLABLE TYPES FILE 3/24/25 PAGE 1
STORED IN ^IBE(352.5, (864 ENTRIES) SITE: WWW.BMIRWIN.COM UCI: VISTA,VISTA (VERSION 2.0)
DATA NAME GLOBAL DATA
ELEMENT TITLE LOCATION TYPE
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This file is used to store the outpatient clinic stop code and billable type based on an effective date. An internal lookup on the
AEFFDT cross reference for a clinic stop code and visit date will provide the billable type. The billable type determines the
billable rate for each outpatient visit.
DD ACCESS: @
RD ACCESS: @
WR ACCESS: @
DEL ACCESS: @
LAYGO ACCESS: @
AUDIT ACCESS: @
IDENTIFIED BY:
"WRITE": N %,IB S IB=$G(^(0)) W ?12," ",$P(IB,U,4) S %=$P(IB,U,2) S:'% %="???????" W ?46," EffDate:",$E(%,4,5),"/",$E(%,6,7),
"/",$E(%,2,3) S %=$P(IB,U,3) W ?64," ",$S(%=1:"Basic",%=2:"Specialty",1:"Non-Billable")
POINTED TO BY: CLINIC STOP field (#.2) of the INTEGRATED BILLING ACTION File (#350)
CROSS
REFERENCED BY: CLINIC STOP CODE(B)
INDEXED BY: CLINIC STOP CODE & EFFECTIVE DATE (AEFFDT)
352.5,.01 CLINIC STOP CODE 0;1 FREE TEXT (Required)
INPUT TRANSFORM: K:$L(X)>6!($L(X)<3) X
LAST EDITED: AUG 28, 2002
HELP-PROMPT: Enter the 3 or 6 digit clinic stop code.
DESCRIPTION: This field stores the three or six digit stop code used for determining the billable rate as either
billable for primary care, billable for specialty care, or non-billable based on effective date.
This field is not DINUMed to allow duplicate stop code entries with different billable rates
depending on the visit date (effective date of the rate).
Data in this file is static and should not be added, deleted, or changed. This file will be
maintained and populated with the release of future IB patches.
CROSS-REFERENCE: 352.5^B
1)= S ^IBE(352.5,"B",$E(X,1,30),DA)=""
2)= K ^IBE(352.5,"B",$E(X,1,30),DA)
RECORD INDEXES: AEFFDT (#107)
352.5,.02 EFFECTIVE DATE 0;2 DATE (Required)
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: NOV 28, 2001
HELP-PROMPT: Please enter an effective date.
DESCRIPTION:
This is the date on which billing for this clinic stop code should be activated or ignored.
RECORD INDEXES: AEFFDT (#107)
352.5,.03 BILLABLE TYPE 0;3 SET (Required)
'0' FOR NON-BILLABLE;
'1' FOR BASIC CARE;
'2' FOR SPECIALTY CARE;
LAST EDITED: AUG 22, 2002
HELP-PROMPT: Enter they type of billing this entry applies to.
DESCRIPTION: This specifies if the clinic stop is billable under basic care or specialty care, or if the clinic
stop code is non-billable.
TECHNICAL DESCR: Since IB*2.0*187 the name of the billable type code (1) has been changed from "PRIMARY CARE" to
"BASIC CARE".
352.5,.04 DESCRIPTION 0;4 FREE TEXT
INPUT TRANSFORM: K:$L(X)>30!($L(X)<1) X
LAST EDITED: DEC 03, 2001
HELP-PROMPT: Answer must be 1-30 characters in length.
DESCRIPTION:
This field stores the description of the stop code for display on lookup and reports.
352.5,.05 OVERRIDE FLAG 0;5 SET
'1' FOR OVERRIDE;
LAST EDITED: AUG 20, 2002
HELP-PROMPT: Enter OVERRIDE type if the code belongs to override table
DESCRIPTION:
OVERRIDE FLAG is 1 if the code belongs to override table
File #352.5
Record Indexes:
AEFFDT (#107) RECORD REGULAR IR SORTING ONLY
Short Descr: This is a regular index on the clinic stop and effective date fields.
Description: This cross-reference on the CLINIC STOP CODE (#.01) field and the EFFECTIVE DATE (#.02) field is used to locate
the billable type for a clinic stop code on a specific effective date.
Set Logic: S ^IBE(352.5,"AEFFDT",X(1),X(2),DA)=""
Kill Logic: K ^IBE(352.5,"AEFFDT",X(1),X(2),DA)
Whole Kill: K ^IBE(352.5,"AEFFDT")
X(1): CLINIC STOP CODE (352.5,.01) (Subscr 1) (forwards)
X(2): EFFECTIVE DATE (352.5,.02) (Subscr 2) (forwards)
Transform (Storage): S X=-X
INPUT TEMPLATE(S):
PRINT TEMPLATE(S):
SORT TEMPLATE(S):
FORM(S)/BLOCK(S):