User Manual, 4Q2010 Manual 4q10

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TEXAS DEPARTMENT OF STATE HEALTH SERVICES
CENTER FOR HEALTH STATISTICS

Health Care Information
USER MANUAL
TEXAS HOSPITAL INPATIENT DISCHARGE
PUBLIC USE DATA FILE (PUDF)
Base Data File
Charges File
2010

TABLE OF CONTENTS ............................................................... 1
BACKGROUND ........................................................................... 2
PUBLIC USE DATA FILE (PUDF)

................................... 2

DATA PROCESSING AND QUALITY ...................................... 3
PATIENT/PHYSICIAN CONFIDENTIALITY ........................... 3
RESTRICTIONS ON DATA USE ............................................... 4
DATA LIMITATIONS ................................................................. 6
Users are advised to become familiar with the data limitations.

HOSPITAL COMMENTS ............................................................ 7
Users are advised to consider hospital comments in any analysis of the data.

CITATION .................................................................................... 7
DATA DICTIONARY
Base Data File ....................................................................... 8
Charges File.......................................................................... 40
DATA FIELDS ........................................................................... 49
REPORTING STATUS OF TEXAS HOSPITALS .................... 55

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1

BACKGROUND
The Texas Health Care Information Council (THCIC) was created by Chapter 108 of the Texas
Health and Safety Code (THSC) and was responsible, under Sections 108.011 through 108.0135,
for collecting hospital discharge data from all state licensed hospitals except those that are
statutorily exempt from the reporting requirement. Exempt hospitals include those located in a
county with a population less than 35,000, or those located in a county with a population more than
35,000 and with fewer than 100 licensed hospital beds and not located in an area that is delineated
as an urbanized area by the United States Bureau of the Census (Section 108.0025). Exempt
hospitals also include hospitals that do not seek insurance payment or government reimbursement
(Section 108.009). THCIC became part of the Texas Department of State Health Services (DSHS)
effective September 1, 2004 and the DSHS Center for Health Statistics is now responsible for the
collection and release of hospital discharge data.
PUBLIC USE DATA FILE (PUDF)
Section 108.011(a) and 108.012 of the THSC requires DSHS to provide public use data for
computer-to-computer access. It also permits DSHS to charge the data requestor a standard fee for
using the Public Use Data File (PUDF). The PUDF contains patient-level information for inpatient
hospital stays. These data are extracted from DSHS’s Hospital Discharge Database (HDD).
The 2010 PUDF is available in two fixed length format text files, the Base Data (logical record
length of 1486 bytes) and Charges (logical record length of 80 bytes) files. The files are also
available in tab-delimited format. The size of the files is as follows:
First quarter, 546 hospitals:
Base data
Charges
Second quarter, 555 hospitals:
Base data
Charges
Third quarter, 550 hospitals:
Base data
Charges
Fourth quarter, 553 hospitals:
Base data
Charges

740,573 records
11,765,826 records

Fixed field format
Fixed field format

1123 MB
985 MB

Tab-delimited
Tab-delimited

471 MB
570 MB

725,658 records
10,994,457 records

Fixed field format
Fixed field format

1055 MB
874 MB

Tab-delimited
Tab-delimited

443 MB
505 MB

736,262 records
10,978,715 records

Fixed field format
Fixed field format

1072 MB
880 MB

Tab-delimited
Tab-delimited

449 MB
508 MB

741,885 records
11,344,149 records

Fixed field format
Fixed field format

1078 MB
908 MB

Tab-delimited
Tab-delimited

453 MB
525 MB

The data must be imported into a software package. No software is included with the PUDF. The
data file has been tested with several software packages, including Microsoft Access, SAS, and
SPSS.
The PUDF, beginning with data collected for 2004, is formatted to accommodate additional data
elements available with the collection of data from hospitals using the THCIC 837 format. The
following data elements are available in the PUDF beginning with data for 2004 or are not
comparable to data collected in years prior to 2004:
BASE DATA FILE
FAC_LONG_TERM_AC_IND
PAT_COUNTRY
FIRST_PAYMENT_SRC
SECOND_PAYMENT_SRC
REVENUE_CODE_23

2

Added 2004
Added 2004
Replaces PAYMENT_SOURCE_1 and
SOURCE_PAYMENT_CODE_1
Replaces PAYMENT_SOURCE_2 and
SOURCE_PAYMENT_CODE_2
No longer available

Texas Health Care Information Collection

TOTAL_CHARGES
TOTAL_CHARGES_ACCOMM
TOTAL_NON_COV_CHARGES_ACCOMM
TOTAL_CHARGES_ANCIL
TOTAL_NON_COV_CHARGES_ANCIL
EXTERNAL_CAUSE_OF_INJURY_1
EXTERNAL_CAUSE_OF_INJURY_2 to
EXTERNAL_CAUSE_OF_INJURY_10
OTH_DIAG_CODE_9 to OTH_DIAG_CODE_25
OTH_SURG_PROC_CODE_6 to OTH_SURG_PROC_CODE_25
OTH_SURG_PROC_DAY_6 to OTH_SURG_PROC_DAY_25
OTH_ICD9_CODE_6 to OTH_ICD9_CODE_25
CONDITION_CODE_1 to CONDITION_CODE_8
OCCUR_CODE_1 to OCCUR_CODE_12
OCCUR_DAY_1 to OCCUR_DAY_12
OCCUR_SPAN_CODE_1 to OCCUR_SPAN_CODE_4
OCCUR_SPAN_FROM_1 to OCCUR_SPAN_FROM_4
OCCUR_SPAN_THRU_1 to OCCUR_SPAN_THRU_4
VALUE_CODE_1 to VALUE_CODE_12
VALUE_AMOUNT_1 to VALUE_AMOUNT_12
CMS_MDC
INBOUND_INDICATOR
CHARGES FILE
REVENUE_CODE
HCPCS_QUALIFIER
HCPCS_PROCEDURE_CODE
MODIFIER_1 to MODIFIER_4
UNIT_MEASUREMENT_CODE
UNITS_OF_SERVICE
UNIT_RATE
CHRGS_LINE_ITEM
CHRGS_NON_COV

Replaces TOTAL_CHARGES_23
Replaces CLAIM_CHARGES_ACCOMM
Replaces CLAIM_NON_COV_CHARGES_ACCOMM
Replaces CLAIM_CHARGES_ANCIL
Replaces CLAIM_NON_COV_CHARGES_ANCIL
Replaces EXTNAL_CAUSE_OF_INJURY
Added 2004
Added 2004
Added 2004
Added 2004
Added 2004
Added 2004
Added 2004
Added 2004
Added 2004
Added 2004
Added 2004
Added 2004
Added 2004
Added 2004
Available 2004 only
Added 2004
Added 2004
Added 2004
Added 2004
Added 2004
Added 2004
Added 2004
Added 2004
Added 2004

DATA PROCESSING AND QUALITY
Beginning with data submitted for 2004 discharges hospitals required to submit discharged inpatient
claims data, moved from the submission of data in the uniform bill (UB-92) format to the THCIC
837 format. The data are validated through a process of automated auditing and verification. Each
individual hospital is responsible for the accuracy and completeness of its data. Even so, each
record is subjected by DSHS to a series of audits that check for consistency and conformity with the
definitions stated in the data specification manual. Records failing an audit check are returned to the
hospital for correction and resubmission. Following the correction process, DSHS uses valid claims
data to build files of “encounters” where one encounter contains the final discharge and all related
interim claims information for a patient. Then, each submitting hospital has an opportunity to
review, to make additional corrections, and to certify the encounter data with or without comments.
Finally, DSHS builds a final encounter file that includes all corrections submitted by the hospitals.
DSHS staff checks and adjusts for missing values and invalid codes in this file before the PUDF is
generated. Users are advised to examine every data element to be used for missing values and
invalid codes and to read accompanying notes, comments, and other descriptive text.
PATIENT/PHYSICIAN CONFIDENTIALITY
The legislative intent behind the creation of the Hospital Discharge Database (HDD) was that the
data and resulting information be used for the benefit of the public. This is specified in Section
108.013 of the Texas Health and Safety Code (THSC). The THSC also stipulates that DSHS may
not release and a person or entity may not gain access to any data that could reasonably be expected
to reveal the identity of a patient or physician. Any effort to determine the identity of any person
violates the THSC. In addition, under Section 108.013(e) and (f) of the THSC, patient and/or

