NAME:       	Line Primary Payer Code (if not Medicare)
 
 
 DESCRIPTION:	The code specifying a federal non-Medicare program
 		or other source that has primary responsibility
 		for the payment of the Medicare beneficiary's
 		medical bills relating to the line item service
 		on the non-institutional claim.

		The presence of a primary payer code indicates that 
		some other payer besides Medicare covered at least 
		some portion of the charges.

 
 SHORT NAME: 	LPRPAYCD

 LONG NAME: 	LINE_BENE_PRMRY_PYR_CD

 TYPE:		CHAR

 LENGTH: 	1 
 
 SOURCE: 	CWF,VA,DOL,SSA

 
 CODE VALUES: 	A  = 	Working aged bene/spouse with employer group 
			  health plan (EGHP)

		B  = 	End stage renal disease (ESRD) beneficiary in 
			  the 18 month coordination period with an 
			  employer group health plan

		C  = 	Conditional payment by Medicare; future 
			  reimbursement expected

		D  = 	Automobile no-fault
 
		E  = 	Workers' compensation

		F  = 	Public Health Service or other federal agency 
			  (other than Dept. of Veterans Affairs)

		G  = 	Working disabled bene (under age 65 with LGHP)

		H  = 	Black Lung
 
		I  =   	Dept. of Veterans Affairs

		L  = 	Any liability insurance
 
		M  = 	Override code: EGHP services involved
 
		N  = 	Override code: non-EGHP services involved
 
		W  = 	Workers’ Compensation Medicare Set-Aside 
			  Arrangement (WCMSA)
		
		BLANK = Medicare is primary payer 

		
 COMMENT:	Values C, M, N  and BLANK indicate Medicare is 
		primary payer.