Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 186 - HEALTH REGISTRIES AND RELEASE OF INFORMATION › Chapter 6 - OUTPATIENT SURGICAL PROCEDURES DATA › Attachment 186-6-1

Current through June 17, 2024
Nebraska Hospitals and Ambulatory Surgery Centers Data
	 Dictionary.
This precise format is necessary.
Please follow the instructions for preparing the data.
REQUIRED
VARIABLE NAME
VARIABLE LABEL OR CODE
DATA TYPE
LENGTH
Row one of the text file may have the field names as
				column headings but should not have a case record.
1
Facility
Hospital or Ambulatory Surgery Center name. Full name of
				Hospital or Ambulatory Surgery Center
Char
35
Column A, repeat for each record
2
State License
License number issued by Nebraska DHHS alpha-numeric Example
				ASC099
NUM
Column B, repeat for each record
3
License
The national provider identifier number. It is an alpha-numeric
				consisting of 10 characters
NUM
10
Column C, repeat for each record
4
Charges
Facility portion of billed charges associated with primary
				procedure performed. Facility portion of billed charges should not include
				professional fees. 18 digits numeric unsigned 15 positions for whole dollar, 1
				position for decimal and 2 positions for cents.
NUM
18
Column C, no $sign, no comma separator, numeric only, use
				decimal point and "00" if whole dollar charge. No need for leading
				zeroes.
5
County
County Name (Residence)
CHAR
35
Column D, leave blank if unknown
6
State
Patient State Code (Residence). Two letters postal code of the
				state name
CHAR
2
Column E, two letter postal code only - ALL CAPS
7
ZIP5
5-Digit patient zip code (Residence). 5-Digits numeric zip
				code
NUM
5
Column F, 5-Digit only
8
PROC
Primary outpatient surgical procedure performed for each
				patient encounter at the facility, reported by Current Procedural Terminology
				(CPT) codes or Health Care Financing Administration Common Procedure Coding
				System (HCPCS) codes Procedure codes. Refer to CPT or HCPCS coding
				manual.
CHAR
5
Column G, alpha-numeric
9
DATE
The date the procedure was performed MM/DD/YYY
NUM
10
Column I, exactly this format, use "/", not"-", use leading
				zeroes. Use four digit year.
10
PAYERCD
Payer Code
1 - Medicare
2- Medicaid
3- Commercial Insurance
4- Self Pay
5- Other Government
6- Workers Compensation
CHAR
2
Column H. One digit of number. No insurance name,
				please.
11
GENDER
Gender of the patient
Male = M
Female = F
Unknown = U
CHAR
1
Column J, one letter only
12
AGE
Age of the patient in years at the time of procedure. If less
				than 1 year, age = 0
NUM
3
Column K, numbers only
OPTIONAL
13
DOB
Date of patient birth MM/DD/YY
NUM
10
Column L, exactly this format, use "/" not"-", use leading
				zeroes. Use four digit year.
14
DIAG1
Primary ICD-10 Diagnosis Code
Diagnosis Codes. Refer to ICD-10-CM coding manual
CHAR/NUM
7
Column M, ICD Code only
1st character is alpha (not U); 2nd & 3rd characters are
				numeric; 4th, 5th & 6th characters can be any combination of alpha &
				numeric; 7th character (extension character) can be alpha or numeric
15
DIAG2
Secondary ICD-10 Diagnosis Code
Diagnosis codes. Refer to ICD-10-CM coding manual
CHAR/NUM
7
Column N, ICD Code only
1st character is alpha (not U); 2nd & 3rd characters are
				numeric; 4th, 5th & 6th characters can be any combination of alpha &
				numeric; 7th character (extension character) can be alpha or numeric
16
DIAG3
Tertiary ICD-10 Diagnosis Code
Diagnosis codes. Refer to ICD-10-CM coding manual
CHAR/NUM
7
Column O, ICD Code only
1st character is alpha (not U); 2nd & 3rd characters are
				numeric; 4th, 5th & 6th characters can be any combination of alpha &
				numeric; 7th character (extension character) can be alpha or numeric
17
DIAG4
Fourth ICD-10 Diagnosis Code
Diagnosis codes. Refer to ICD-10-CM coding manual
CHAR/NUM
7
Column P, ICD Code only
1st character is alpha (not U); 2nd & 3rd characters are
				numeric; 4th, 5th & 6th characters can be any combination of alpha &
				numeric; 7th character (extension character) can be alpha or numeric
18
DIAG5
Fifth ICD-10 Diagnosis Code
Diagnosis codes. Refer to ICD-10-CM coding manual
CHAR/NUM
7
Column Q, ICD Code only
1st character is alpha (not U); 2nd & 3rd characters are
				numeric; 4th, 5th & 6th characters can be any combination of alpha &
				numeric; 7th character (extension character) can be alpha or numeric
19
DIAG6
Sixth ICD-10 Diagnosis Code
Diagnosis codes. Refer to ICD-10-CM coding manual
CHAR/NUM
7
Column R, ICD Code only
1st character is alpha (not U); 2nd & 3rd characters are
				numeric; 4th, 5th & 6th characters can be any combination of alpha &
				numeric; 7th character (extension character) can be alpha or numeric
20
DIAG7
Seventh ICD-10 Diagnosis Code
Diagnosis codes. Refer to ICD-10-CM coding manual
CHAR/NUM
7
Column S, ICD Code only
1st character is alpha (not U); 2nd & 3rd characters are
				numeric; 4th, 5th & 6th characters can be any combination of alpha &
				numeric; 7th character (extension character) can be alpha or numeric
21
DIAG8
Eight ICD-10 Diagnosis Code
Diagnosis codes. Refer to ICD-10-CM coding manual
CHAR/NUM
7
Column T, ICD Code only 1st character is alpha (not U); 2nd
				& 3rd characters are numeric; 4th, 5th & 6th characters can be any
				combination of alpha & numeric; 7th character (extension character) can be
				alpha or numeric
22
DIAG9
Ninth ICD-10 Diagnosis Code
Diagnosis codes. Refer to ICD-10-CM coding manual
CHAR/NUM
7
Column U, ICD Code only
1st character is alpha (not U); 2nd & 3rd characters are
				numeric; 4th, 5th & 6th characters can be any combination of alpha &
				numeric; 7th character (extension character) can be alpha or numeric
23
DIAG10
Tenth ICD-10 Diagnosis Code
Diagnosis codes. Refer to ICD-10-CM coding manual
CHAR/NUM
7
Column V, ICD Code only 1st character is alpha (not U); 2nd
				& 3rd characters are numeric; 4th, 5th & 6th characters can be any
				combination of alpha & numeric; 7th character (extension character) can be
				alpha or numeric
24
E-CODE
E-code
External cause of Injury and poisoning (E-code)
Refer to ICD-10-CM coding manual
CHAR/NUM
7
Column W, E-Code only 1st character is alpha (not U); 2nd &
				3rd characters are numeric; 4th, 5th & 6th characters can be any
				combination of alpha & numeric; 7th character (extension character) can be
				alpha or numeric