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physician information in the HDD cannot be used for discovery, subpoena, or other means of legal
compulsion or in any civil, administrative, or criminal proceeding. Pursuant to the THSC, DSHS
excludes all direct personal and demographic identifiers (e.g., name, address, social security
number, patient identifiers, admission and discharge dates) that might lead to the identification of a
specific patient from the PUDF.
To protect patient identities, DSHS has suppressed these data elements in this release of the PUDF:
 The last two digits of the patient's ZIP code are suppressed if there are fewer than thirty
patients included in the ZIP code.
 The entire ZIP code is suppressed if a hospital has fewer than fifty discharges in a quarter.
 The ZIP code is changed to '88888' for patients from states other than Texas and the adjacent
states.
 The entire ZIP code and gender code are suppressed if the ICD-9-CM code indicates alcohol
or drug use or an HIV diagnosis.
 The entire ZIP code and provider name are suppressed if a hospital has fewer than five
discharges of a particular gender, including ‘unknown’. The provider ID is changed to
'999998'.
 The country code is suppressed if a hospital has fewer than five discharges from a particular
country.
 Age is represented by 22 age group codes for the general patient population and 5 age group
codes for the HIV and alcohol and drug use patient populations.
 Race is changed to ‘Other’ and ethnicity is suppressed if a hospital has fewer than ten
discharges of a race.
 All facility type indicators are suppressed if a hospital has fewer than fifty discharges in a
quarter and the provider ID is changed to ‘999999’.
To protect physician identities, the THSC requires creation of a uniform identification number for
physicians in practice. Uniform physician identifiers are available except when the number of
physicians represented in a DRG for a hospital is less than the minimum cell size of five.
It may be possible in rare instances, through complex analysis and with outside information, to
ascertain from the PUDF the identity of individual patients. Considerable harm could result if this
were done. PUDF users are required to sign and comply with the DSHS Hospital Discharge Data
Use Agreement in the Application before shipment of the PUDF. The Data Use Agreement
prohibits attempts to identify individual patients.
RESTRICTIONS ON DATA USE
Section 108.010(c) of the THSC prohibits DSHS from releasing provider quality reports until one
year of data is available. Users of the PUDF are cautioned about using less than a year of data to
make any hospital quality assumptions.
Sections 108.013(c)(1) and (2) and 108.013 (g) of the Texas Health and Safety Code (THSC)
prohibit the DSHS from releasing, and a person or entity from gaining access to, any data that could
reveal the identity of a patient or the identity of a physician unless specifically authorized by the
Act. Any effort to determine the identity of any person or to use the information for any purpose
other than for analysis and aggregate statistical reporting violates the THSC and the Data Use
Agreement. By virtue of the Agreement, the signer agrees that the data will not be used to identify

4

Texas Health Care Information Collection

an individual patient or physician. Because of these restrictions, under no circumstances will users
of the data contact an individual patient or physician or hospital for the purpose of verifying
information supplied in the DSHS Hospital Discharge Data sets. Any questions about the data must
be referred to DSHS only. Data analysis assistance is not provided by DSHS. The data are protected
by United States copyright laws and international treaty provisions.
In the Data Use Agreement, the purchaser and end-user of the data are referred to as the “licensee”.
To acquire the data the licensee must give the following assurances with respect to the use of DSHS
Hospital Discharge Data sets:


The licensee will not release nor permit others to release the individual patient records or any
part of them to any person who is not a staff member of the organization that has acquired the
data, except with the written approval of DSHS;



The licensee will not attempt to link nor permit others to attempt to link the hospital stay records
of patients in this data set with personally identifiable records from any other source;



The licensee will not release nor permit others to release any information that identifies persons,
directly or indirectly;



The licensee will not attempt to use nor permit others to use the data to learn the identity of any
physician;



The licensee will not nor permit others to copy, sell, rent, license, lease, loan, or otherwise grant
access to the data covered by this Agreement to any other person or entity, unless approved in
writing by DSHS;



The licensee agrees to read the User Manual and to be cognizant of the limitations of the data;



The licensee will use the following citation in any publication of information from this file:
Texas Hospital Inpatient Discharge Public Use Data File, [quarter and year of data]. Texas Department of State
Health Services, Center for Health Statistics, Austin, Texas. [date of publication];



The licensee will indemnify, defend, and hold the DSHS, its members, employees, and the
Department’s contract vendors harmless from any and all claims and losses accruing to any
person as a result of violation of this agreement; and



The licensee will make no statement nor permit others to make statements indicating or
suggesting that interpretations drawn from these data are those of DSHS.

The licensee understands that these assurances are collected by DSHS to assure compliance with its
statutory confidentiality requirement. The signature on behalf of the licensee indicates the
licensee’s agreement to comply with the above-stated requirements with the knowledge that under
Sections 108.014 and 108.0141 of the Texas Health and Safety Code to knowingly or negligently
release data in violation of this agreement is punishable by a fine of up to $10,000 and an offense is
a state jail felony. By signing the Data Use Agreement, the PUDF user has been informed that the
potential for both civil and criminal penalties exists.
Users of report generating software to access the PUDF are required to purchase a license to use the
data.

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DATA LIMITATIONS
(Users are advised to become familiar with the data limitations.)

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6

The THSC requires that a uniform submission format be used for reporting purposes. Before
2004 data were collected in the UB-92 format. Data for 2004 were collected in both UB-92
and THCIC 837 formats. Because these are billing forms, the data collected are
administrative data and not clinical data.
Records with MDC codes of 15 (newborns and other neonates with conditions originating in
the perinatal period), 20 (alcohol/drug induced organic mental disorders), or 22 (burns) and
Patient Status codes of 62 (discharged/transferred to inpatient rehabilitation), 71
(discharged/transferred to other outpatient service), or 72 (discharged/transferred to
institution outpatient service) contain an APR-DRG of 956 (ungroupable). These Patient
Status codes were not valid when version 15 of the 3M APR-DRG Grouper was developed.
A valid Patient Status code is required for these MDC codes for APR-DRG assignment and
Risk of Mortality and Severity of Illness scoring. Patient status codes 71 and 72 are no
longer valid as of October 2003. After October 2003 records with MDC codes of 15, 20, or
22 and Patient Status code of 62 contain an APR-DRG of 956.
Hospital charges data are available third quarter 2000. Earlier data were not reported
correctly by some hospitals.
Secondary source of payment data are available third quarter 2000. Earlier data were not
reported correctly by some hospitals.
Gender is suppressed for patients with an ICD-9-CM code that indicates drug or alcohol use
or an HIV diagnosis.
The last two digits of the ZIP code are suppressed if there are fewer than thirty patients
included in the zip code. All of the ZIP code is suppressed for patients with an ICD-9-CM
code that indicates drug or alcohol use or an HIV diagnosis or if a hospital has fewer than
five discharges of a particular gender, including ‘unknown’. ZIP code is changed to '88888'
for patients from a state other than Texas and not from an adjacent state. If ZIP is '88888' the
state abbreviation is changed to 'ZZ'. ZIP code is suppressed if a hospital has fewer than five
patients of a particular gender, including ‘unknown’.
Admission Source as reported by hospitals is suppressed, as recommended by the Council,
when the Admission Type is ‘newborn’. Data users can use ICD-9-CM codes to correctly
identify the clinical status of newborns.
Uniform identification numbers for physicians are available first quarter 2000 except for
cases less than the minimum cell size of five.
Hospitals must submit data no later than 60 days after the close of a calendar quarter.
Depending on hospitals’ collection and billing cycles, not all discharges may have been
billed or reported. This can affect the accuracy of source of payment data, particularly selfpay and charity that may later qualify for Medicaid or other payment sources.
Beginning with data for 2004 discharges, up to 25 diagnosis codes, up to 25 procedure
codes, and up to 10 E-codes can be submitted. For earlier years the number of diagnosis
codes collected per patient is limited to 9 and the number of procedure codes to 6. Because
of these limitations, sicker patients and the hospitals that treat them may not be accurately
represented in the data. This may also result in total volume and percentage calculations for
diagnoses and procedures not being complete.

Texas Health Care Information Collection

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


Race and ethnicity data are generally not collected by hospitals and may be subjectively
captured.
Inaccuracies in the data and incompleteness of the data are addressed in the hospitals'
comments.
County of residence is not collected by hospitals. County Federal Information Processing
Standard (FIPS) codes are assigned by DSHS based on patient ZIP code.
DSHS assigns the Risk of Mortality and Severity of Illness scores using methodology
designed by 3M. These scores may be affected by the limited number of diagnoses and
procedure codes collected by DSHS and may be understated.
Comparability of length of stay (LOS) across hospitals is affected by factors such as casemix and severity complexity, payer-mix, market areas and hospital ownership, affiliation or
teaching status. Any analysis of LOS at the hospital level should consider the above factors.
Length of stay is limited to 999 days prior to 2004 discharges.
Any analysis of mortality should note that the data reflect only patients who died in the
hospital and not those who died after discharge from the hospital.
Conditions present at time of admission cannot be distinguished from those occurring during
hospitalization.
DSHS collects data from all hospitals in the state not specifically exempted by statute. This
hospital mix should be considered when drawing conclusions about the data or making
comparisons with other data.
Any conclusions drawn from the data are subject to errors caused by the inability of the
hospital to communicate complete data due to form constraints, subjectivity in the
assignment of codes, system mapping, and normal clerical error. The data are submitted by
hospitals as their best effort to meet statutory requirements.

HOSPITAL COMMENTS
(Users are advised to consider hospital comments in any analysis of the data.)

Included with the PUDF is a separate file containing the unedited comments submitted by hospitals
at the time of data certification. Comments relating to individual data elements should be considered
in any analysis of those data elements. These comments express the opinions of individual hospitals
and are not necessarily the views of the DSHS. Hospitals that submitted comments are identified in
‘Reporting Status of Texas Hospitals’.
CITATION
Any statistical reporting or analysis based on the data shall cite the source as the following:
Texas Hospital Inpatient Discharge Public Use Data File, [quarter and year of data]. Texas Department of State
Health Services, Center for Health Statistics, Austin, Texas. [date of publication].

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Texas Hospital Inpatient Discharge
Public Use Data File
Data Dictionary

The purpose of this document is to provide the user with the necessary information to use and understand the data in the
Public Use Data File. The following information is provided:
Field
Unique, abbreviated name of the data element
Description
Brief explanation of the data element. Descriptions of data elements from the UB-92 are
taken from specifications manuals.
Data Source
Provided by the hospital on the claim form (Claim)
Assigned by DSHS (Assigned)
Calculated by DSHS (Calculated)
Note: For those data elements that have been temporarily suppressed, the quarter of data
for which the data element will be released is noted following the Data Source.
Type
Alphanumeric or numeric
Coding scheme
Valid codes for a data field. Values taken from specifications manuals.
Any code provided by a hospital that has been determined to be invalid has been assigned the value ‘*’.
Any data element that is blank should be interpreted as ‘missing’, no data provided, unless otherwise noted.

