NAME:       	Claim Occurrence Span Code
 
 
 DESCRIPTION:	The code that identifies a significant 
		event relating to an institutional claim 
		that may affect payer processing. 

		These codes are claim-related occurrences 
		that are related to a time period 
		span of dates; (variables called the 
		CLM_SPAN_FROM_DT and CLM_SPAN_THRU_DT).		

 
 SHORT NAME: 	SPAN_CD

 LONG NAME: 	CLM_SPAN_CD

 TYPE:		CHAR
     
 LENGTH: 	2
 
 SOURCE: 	CWF

 
 CODE VALUES: 	70 = 	Payer use only, the nonutilization from/
			thru dates for PPS-inlier stay where bene 
			had exhausted all full/coinsurance days, 
			but covered on cost report. SNF qualifying 
			hospital stay from/thru dates

		71 = 	Hospital prior stay dates - the from/thru 
			dates of any hospital stay that ended 
			within 60 days of this hospital or SNF 
			admission.

		72 = 	First/last visit - the dates of the first 
			and last visits occurring in this billing 
			period if the dates are different from 
			those in the statement covers period.

		73 = 	Benefit eligibility period - the inclusive 
			dates during which CHAMPUS medical benefits 
			are available to a sponsor's bene as shown 
			on the bene's ID card.

		74 = 	Non-covered level of care - The from/thru 
			dates of a period at a noncovered level of 
			care in an otherwise covered stay, excluding 
			any period reported with occurrence span 
			code 76, 77, or 79.

		75 = 	The from/thru dates of SNF level of care
			during IP hospital stay. Shows PRO approval
			of patient remaining in hospital because SNF 
			bed not available.  Not applicable to swing 
			bed cases. PPS hospitals use in day outlier 
			cases only.

		76 =   	Patient liability - From/thru dates of period 
			of noncovered care for which hospital may 
			charge bene. The FI or PRO must have approved 
			such charges in advance.  Patient must be 
			notified in writing 3 days prior to noncovered 
			period

		77 = 	Provider liability (utilization charged) -
			The from/thru dates of period of noncovered
			care for which the provider is liable. Applies 
			to provider liability where bene is charged 
			with utilization and is liable for deductible/
			coinsurance 

		78 = 	SNF prior stay dates - The from/thru dates of 
			any SNF stay that ended within 60 days of this 
			hospital or SNF admission.

		79 = 	Provider Liability (non-utilization) (Payer 
			code) - from/thru dates of period of non-
			covered care where bene is not charged with 
			utilization, deductible, or coinsurance; and 
			provider is liable. Noncovered period of care
			due to lack of medical necessity.

		80-99 = Reserved for state assignment


		M0 = 	PRO/UR approved stay dates - the first and 
			last days that were approved where not all of 
			the stay was approved.

		M1 = 	Provider Liability-No Utilization -- from/
			thru dates of a period of noncovered care
			that is denied due to lack of medical
			necessity or custodial care for which the
			provider is liable. (eff. 10/01)

		M2 = 	Dates of Inpatient Respite Care -- from/thru
			dates of a period of inpatient respite care
			for hospice patients. (eff. 10/00)


 COMMENT:	-