File PROSTHETICS_EXTRACT(727.826) Data List

SEQUENCE NUMBER YEAR MONTH FEEDER KEY PLACEHOLD ENC CAMP LEJEUNE COMBAT VETERAN INDICATOR COMBAT VETERAN LOCATION FORM REQUESTED ON UNIT OF ISSUE NEW COST OF TRANSACTION NEW LAB LABOR COST NEW LAB MATERIAL COST NEW MPI SELF IDENTIFIED GENDER QUANTITY PLACEHOLD PRIMARY CARE TEAM PLACEHOLD PC PROVIDER PCE CPT/HCPCS CODE & MODIFIERS PLACEHOLDER EXTRACT NUMBER AGENT ORANGE STATUS RADIATION EXPOSURE STATUS SW ASIA CONDITIONS PATIENT ELIGIBILITY PLACEHOLD COST OF TRANSACTION PLACEHOLD LAB LABOR COST PLACEHOLD LAB MATERIAL COST BILLING STATUS VET/NON VET TYPE OF TRANSACTION FACILITY REQUESTING STATION RECEIVING STATION PSAS HCPCS CODE ZIP CODE DATE OF BIRTH SEX AMIS GROUPER PLACEHOLD MPI PATIENT NO. DFN PLACEHOLD PC PROV PERSON CLASS PLACEHOLD RACE POW STATUS POW LOCATION PLACEHOLD SHARE AGREEMNT PAYOR PLACEHOLD SHARE AGREEMNT INSUR MST STATUS ENROLLMENT LOCATION STATE COUNTY SSN PLACEHOLD ASSOC PC PROVIDER PLACEHOLD AS PC PROV PERSON CL DOM,PRRTP AND SAARTP INDICATOR ENROLLMENT CATEGORY ENROLLMENT STATUS PURPLE HEART INDICATOR PERIOD OF SERVICE OBSERVATION PATIENT INDICATOR NAME ENCOUNTER NUMBER AGENT ORANGE LOCATION CNH STATUS PRODUCTION DIVISION CODE HEAD & NECK CANCER INDICATOR PLACEHOLD ETHNICITY PLACEHOLD RACE 1 PLACEHOLD DSS IP # ENROLLMENT PRIORITY USER ENROLLEE IN OUTPATIENT INDICATOR PATIENT TYPE CV STATUS ELIGIBILITY CV ELIGIBILITY END DATE PLACEHOLD ENCOUNTER CV NATIONAL PATIENT RECORD FLAG ERI PLACEHOLD AGENT ORANGE ENC PLACEHOLD ENCOUNTER SWAC PLACEHOLD ENC HEAD/NECK CA PLACEHOLD ENCOUNTER MST DATE OF SERVICE PLACEHOLD RADIATION ENCOUNTER OEF/OIF OEF/OIF RETURN DATE NPPD CODE NPPD ENTRY DATE PLACEHOLD ASSOC PC PROV NPI PLACEHOLD PC PROVIDER NPI COUNTRY CODE SHAD STATUS PLACEHOLD ENCOUNTER SHAD FEEDER LOCATION LABOR HOURS PATCAT PRIMARY ICD-10 CODE SECONDARY ICD-10 CODE #1 SECONDARY ICD-10 CODE #2 SECONDARY ICD-10 CODE #3 SECONDARY ICD-10 CODE #4 PLACEHOLD ENCOUNTER SC VIETNAM CAMP LEJEUNE STATUS