BASE DATA FILE
Field 1:
Description:
Beginning Position:
Length:
Field 2:
Description:
Suppression:

Beginning Position:
Length:
Field 3:
Description:
Suppression:

Beginning Position:
Length:
Field 4:
Description:
Suppression:
Coding Scheme:
Beginning Position:

8

DISCHARGE
Discharge Quarter. Year and quarter of discharge. yyyyQn.
1
Assigned
Data Source:
6
Alphanumeric
Type:
THCIC_ID
Provider ID. Unique identifier assigned to the provider by DSHS.
Hospitals with fewer than 50 discharges have been aggregated into the Provider ID '999999'.
If a hospital has fewer than 5 discharges of a particular gender, including ‘unknown’,
Provider ID is '999998'.
7
Assigned
Data Source:
6
Alphanumeric
Type:
PROVIDER_NAME
Hospital name provided by the hospital.
Hospitals with fewer than 50 discharges (Provider ID equals ‘999999’) are assigned the
name ‘Low Discharge Volume Hospital’. If a hospital has fewer than 5 discharges of a
particular gender, including ‘unknown’, Hospital Name is blank.
13
Provider
Data Source:
55
Alphanumeric
Type:
FAC_TEACHING_IND
Teaching Facility Indicator.
Suppressed for hospitals with fewer than 50 discharges (Provider ID equals '999999').
A Member, Council of Teaching Hospitals
X Other teaching facility
68
Provider
Data Source:

Texas Health Care Information Collection

Length:
Field 5:
Description:
Suppression:
Beginning Position:
Length:
Field 6:
Description:
Suppression:
Beginning Position:
Length:
Field 7:
Description:
Suppression:
Beginning Position:
Length:
Field 8:
Description:
Suppression:
Beginning Position:
Length:
Field 9:
Description:
Suppression:
Beginning Position:
Length:
Field 10:
Description:
Suppression:
Beginning Position:
Length:
Field 11:
Description:
Suppression:
Coding Scheme:
Beginning Position:
Length:
Field 12:
Description:

1
Alphanumeric
Type:
FAC_PSYCH_IND
Psychiatric Facility Indicator.
Suppressed for hospitals with fewer than 50 discharges (Provider ID equals '999999').
69
Provider
Data Source:
1
Alphanumeric
Type:
FAC_REHAB_IND
Rehabilitation Facility Indicator.
Suppressed for hospitals with fewer than 50 discharges (Provider ID equals '999999').
70
Provider
Data Source:
1
Alphanumeric
Type:
FAC_ACUTE_CARE_IND
Acute Care Facility Indicator.
Suppressed for hospitals with fewer than 50 discharges (Provider ID equals '999999').
71
Provider
Data Source:
1
Alphanumeric
Type:
FAC_SNF_IND
Skilled Nursing Facility Indicator. Hospital facility type indicator provided by the hospital.
Suppressed for hospitals with fewer than 50 discharges (Provider ID equals '999999').
72
Provider
Data Source:
1
Alphanumeric
Type:
FAC_LONG_TERM_AC_IND
Long Term Acute Care Facility Indicator.
Suppressed for hospitals with fewer than 50 discharges (Provider ID equals '999999').
73
Provider
Data Source:
1
Alphanumeric
Type:
FAC_OTHER_LTC_IND
Other Long Term Care Facility Indicator.
Suppressed for hospitals with fewer than 50 discharges (Provider ID equals '999999').
74
Provider
Data Source:
1
Alphanumeric
Type:
FAC_PEDS_IND
Pediatric Facility Indicator.
Suppressed for hospitals with fewer than 50 discharges (Provider ID equals '999999').
C Member, National Association of Children’s Hospitals and Related Institutions (NACHRI)
X Facilities that also treat children
75
Provider
Data Source:
1
Alphanumeric
Type:
SPEC_UNIT
Specialty Units in which most days during stay occurred based on number of days by Type of
Bill or Revenue Code. In order by number of days in the unit. SPEC_UNIT_1 through
SPEC_UNIT_5 are combined in one field in the Tab Delimited file and can be accessed
individually in the fixed length file.

Coding Scheme:

C
D
I
H
N
B
O

Beginning Position:
Length:
Field 12a:
Description:

76
Calculated
Data Source:
5
Alphanumeric
Type:
SPEC_UNIT_1 (fixed length file only)
Specialty Unit in which most days during stay occurred based on number of days by Type of
Bill or Revenue Code.
Same as Field 12.
76
Calculated
Data Source:

Coding Scheme:
Beginning Position:

Coronary Care Unit
Detoxification Unit
Intensive Care Unit
Hospice Unit
Nursery
Obstetric Unit
Oncology Unit

P
Y
R
U
S
Blank

Texas Health Care Information Collection

Pediatric Unit
Psychiatric Unit
Rehabilitation Unit
Sub-acute Care Unit
Skilled Nursing Unit
Acute Care

9

Length:
Field 12b:
Description:
Coding Scheme:
Beginning Position:
Length:
Field 12c:
Description:
Coding Scheme:
Beginning Position:
Length:
Field 12d:
Description:
Coding Scheme:
Beginning Position:
Length:
Field 12e:
Description:
Coding Scheme:
Beginning Position:
Length:
Field 13:
Description:
Beginning Position:
Length:
Field 14:
Description:
Suppression:

1
Alphanumeric
Type:
SPEC_UNIT_2 (fixed length file only)
Specialty Unit in which 2nd most days during stay occurred based on number of days by Type
of Bill or Revenue Code.
Same as Field 12.
77
Data Source:
1
Alphanumeric
Type:
SPEC_UNIT_3 (fixed length file only)
Specialty Unit in which 3rd most days during stay occurred based on number of days by Type
of Bill or Revenue Code.
Same as Field 12.
78
Data Source:
1
Alphanumeric
Type:
SPEC_UNIT_4 (fixed length file only)
Specialty Unit in which 4th most days during stay occurred based on number of days by Type
of Bill or Revenue Code.
Same as Field 12.
79
Data Source:
1
Alphanumeric
Type:
SPEC_UNIT_5 (fixed length file only)
Specialty Unit in which 5th most days during stay occurred based on number of days by Type
of Bill or Revenue Code.
Same as Field 12.
80
Data Source:
1
Alphanumeric
Type:
ENCOUNTER_INDICATOR
Indicates the number of claims used to create the encounter
81
Calculated
Data Source:
2
Alphanumeric
Type:
SEX_CODE
Gender of the patient as recorded at date of admission or start of care.
Code is suppressed if an ICD-9-CM code indicates drug or alcohol use or an HIV diagnosis.
If a hospital has fewer than 5 patients of a particular gender, including unknown, Provider ID
is ‘999998’ and Hospital Name and Patient ZIP Code are blank for those patients.

Coding Scheme:

M
F
U
*

Beginning Position:
Length:
Field 15:
Description:
Coding Scheme:

83
Data Source:
1
Type:
TYPE_OF_ADMISSION
Code indicating the type of admission

Beginning Position:
Length:
Field 16:
Description:
Coding Scheme:

84
Data Source:
1
Type:
SOURCE_OF_ADMISSION
Code indicating source of the admission.

10

1
2
3
4
5
9
*

1
2
3
4
5

Male
Female
Unknown
Invalid

Claim
Alphanumeric

Emergency
Urgent
Elective
Newborn
Trauma Center
Information not available
Invalid

Claim
Alphanumeric

Physician referral
Clinic referral
HMO referral
Transfer from a hospital
Transfer from a skilled nursing facility

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7
8
9
0
A
D

Transfer from another health care facility
Emergency Room
Court/Law Enforcement
Information not available
Transfer from psychiatric, substance abuse, rehab hospital
Transfer from a critical access hospital
Transfer from Hospital Inpatient in the Same Facility Resulting in a Separate Claim to the Payer, effective
4-1-2006
*
Invalid
If Type of Admission=4 (Newborn)
5
Born inside this hospital
6
Born outside this hospital

Beginning Position:
Length:
Field 17:
Description:

85
Claim
Data Source:
1
Alphanumeric
Type:
PAT_STATE
State of the patient’s mailing address in Texas and contiguous states. Standard 2-character
Postal Service abbreviation.

Coding Scheme:

AR
LA
NM
OK
TX
ZZ
FC
XX

Beginning Position:
Length:
Field 18:
Description:
Suppression:

86
Claim
Data Source:
2
Alphanumeric
Type:
PAT_ZIP
Patient’s five-digit ZIP code.
Last two digits are blank if a ZIP code has fewer than 30 discharges. If state equals ‘ZZ’, ZIP
code equals ‘88888’. If state equals ‘FC’ (foreign country) ZIP code is blank. If ICD-9-CM
indicates alcohol or drug use or an HIV diagnosis the ZIP code is blank. If a hospital has
fewer than fifty discharges the ZIP code is blank. If a hospital has fewer than 5 discharges of
a particular gender, including ‘unknown’, the ZIP Code is blank.
88
Claim
Data Source:
5
Alphanumeric
Type:
PAT_COUNTRY
Country of patient’s residential address. List maintained by the International Organization for
Standardization (ISO).
Suppressed if fewer than 5 patients from one country.
See www.ISO.org for complete list.
93
Claim
Data Source:
2
Alphanumeric
Type:
COUNTY
FIPS code of patient’s county.

Beginning Position:
Length:
Field 19:
Description:
Suppression:
Coding scheme:
Beginning Position:
Length:
Field 20:
Description:
Coding scheme:

001
003
005
007
009
011
013
015
017
019
021
023
025
027
029
031
033
035
037

Arkansas
Louisiana
New Mexico
Oklahoma
Texas
All other states and American Territories
Foreign country
Foreign country

Anderson
Andrews
Angelina
Aransas
Archer
Armstrong
Atascosa
Austin
Bailey
Bandera
Bastrop
Baylor
Bee
Bell
Bexar
Blanco
Borden
Bosque
Bowie

129
131
133
135
137
139
141
143
145
147
149
151
153
155
157
159
161
163
165

Donley
Duval
Eastland
Ector
Edwards
Ellis
El Paso
Erath
Falls
Fannin
Fayette
Fisher
Floyd
Foard
Fort Bend
Franklin
Freestone
Frio
Gaines

257
259
261
263
265
267
269
271
273
275
283
277
279
281
285
287
289
291
293

Texas Health Care Information Collection

Kaufman
Kendall
Kenedy
Kent
Kerr
Kimble
King
Kinney
Kleberg
Knox
La Salle
Lamar
Lamb
Lampasas
Lavaca
Lee
Leon
Liberty
Limestone

385
387
389
391
393
395
397
399
401
403
405
407
409
411
413
415
417
419
421

Real
Red River
Reeves
Refugio
Roberts
Robertson
Rockwall
Runnels
Rusk
Sabine
San Augustine
San Jacinto
San Patricio
San Saba
Schleicher
Scurry
Shackelford
Shelby
Sherman

11

039
041
043
045
047
049
051
053
055
057
059
061
063
065
067
069
071
073
075
077
079
081
083
085
087
089
091
093
095
097
099
101
103
105
107
109
111
113
115
117
119
121
123
125
127

Beginning Position:
Length:
Field 21:
Description:

167
169
171
173
175
177
179
181
183
185
187
189
191
193
195
197
199
201
203
205
207
209
211
213
215
217
219
221
223
225
227
229
231
233
235
237
239
241
243
245
247
249
251
253
255

Galveston
Garza
Gillespie
Glasscock
Goliad
Gonzales
Gray
Grayson
Gregg
Grimes
Guadalupe
Hale
Hall
Hamilton
Hansford
Hardeman
Hardin
Harris
Harrison
Hartley
Haskell
Hays
Hemphill
Henderson
Hidalgo
Hill
Hockley
Hood
Hopkins
Houston
Howard
Hudspeth
Hunt
Hutchinson
Irion
Jack
Jackson
Jasper
Jeff Davis
Jefferson
Jim Hogg
Jim Wells
Johnson
Jones
Karnes

295
297
299
301
303
305
307
309
311
313
315
317
319
321
323
325
327
329
331
333
335
337
339
341
343
345
347
349
351
353
355
357
359
361
363
365
367
369
371
373
375
377
379
381
383

Lipscomb
Live Oak
Llano
Loving
Lubbock
Lynn
McCulloch
McLennan
McMullen
Madison
Marion
Martin
Mason
Matagorda
Maverick
Medina
Menard
Midland
Milam
Mills
Mitchell
Montague
Montgomery
Moore
Morris
Motley
Nacogdoches
Navarro
Newton
Nolan
Nueces
Ochiltree
Oldham
Orange
Palo Pinto
Panola
Parker
Parmer
Pecos
Polk
Potter
Presidio
Rains
Randall
Reagan

423
425
427
429
431
433
435
437
439
441
443
445
447
449
451
453
455
457
459
461
463
465
467
469
471
473
475
477
479
481
483
485
487
489
491
493
495
497
499
501
503
505
507
*

Smith
Somervell
Starr
Stephens
Sterling
Stonewall
Sutton
Swisher
Tarrant
Taylor
Terrell
Terry
Throckmorton
Titus
Tom Green
Travis
Trinity
Tyler
Upshur
Upton
Uvalde
Val Verde
Van Zandt
Victoria
Walker
Waller
Ward
Washington
Webb
Wharton
Wheeler
Wichita
Wilbarger
Willacy
Williamson
Wilson
Winkler
Wise
Wood
Yoakum
Young
Zapata
Zavala
Invalid

95
Data Source: Assigned; based on patient ZIP code
3
Alphanumeric
Type:
PUBLIC_HEALTH_REGION
Public Health Region of patient’s address.
1

2

3
4
5
6
7

8

12

Brazoria
Brazos
Brewster
Briscoe
Brooks
Brown
Burleson
Burnet
Caldwell
Calhoun
Callahan
Cameron
Camp
Carson
Cass
Castro
Chambers
Cherokee
Childress
Clay
Cochran
Coke
Coleman
Collin
Collingsworth
Colorado
Comal
Comanche
Concho
Cooke
Coryell
Cottle
Crane
Crockett
Crosby
Culberson
Dallam
Dallas
Dawson
Deaf Smith
Delta
Denton
Dewitt
Dickens
Dimmit

Armstrong, Bailey, Briscoe, Carson, Castro, Childress, Cochran, Collingsworth, Crosby, Dallam, Deaf Smith,
Dickens, Donley, Floyd, Garza, Gray, Hale, Hall, Hansford, Hartley, Hemphill, Hockley, Hutchinson, King,
Lamb, Lipscomb, Lubbock, Lynn, Moore, Motley, Ochiltree, Oldham, Parmer, Potter, Randall, Roberts,
Sherman, Swisher, Terry, Wheeler, Yoakum counties
Archer, Baylor, Brown, Callahan, Clay, Coleman, Comanche, Cottle, Eastland, Fisher, Foard, Hardeman,
Haskell, Jack, Jones, Kent, Knox, Mitchell, Montague, Nolan, Runnels, Scurry, Shackleford, Stephens,
Stonewall, Taylor, Throckmorton, Wichita, Wilbarger, Young counties
Collin, Cooke, Dallas, Denton, Ellis, Erath, Fannin, Grayson, Hood, Hunt, Johnson, Kaufman, Navarro, Palo
Pinto, Parker, Rockwall, Somervell, Tarrant, Wise counties
Anderson, Bowie, Camp, Cass, Cherokee, Delta, Franklin, Gregg, Harrison, Henderson, Hopkins, Lamar,
Marion, Morris, Panola, Rains, Red River, Rusk, Smith, Titus, Upshur, Van Zandt, Wood counties
Angelina, Hardin, Houston, Jasper, Jefferson, Nacogdoches, Newton, Orange, Polk, Sabine, San Augustine,
San Jacinto, Shelby, Trinity, Tyler counties
Austin, Brazoria, Chambers, Colorado, Fort Bend, Galveston, Harris, Liberty, Matagorda, Montgomery,
Walker, Waller, Wharton counties
Bastrop, Bell, Blanco, Bosque, Brazos, Burleson, Burnet, Caldwell, Coryell, Falls, Fayette, Freestone, Grimes,
Hamilton, Hays, Hill, Lampasas, Lee, Leon, Limestone, Llano, McLennan, Madison, Milam, Mills, Robertson,
San Saba, Travis, Washington, Williamson counties
Atascosa, Bandera, Bexar, Calhoun, Comal, DeWitt, Dimmit, Edwards, Frio, Gillespie, Goliad, Gonzales,
Guadalupe, Jackson, Karnes, Kendall, Kerr, Kinney, La Salle, Lavaca, Maverick, Medina, Real, Uvalde, Val
Verde, Victoria, Wilson, Zavala counties

Texas Health Care Information Collection

9

10
11
*

Andrews, Borden, Coke, Concho, Crane, Crockett, Dawson, Ector, Gaines, Glasscock, Howard, Irion, Kimble,
Loving, McCulloch, Martin, Mason, Menard, Midland, Pecos, Reagan, Reeves, Schleicher, Sterling, Sutton,
Terrell, Tom Green, Upton, Ward, Winkler counties
Brewster, Culberson, El Paso, Hudspeth, Jeff Davis, Presidio counties
Aransas, Bee, Brooks, Cameron, Duval, Hidalgo, Jim Hogg, Jim Wells, Kenedy, Kleberg, Live Oak,
McMullen, Nueces, Refugio, San Patricio, Starr, Webb, Willacy, Zapata counties
Invalid

Beginning Position:
Length:
Field 22:
Description:
Coding Scheme:

98
Data Source: Assigned
2
Alphanumeric
Type:
ADMIT_WEEKDAY
Code indicating day of week patient is admitted

Beginning Position:
Length:
Field 23:
Description:

100
Data Source: Assigned
1
Alphanumeric
Type:
LENGTH_OF_STAY
Length of stay in days equals Statement covers period through date minus Admission/start of
care date. The minimum length of stay is 1 day. The maximum is 9999 days.
101
Data Source: Calculated
4
Alphanumeric
Type:
PAT_AGE
Code indicating age of patient in days or years on date of discharge.

Beginning Position:
Length:
Field 24:
Description:
Coding Scheme:

Beginning Position:
Length:
Field 25:
Description:
Coding Scheme:

1
2
3
4

00
01
02
03
04
05
06
07
08
09

Monday
Tuesday
Wednesday
Thursday

1-28 days
29-365 days
1-4 years
5-9
10-14
15-17
18-19
20-24
25-29
30-34

5
6
7
*

10
11
12
13
14
15
16
17
18
19

Friday
Saturday
Sunday
Invalid

35-39
40-44
45-49
50-54
55-59
60-64
65-69
70-74
75-79
80-84

20
85-89
21
90+
HIV and drug/alcohol use patients:
22
0-17
23
18-44
24
45-64
25
65-74
26
75+
*
Invalid

105
Data Source: Assigned
2
Alphanumeric
Type:
PAT_STATUS
Code indicating patient status as of the ending date of service for the period of care reported
1
2
3
4
5
6
7
8
9
20
30
40
41
42
43
50
51
61
62
63
64
65
66
71

Discharged to home or self-care (routine discharge)
Discharged to other short term general hospital
Discharged to skilled nursing facility
Discharged to intermediate care facility
Discharged/transferred to a Designated Cancer Center or Children's Hospital (effective 10-1-2007)
Discharged to care of home health service
Left against medical advice
Discharged to care of Home IV provider
Admitted as inpatient to this hospital
Expired
Still patient
Expired at home
Expired in a medical facility
Expired, place unknown
Discharged/transferred to federal health care facility
Discharged to hospice–home
Discharged to hospice–medical facility
Discharged/transferred within this institution to Medicare-approved swing bed
Discharged/transferred to inpatient rehabilitation facility
Discharged/transferred to Medicare-certified long term care hospital
Discharged/transferred to Medicaid-certified nursing facility
Discharged/transferred to psychiatric hospital or psychiatric distinct part of a hospital
Discharged/transferred to Critical Access Hospital (CAH)
Discharged/transferred to other outpatient service

Texas Health Care Information Collection

13

72
*

Discharged/transferred to institution outpatient
Invalid

Beginning Position:
Length:
Field 26:
Description:
Suppression:
Coding Scheme:

107
Data Source: Claim
2
Alphanumeric
Type:
RACE
Code indicating the patient’s race.
If a hospital has fewer than ten patients of one race that race is changed to ‘Other’ (code equals 5).

Beginning Position:
Length:
Field 27:
Description:
Suppression:

109
Data Source: Claim
1
Alphanumeric
Type:
ETHNICITY
Code indicating the Hispanic origin of the patient.
If a hospital has fewer than ten patients of one race the ethnicity of patients of that race is
suppressed (code is blank).

Coding Scheme:
Beginning Position:
Length:
Field 28:
Description:
Coding Scheme:

1
2
3
4
5
*

1
2
*

American Indian/Eskimo/Aleut
Asian or Pacific Islander
Black
White
Other
Invalid

Hispanic Origin
Not of Hispanic Origin
Invalid

110
Data Source: Claim
1
Alphanumeric
Type:
FIRST_PAYMENT_SRC
Code indicating the expected primary source of payment.
09
10
11
12
13
14
15
16
AM
BL
CH
CI
DS

Self Pay
Central Certification
Other Non-federal Programs
Preferred Provider Organization (PPO)
Point of Service (POS)
Exclusive Provider Organization (EPO)
Indemnity Insurance
Health Maintenance Organization (HMO)
Medicare Risk
Automobile Medical
Blue Cross/Blue Shield
CHAMPUS
Commercial Insurance
Disability Insurance

HM
LI
LM
MA
MB
MC
TV
OF

Health Maintenance Organization
Liability
Liability Medical
Medicare Part A
Medicare Part B
Medicaid
Title V
Other Federal Program

VA
WC
ZZ
**
*

Veteran Administration Plan
Workers Compensation Health Claim
Charity, Indigent or Unknown
Codes 09 and ZZ, combined for 2004 & 2005
Invalid

Beginning Position:
Length:
Field 29:
Description:
Coding Scheme:
Beginning Position:
Length:
Field 30:
Description:

111
Data Source: Claim
2
Alphanumeric
Type:
SECONDARY_PAYMENT_SRC
Code indicating the expected secondary source of payment.
Same as field 28, FIRST_PAYMENT_SRC
113
Data Source: Claim
2
Alphanumeric
Type:
TYPE_OF_BILL
Provides specific information about the claim data submitted. First digit = type of facility.
Second digit = type of care. Third digit = sequence of the claim.

Coding Scheme:

1st digit–Type of Facility
1
Hospital
2
3
4
5
6
7

14

Skilled nursing
Home health
Religious non-medical health
care–Hospital
Religious non-medical health
care–Extended care
Intermediate care
Clinic

2nd digit–Type of Care
1
Inpatient, including Medicare
Part A
2
Inpatient, Medicare Part B only
3
Outpatient
4
Outpatient Other, Medicare
Part B only
5
Intermediate Care–Level I

3rd digit–Sequence of claim
0
Non-payment/Zero claim

6
7

Intermediate Care–Level II
Sub-acute inpatient – Level III

Texas Health Care Information Collection

1
2
3

Admit through discharge claim
Interim–first claim
Interim–continuing claim

4

Interim–last claim

5
6

Late charge(s) only claim
Adjustment of prior claim (Not
used by Medicare)

8

Beginning Position:
Length:
Field 31:
Description:
Beginning Position:
Length:
Field 32:

Beginning Position:
Length:
Field 33:

Beginning Position:
Length:
Field 34:

Beginning Position:
Length:
Field 35:

Beginning Position:
Length:
Field 36:

Beginning Position:
Length:
Field 37:

Beginning Position:
Length:
Field 38:

Beginning Position:
Length:
Field 39:

Beginning Position:
Length:
Field 40:

Special facility

8

Swing bed

7
8

Replacement of prior claim
Void/cancel of prior claim

115
Data Source: Claim
3
Alphanumeric
Type:
PRIVATE_AMOUNT
Accommodation Charge, Private Room Charge Amount. Calculated using MEDPAR
algorithm. Sum of charges associated with revenue codes 0100-0219, revenue center 11X, 14X
118
Data Source: Calculated
12
Numeric
Type:
SEMI_PRIVATE_AMOUNT
Accommodation Charge, Semi-private Room Charge Amount. Calculated using MEDPAR
algorithm. Sum of charges associated with revenue codes 0100-0219, revenue center 10X, 12X14X, 16X-19X
130
Data Source: Calculated
12
Numeric
Type:
WARD_AMOUNT
Accommodation Charge, Ward Charge Amount. Calculated using MEDPAR algorithm. Sum of
charges associated with revenue codes 0100-0219, revenue center 15X.
142
Data Source: Calculated
12
Numeric
Type:
ICU_AMOUNT
Accommodation Charge, Intensive Care Unit Charge Amount. Calculated using MEDPAR
algorithm. Sum of charges associated with revenue codes 0100-0219, revenue center 20X.
154
Data Source: Calculated
12
Numeric
Type:
CCU_AMOUNT
Accommodation Charge, Coronary Care Unit Charge Amount. Calculated using MEDPAR
algorithm. Sum of charges associated with revenue codes 0100-0219, revenue center 21X.
166
Data Source: Calculated
12
Numeric
Type:
OTHER_AMOUNT
Ancillary Service Charge, Other Charge Amount. Calculated using MEDPAR algorithm. Sum
of charges associated with revenue codes other than 0100-0219, revenue center 002-099, 22X24X, 52X-53X, 55X-60X, 64X-70X, 76X-78X, 90X-95X, 99X.
178
Data Source: Calculated
12
Numeric
Type:
PHARM_AMOUNT
Ancillary Service Charge, Pharmacy Charge Amount. Calculated using MEDPAR algorithm.
Sum of charges associated with revenue codes other than 0100-0219, revenue center 26X, 63X.
25??
190
Data Source: Calculated
12
Numeric
Type:
MEDSURG_AMOUNT
Ancillary Service Charge, Medical/Surgical Supply Charge Amount. Calculated using
MEDPAR algorithm. Sum of charges associated with revenue codes other than 0100-0219,
revenue center 27X, 62X.
202
Data Source: Calculated
12
Numeric
Type:
DME_AMOUNT
Ancillary Service Charge, Durable Medical Equipment Charge Amount. Calculated using
MEDPAR algorithm. Sum of charges associated with revenue codes other than 0100-0219,
revenue centers 290-292, 294-299.
214
Data Source: Calculated
12
Numeric
Type:
USED_DME_AMOUNT

Texas Health Care Information Collection

15

Beginning Position:
Length:
Field 41:

Beginning Position:
Length:
Field 42:

Beginning Position:
Length:
Field 43:

Beginning Position:
Length:
Field 44:

Beginning Position:
Length:
Field 45:

Beginning Position:
Length:
Field 46:

Beginning Position:
Length:
Field 47:

Beginning Position:
Length:
Field 48:

Beginning Position:
Length:
Field 49:

Beginning Position:
Length:

16

Ancillary Service Charge, Used Durable Medical Equipment Charge Amount. Calculated
using MEDPAR algorithm. Sum of charges associated with revenue codes other than 01000219, revenue center 293.
226
Data Source: Calculated
12
Numeric
Type:
PT_AMOUNT
Ancillary Service Charge, Physical Therapy Charge Amount. Calculated using MEDPAR
algorithm. Sum of charges associated with revenue codes other than 0100-0219, revenue center
42X.
238
Data Source: Calculated
12
Numeric
Type:
OT_AMOUNT
Ancillary Service Charge, Occupational Therapy Charge Amount. Calculated using MEDPAR
algorithm. Sum of charges associated with revenue codes other than 0100-0219, revenue center
42X.
250
Data Source: Calculated
12
Numeric
Type:
SPEECH_AMOUNT
Ancillary Service Charge, Speech Pathology Charge Amount. Calculated using MEDPAR
algorithm. Sum of charges associated with revenue codes other than 0100-0219, revenue center
44X, 47X.
262
Data Source: Calculated
12
Numeric
Type:
IT_AMOUNT
Ancillary Service Charge, Inhalation Therapy Charge Amount. Calculated using MEDPAR
algorithm. Sum of charges associated with revenue codes other than 0100-0219, revenue center
41X, 46X.
274
Data Source: Calculated
12
Numeric
Type:
BLOOD_AMOUNT
Ancillary Service Charge. Calculated using MEDPAR algorithm. Sum of charges associated
with revenue codes other than 0100-0219, revenue center 38X.
286
Data Source: Calculated
12
Numeric
Type:
BLOOD_ADMIN_AMOUNT
Ancillary Service Charge. Calculated using MEDPAR algorithm. Sum of charges associated
with revenue codes other than 0100-0219, revenue center 39X.
298
Data Source: Calculated
12
Numeric
Type:
OR_AMOUNT
Ancillary Service Charge, Operating Room Charge amount. Calculated using MEDPAR
algorithm. Sum of charges associated with revenue codes other than 0100-0219, revenue center
36X, 71X-72X.
310
Data Source: Calculated
12
Numeric
Type:
LITH_AMOUNT
Ancillary Service Charge, Lithotripsy Charge Amount. Calculated using MEDPAR algorithm.
Sum of charges associated with revenue codes other than 0100-0219, revenue center 79X.
322
Data Source: Calculated
12
Numeric
Type:
CARD_AMOUNT
Ancillary Service Charge, Cardiology Charge Amount. Calculated using MEDPAR algorithm.
Sum of charges associated with revenue codes other than 0100-0219, revenue center 48X, 73X.
334
Data Source: Calculated
12
Numeric
Type:

Texas Health Care Information Collection

Field 50:

Beginning Position:
Length:
Field 51:

Beginning Position:
Length:
Field 52:

Beginning Position:
Length:
Field 53:

Beginning Position:
Length:
Field 54:

Beginning Position:
Length:
Field 55:

Beginning Position:
Length:
Field 56:

Beginning Position:
Length:
Field 57:

Beginning Position:
Length:
Field 58:

Beginning Position:
Length:
Field 59:

ANES_AMOUNT
Ancillary Service Charge, Anesthesia Charge Amount. Calculated using MEDPAR algorithm.
Sum of charges associated with revenue codes other than 0100-0219, revenue center 37X.
346
Data Source: Calculated
12
Numeric
Type:
LAB_AMOUNT
Ancillary Service Charge, Laboratory Charge Amount. Calculated using MEDPAR algorithm.
Sum of charges associated with revenue codes other than 0100-0219, revenue center 30X-31X,
74X-75X.
358
Data Source: Calculated
12
Numeric
Type:
RAD_AMOUNT
Ancillary Service Charge, Radiology Charge Amount. Calculated using MEDPAR algorithm.
Sum of charges associated with revenue codes other than 0100-0219, revenue center 28X, 32X35X, 40X.
370
Data Source: Calculated
12
Numeric
Type:
MRI_AMOUNT
Ancillary Service Charge, MRI Charge Amount. Calculated using MEDPAR algorithm. Sum of
charges associated with revenue codes other than 0100-0219, revenue center 61X.
382
Data Source: Calculated
12
Numeric
Type:
OP_AMOUNT
Ancillary Service Charge, Outpatient Services Charge Amount. Calculated using MEDPAR
algorithm. Sum of charges associated with revenue codes other than 0100-0219, revenue center
49X-50X.
394
Data Source: Calculated
12
Numeric
Type:
ER_AMOUNT
Ancillary Service Charge, Emergency Room Charge Amount. Calculated using MEDPAR
algorithm. Sum of charges associated with revenue codes other than 0100-0219, revenue center
45X.
406
Data Source: Calculated
12
Numeric
Type:
AMBULANCE_AMOUNT
Ancillary Service Charge, Ambulance Charge Amount. Calculated using MEDPAR algorithm.
Sum of charges associated with revenue codes other than 0100-0219, revenue center 54X.
418
Data Source: Calculated
12
Numeric
Type:
PRO_FEE_AMOUNT
Ancillary Service Charge, Professional Fee Charge Amount. Calculated using MEDPAR
algorithm. Sum of charges associated with revenue codes other than 0100-0219, revenue center
96X-98X.
430
Data Source: Calculated
12
Numeric
Type:
ORGAN_AMOUNT
Ancillary Service Charge, Organ Acquisition Charge Amount. Calculated using MEDPAR
algorithm. Sum of charges associated with revenue codes other than 0100-0219, revenue center
81X, 89X.
442
Data Source: Calculated
12
Numeric
Type:
ESRD_AMOUNT
Ancillary Service Charge, End Stage Renal Dialysis Charge Amount. Calculated using
MEDPAR algorithm. Sum of charges associated with revenue codes other than 0100-0219,
revenue center 80X, 82X-88X.

Texas Health Care Information Collection

17

Beginning Position:
Length:
Field 60:

Beginning Position:
Length:
Field 61:

Beginning Position:
Length:
Field 62:
Beginning Position:
Length:
Field 63:
Beginning Position:
Length:
Field 64:
Beginning Position:
Length:
Field 65:
Beginning Position:
Length:
Field 66:
Beginning Position:
Length:
Field 67:

Beginning Position:
Length:
Field 68:

Beginning Position:
Length:
Field 69:

Beginning Position:
Length:
Field 70:

Beginning Position:
Length:
Field 71:

18

454
Data Source: Calculated
12
Numeric
Type:
CLINIC_AMOUNT
Ancillary Service Charge, Clinic Visit Charge Amount. Calculated using MEDPAR algorithm.
Sum of charges associated with revenue codes other than 0100-0219, revenue center 51X.
466
Data Source: Calculated
12
Numeric
Type:
TOTAL_CHARGES
Sum of accommodation charges, non-covered accommodation charges, ancillary charges, noncovered ancillary charges. Replaces TOTAL_CHARGES_23.
478
Data Source: Claim
12
Numeric
Type:
TOTAL_NON_COV_CHARGES
Sum of non-covered accommodation charges, non-covered ancillary charges.
490
Data Source: Claim
12
Numeric
Type:
TOTAL_CHARGES_ACCOMM
Sum of covered and non-covered accommodation charges.
502
Data Source: Claim
12
Numeric
Type:
TOTAL_NON_COV_CHARGES_ACCOMM
Sum of non-covered accommodations charges.
514
Data Source: Claim
12
Numeric
Type:
TOTAL_CHARGES_ANCIL
Sum of covered and non-covered ancillary charges.
526
Data Source: Claim
12
Numeric
Type:
TOTAL_NON_COV_CHARGES_ANCIL
Sum of non-covered ancillary charges.
538
Data Source: Claim
12
Numeric
Type:
ADMITTING_DIAGNOSIS
ICD-9-CM diagnosis code, including the 4th and 5th digits if applicable. Decimal is implied
following the third character.
550
Data Source: Claim
6
Alphanumeric
Type:
PRINC_DIAG_CODE
ICD-9-CM diagnosis code for the principal diagnosis, including the 4th and 5th digits if
applicable. Decimal is implied following the third character.
556
Data Source: Claim
6
Alphanumeric
Type:
OTH_DIAG_CODE_1
ICD-9-CM diagnosis code, including the 4th and 5th digits if applicable. Decimal is implied
following the third character.
562
Data Source: Claim
6
Alphanumeric
Type:
OTH_DIAG_CODE_2
ICD-9-CM diagnosis code, including the 4th and 5th digits if applicable. Decimal is implied
following the third character.
568
Data Source: Claim
6
Alphanumeric
Type:
OTH_DIAG_CODE_3
ICD-9-CM diagnosis code, including the 4th and 5th digits if applicable. Decimal is implied
following the third character.

Texas Health Care Information Collection

Beginning Position:
Length:
Field 72:

Beginning Position:
Length:
Field 73:

Beginning Position:
Length:
Field 74:

Beginning Position:
Length:
Field 75:

Beginning Position:
Length:
Field 76:

Beginning Position:
Length:
Field 77:

Beginning Position:
Length:
Field 78:

Beginning Position:
Length:
Field 79:

Beginning Position:
Length:
Field 80:

Beginning Position:
Length:
Field 81:

Beginning Position:
Length:
Field 82:

574
Data Source: Claim
6
Alphanumeric
Type:
OTH_DIAG_CODE_4
ICD-9-CM diagnosis code, including the 4th and 5th digits if applicable. Decimal is implied
following the third character.
580
Data Source: Claim
6
Alphanumeric
Type:
OTH_DIAG_CODE_5
ICD-9-CM diagnosis code, including the 4th and 5th digits if applicable. Decimal is implied
following the third character.
586
Data Source: Claim
6
Alphanumeric
Type:
OTH_DIAG_CODE_6
ICD-9-CM diagnosis code, including the 4th and 5th digits if applicable. Decimal is implied
following the third character.
592
Data Source: Claim
6
Alphanumeric
Type:
OTH_DIAG_CODE_7
ICD-9-CM diagnosis code, including the 4th and 5th digits if applicable. Decimal is implied
following the third character.
598
Data Source: Claim
6
Alphanumeric
Type:
OTH_DIAG_CODE_8
ICD-9-CM diagnosis code, including the 4th and 5th digits if applicable. Decimal is implied
following the third character.
604
Data Source: Claim
6
Alphanumeric
Type:
OTH_DIAG_CODE_9
ICD-9-CM diagnosis code, including the 4th and 5th digits if applicable. Decimal is implied
following the third character.
610
Data Source: Claim
6
Alphanumeric
Type:
OTH_DIAG_CODE_10
ICD-9-CM diagnosis code, including the 4th and 5th digits if applicable. Decimal is implied
following the third character.
616
Data Source: Claim
6
Alphanumeric
Type:
OTH_DIAG_CODE_11
ICD-9-CM diagnosis code, including the 4th and 5th digits if applicable. Decimal is implied
following the third character.
622
Data Source: Claim
6
Alphanumeric
Type:
OTH_DIAG_CODE_12
ICD-9-CM diagnosis code, including the 4th and 5th digits if applicable. Decimal is implied
following the third character.
628
Data Source: Claim
6
Alphanumeric
Type:
OTH_DIAG_CODE_13
ICD-9-CM diagnosis code, including the 4th and 5th digits if applicable. Decimal is implied
following the third character.
634
Data Source: Claim
6
Alphanumeric
Type:
OTH_DIAG_CODE_14
ICD-9-CM diagnosis code, including the 4th and 5th digits if applicable. Decimal is implied
following the third character.

Texas Health Care Information Collection

19

Beginning Position:
Length:
Field 83:

Beginning Position:
Length:
Field 84:

Beginning Position:
Length:
Field 85:

Beginning Position:
Length:
Field 86:

Beginning Position:
Length:
Field 87:

Beginning Position:
Length:
Field 88:

Beginning Position:
Length:
Field 89:

Beginning Position:
Length:
Field 90:

Beginning Position:
Length:
Field 91:

Beginning Position:
Length:
Field 92:

Beginning Position:
Length:
Field 93:

20

640
Data Source: Claim
6
Alphanumeric
Type:
OTH_DIAG_CODE_15
ICD-9-CM diagnosis code, including the 4th and 5th digits if applicable. Decimal is implied
following the third character.
646
Data Source: Claim
6
Alphanumeric
Type:
OTH_DIAG_CODE_16
ICD-9-CM diagnosis code, including the 4th and 5th digits if applicable. Decimal is implied
following the third character.
652
Data Source: Claim
6
Alphanumeric
Type:
OTH_DIAG_CODE_17
ICD-9-CM diagnosis code, including the 4th and 5th digits if applicable. Decimal is implied
following the third character.
658
Data Source: Claim
6
Alphanumeric
Type:
OTH_DIAG_CODE_18
ICD-9-CM diagnosis code, including the 4th and 5th digits if applicable. Decimal is implied
following the third character.
664
Data Source: Claim
6
Alphanumeric
Type:
OTH_DIAG_CODE_19
ICD-9-CM diagnosis code, including the 4th and 5th digits if applicable. Decimal is implied
following the third character.
670
Data Source: Claim
6
Alphanumeric
Type:
OTH_DIAG_CODE_20
ICD-9-CM diagnosis code, including the 4th and 5th digits if applicable. Decimal is implied
following the third character.
676
Data Source: Claim
6
Alphanumeric
Type:
OTH_DIAG_CODE_21
ICD-9-CM diagnosis code, including the 4th and 5th digits if applicable. Decimal is implied
following the third character.
682
Data Source: Claim
6
Alphanumeric
Type:
OTH_DIAG_CODE_22
ICD-9-CM diagnosis code, including the 4th and 5th digits if applicable. Decimal is implied
following the third character.
688
Data Source: Claim
6
Alphanumeric
Type:
OTH_DIAG_CODE_23
ICD-9-CM diagnosis code, including the 4th and 5th digits if applicable. Decimal is implied
following the third character.
694
Data Source: Claim
6
Alphanumeric
Type:
OTH_DIAG_CODE_24
ICD-9-CM diagnosis code, including the 4th and 5th digits if applicable. Decimal is implied
following the third character.
700
Data Source: Claim
6
Alphanumeric
Type:
PRINC_SURG_PROC_CODE
Code for the principal surgical or other procedure performed during the period covered by the
bill. ICD-9, HCPCS, or CPT code.

Texas Health Care Information Collection

Beginning Position:
Length:
Field 94:

Beginning Position:
Length:
Field 95:

Beginning Position:
Length:
Field 96:

Beginning Position:
Length:
Field 97:

Beginning Position:
Length:
Field 98:

Beginning Position:
Length:
Field 99:

Beginning Position:
Length:
Field 100:

Beginning Position:
Length:
Field 101:

Beginning Position:
Length:
Field 102:

Beginning Position:
Length:
Field 103:

Beginning Position:
Length:
Field 104:

706
Data Source: Claim
7
Alphanumeric
Type:
PRINC_SURG_PROC_DAY
Day of principal surgical or other procedure equals Principal Surgical Procedure Date minus
Admission/Start of Care Date
713
Data Source: Calculated
4
Alphanumeric
Type:
PRINC_ICD9_CODE
ICD-9-CM code for principal surgical or other procedure, including the 4th and 5th digits if
applicable. Decimal is implied following the third character.
717
Data Source: Assigned
5
Alphanumeric
Type:
OTH_SURG_PROC_CODE_1
Code for surgical or other procedure other than the principal procedure performed during the
period covered by the bill. ICD-9, HCPCS, or CPT code.
722
Data Source: Claim
7
Alphanumeric
Type:
OTH_SURG_PROC_DAY_1
Day of other surgical or other procedure equals Other Surgical Procedure Date minus
Admission/Start of Care Date
729
Data Source: Calculated
4
Alphanumeric
Type:
OTH_ICD9_CODE_1
ICD-9-CM code for surgical or other procedure other than the principal procedure, including
the 4th and 5th digits if applicable. Decimal is implied following the third character.
733
Data Source: Assigned
5
Alphanumeric
Type:
OTH_SURG_PROC_CODE_2
Code for surgical or other procedure other than the principal procedure performed during the
period covered by the bill. ICD-9, HCPCS, or CPT code.
738
Data Source: Claim
7
Alphanumeric
Type:
OTH_SURG_PROC_DAY_2
Day of other surgical or other procedure equals Other Surgical Procedure Date minus
Admission/Start of Care Date
745
Data Source: Calculated
4
Alphanumeric
Type:
OTH_ICD9_CODE_2
ICD-9-CM code for surgical or other procedure other than the principal procedure, including
the 4th and 5th digits if applicable. Decimal is implied following the third character.
749
Data Source: Assigned
5
Alphanumeric
Type:
OTH_SURG_PROC_CODE_3
Code for surgical or other procedure other than the principal procedure performed during the
period covered by the bill. ICD-9, HCPCS, or CPT code.
754
Data Source: Claim
7
Alphanumeric
Type:
OTH_SURG_PROC_DAY_3
Day of other surgical or other procedure equals Other Surgical Procedure Date minus
Admission/Start of Care Date
761
Data Source: Calculated
4
Alphanumeric
Type:
OTH_ICD9_CODE_3
ICD-9-CM code for surgical or other procedure other than the principal procedure, including
the 4th and 5th digits if applicable. Decimal is implied following the third character.

Texas Health Care Information Collection

21

Beginning Position:
Length:
Field 105:

Beginning Position:
Length:
Field 106:

Beginning Position:
Length:
Field 107:

Beginning Position:
Length:
Field 108:

Beginning Position:
Length:
Field 109:

Beginning Position:
Length:
Field 110:

Beginning Position:
Length:
Field 111:

Beginning Position:
Length:
Field 112:

Beginning Position:
Length:
Field 113:

Beginning Position:
Length:
Field 114:

Beginning Position:
Length:
Field 115:

22

765
Data Source: Assigned
5
Alphanumeric
Type:
OTH_SURG_PROC_CODE_4
Code for surgical or other procedure other than the principal procedure performed during the
period covered by the bill. ICD-9, HCPCS, or CPT code.
770
Data Source: Claim
7
Alphanumeric
Type:
OTH_SURG_PROC_DAY_4
Day of other surgical or other procedure equals Other Surgical Procedure Date minus
Admission/Start of Care Date
777
Data Source: Calculated
4
Alphanumeric
Type:
OTH_ICD9_CODE_4
ICD-9-CM code for surgical or other procedure other than the principal procedure, including
the 4th and 5th digits if applicable. Decimal is implied following the third character.
781
Data Source: Assigned
5
Alphanumeric
Type:
OTH_SURG_PROC_CODE_5
Code for surgical or other procedure other than the principal procedure performed during the
period covered by the bill. ICD-9, HCPCS, or CPT code.
786
Data Source: Claim
7
Alphanumeric
Type:
OTH_SURG_PROC_DAY_5
Day of other surgical or other procedure equals Other Surgical Procedure Date minus
Admission/Start of Care Date
793
Data Source: Calculated
4
Alphanumeric
Type:
OTH_ICD9_CODE_5
ICD-9-CM code for surgical or other procedure other than the principal procedure, including
the 4th and 5th digits if applicable. Decimal is implied following the third character.
797
Data Source: Assigned
5
Alphanumeric
Type:
OTH_SURG_PROC_CODE_6
Code for surgical or other procedure other than the principal procedure performed during the
period covered by the bill. ICD-9, HCPCS, or CPT code.
802
Data Source: Claim
7
Alphanumeric
Type:
OTH_SURG_PROC_DAY_6
Day of other surgical or other procedure equals Other Surgical Procedure Date minus
Admission/Start of Care Date
809
Data Source: Calculated
4
Alphanumeric
Type:
OTH_ICD9_CODE_6
ICD-9-CM code for surgical or other procedure other than the principal procedure, including
the 4th and 5th digits if applicable. Decimal is implied following the third character.
813
Data Source: Assigned
5
Alphanumeric
Type:
OTH_SURG_PROC_CODE_7
Code for surgical or other procedure other than the principal procedure performed during the
period covered by the bill. ICD-9, HCPCS, or CPT code.
818
Data Source: Claim
7
Alphanumeric
Type:
OTH_SURG_PROC_DAY_7
Day of other surgical or other procedure equals Other Surgical Procedure Date minus
Admission/Start of Care Date

Texas Health Care Information Collection

Beginning Position:
Length:
Field 116:

Beginning Position:
Length:
Field 117:

Beginning Position:
Length:
Field 118:

Beginning Position:
Length:
Field 119:

Beginning Position:
Length:
Field 120:

Beginning Position:
Length:
Field 121:

Beginning Position:
Length:
Field 122:

Beginning Position:
Length:
Field 123:

Beginning Position:
Length:
Field 124:

Beginning Position:
Length:
Field 125:

Beginning Position:
Length:
Field 126:

825
Data Source: Calculated
4
Alphanumeric
Type:
OTH_ICD9_CODE_7
ICD-9-CM code for surgical or other procedure other than the principal procedure, including
the 4th and 5th digits if applicable. Decimal is implied following the third character.
829
Data Source: Assigned
5
Alphanumeric
Type:
OTH_SURG_PROC_CODE_8
Code for surgical or other procedure other than the principal procedure performed during the
period covered by the bill. ICD-9, HCPCS, or CPT code.
834
Data Source: Claim
7
Alphanumeric
Type:
OTH_SURG_PROC_DAY_8
Day of other surgical or other procedure equals Other Surgical Procedure Date minus
Admission/Start of Care Date
841
Data Source: Calculated
4
Alphanumeric
Type:
OTH_ICD9_CODE_8
ICD-9-CM code for surgical or other procedure other than the principal procedure, including
the 4th and 5th digits if applicable. Decimal is implied following the third character.
845
Data Source: Assigned
5
Alphanumeric
Type:
OTH_SURG_PROC_CODE_9
Code for surgical or other procedure other than the principal procedure performed during the
period covered by the bill. ICD-9, HCPCS, or CPT code.
850
Data Source: Claim
7
Alphanumeric
Type:
OTH_SURG_PROC_DAY_9
Day of other surgical or other procedure equals Other Surgical Procedure Date minus
Admission/Start of Care Date.
857
Data Source: Calculated
4
Alphanumeric
Type:
OTH_ICD9_CODE_9
ICD-9-CM code for surgical or other procedure other than the principal procedure, including
the 4th and 5th digits if applicable. Decimal is implied following the third character.
861
Data Source: Assigned
5
Alphanumeric
Type:
OTH_SURG_PROC_CODE_10
Code for surgical or other procedure other than the principal procedure performed during the
period covered by the bill. ICD-9, HCPCS, or CPT code.
866
Data Source: Claim
7
Alphanumeric
Type:
OTH_SURG_PROC_DAY_10
Day of other surgical or other procedure equals Other Surgical Procedure Date minus
Admission/Start of Care Date.
873
Data Source: Calculated
4
Alphanumeric
Type:
OTH_ICD9_CODE_10
ICD-9-CM code for surgical or other procedure other than the principal procedure, including
the 4th and 5th digits if applicable. Decimal is implied following the third character.
877
Data Source: Assigned
5
Alphanumeric
Type:
OTH_SURG_PROC_CODE_11
Code for surgical or other procedure other than the principal procedure performed during the
period covered by the bill. ICD-9, HCPCS, or CPT code.

Texas Health Care Information Collection

23

Beginning Position:
Length:
Field 127:

Beginning Position:
Length:
Field 128:

Beginning Position:
Length:
Field 129:

Beginning Position:
Length:
Field 130:

Beginning Position:
Length:
Field 131:

Beginning Position:
Length:
Field 132:

Beginning Position:
Length:
Field 133:

Beginning Position:
Length:
Field 134:

Beginning Position:
Length:
Field 135:

Beginning Position:
Length:
Field 136:

Beginning Position:
Length:
Field 137:

24

882
Data Source: Claim
7
Alphanumeric
Type:
OTH_SURG_PROC_DAY_11
Day of other surgical or other procedure equals Other Surgical Procedure Date minus
Admission/Start of Care Date.
889
Data Source: Calculated
4
Alphanumeric
Type:
OTH_ICD9_CODE_11
ICD-9-CM code for surgical or other procedure other than the principal procedure, including
the 4th and 5th digits if applicable. Decimal is implied following the third character.
893
Data Source: Assigned
5
Alphanumeric
Type:
OTH_SURG_PROC_CODE_12
Code for surgical or other procedure other than the principal procedure performed during the
period covered by the bill. ICD-9, HCPCS, or CPT code.
898
Data Source: Claim
7
Alphanumeric
Type:
OTH_SURG_PROC_DAY_12
Day of other surgical or other procedure equals Other Surgical Procedure Date minus
Admission/Start of Care Date.
905
Data Source: Calculated
4
Alphanumeric
Type:
OTH_ICD9_CODE_12
ICD-9-CM code for surgical or other procedure other than the principal procedure, including
the 4th and 5th digits if applicable. Decimal is implied following the third character.
909
Data Source: Assigned
5
Alphanumeric
Type:
OTH_SURG_PROC_CODE_13
Code for surgical or other procedure other than the principal procedure performed during the
period covered by the bill. ICD-9, HCPCS, or CPT code.
914
Data Source: Claim
7
Alphanumeric
Type:
OTH_SURG_PROC_DAY_13
Day of other surgical or other procedure equals Other Surgical Procedure Date minus
Admission/Start of Care Date.
921
Data Source: Calculated
4
Alphanumeric
Type:
OTH_ICD9_CODE_13
ICD-9-CM code for surgical or other procedure other than the principal procedure, including
the 4th and 5th digits if applicable. Decimal is implied following the third character.
925
Data Source: Assigned
5
Alphanumeric
Type:
OTH_SURG_PROC_CODE_14
Code for surgical or other procedure other than the principal procedure performed during the
period covered by the bill. ICD-9, HCPCS, or CPT code.
930
Data Source: Claim
7
Alphanumeric
Type:
OTH_SURG_PROC_DAY_14
Day of other surgical or other procedure equals Other Surgical Procedure Date minus
Admission/Start of Care Date.
937
Data Source: Calculated
4
Alphanumeric
Type:
OTH_ICD9_CODE_14
ICD-9-CM code for surgical or other procedure other than the principal procedure, including
the 4th and 5th digits if applicable. Decimal is implied following the third character.

Texas Health Care Information Collection

Beginning Position:
Length:
Field 138:

Beginning Position:
Length:
Field 139:

Beginning Position:
Length:
Field 140:

Beginning Position:
Length:
Field 141:

Beginning Position:
Length:
Field 142:

Beginning Position:
Length:
Field 143:

Beginning Position:
Length:
Field 144:

Beginning Position:
Length:
Field 145:

Beginning Position:
Length:
Field 146:

Beginning Position:
Length:
Field 147:

Beginning Position:
Length:
Field 148:

941
Data Source: Assigned
5
Alphanumeric
Type:
OTH_SURG_PROC_CODE_15
Code for surgical or other procedure other than the principal procedure performed during the
period covered by the bill. ICD-9, HCPCS, or CPT code.
946
Data Source: Claim
7
Alphanumeric
Type:
OTH_SURG_PROC_DAY_15
Day of other surgical or other procedure equals Other Surgical Procedure Date minus
Admission/Start of Care Date.
953
Data Source: Calculated
4
Alphanumeric
Type:
OTH_ICD9_CODE_15
ICD-9-CM code for surgical or other procedure other than the principal procedure, including
the 4th and 5th digits if applicable. Decimal is implied following the third character.
957
Data Source: Assigned
5
Alphanumeric
Type:
OTH_SURG_PROC_CODE_16
Code for surgical or other procedure other than the principal procedure performed during the
period covered by the bill. ICD-9, HCPCS, or CPT code.
962
Data Source: Claim
7
Alphanumeric
Type:
OTH_SURG_PROC_DAY_16
Day of other surgical or other procedure equals Other Surgical Procedure Date minus
Admission/Start of Care Date.
969
Data Source: Calculated
4
Alphanumeric
Type:
OTH_ICD9_CODE_16
ICD-9-CM code for surgical or other procedure other than the principal procedure, including
the 4th and 5th digits if applicable. Decimal is implied following the third character.
973
Data Source: Assigned
5
Alphanumeric
Type:
OTH_SURG_PROC_CODE_17
Code for surgical or other procedure other than the principal procedure performed during the
period covered by the bill. ICD-9, HCPCS, or CPT code.
978
Data Source: Claim
7
Alphanumeric
Type:
OTH_SURG_PROC_DAY_17
Day of other surgical or other procedure equals Other Surgical Procedure Date minus
Admission/Start of Care Date.
985
Data Source: Calculated
4
Alphanumeric
Type:
OTH_ICD9_CODE_17
ICD-9-CM code for surgical or other procedure other than the principal procedure, including
the 4th and 5th digits if applicable. Decimal is implied following the third character.
989
Data Source: Assigned
5
Alphanumeric
Type:
OTH_SURG_PROC_CODE_18
Code for surgical or other procedure other than the principal procedure performed during the
period covered by the bill. ICD-9, HCPCS, or CPT code.
994
Data Source: Claim
7
Alphanumeric
Type:
OTH_SURG_PROC_DAY_18
Day of other surgical or other procedure equals Other Surgical Procedure Date minus
Admission/Start of Care Date.

Texas Health Care Information Collection

25

Beginning Position:
Length:
Field 149:

Beginning Position:
Length:
Field 150:

Beginning Position:
Length:
Field 151:

Beginning Position:
Length:
Field 152:

Beginning Position:
Length:
Field 153:

Beginning Position:
Length:
Field 154:

Beginning Position:
Length:
Field 155:

Beginning Position:
Length:
Field 156:

Beginning Position:
Length:
Field 157:

Beginning Position:
Length:
Field 158:

Beginning Position:
Length:
Field 159:

26

1001
Data Source: Calculated
4
Alphanumeric
Type:
OTH_ICD9_CODE_18
ICD-9-CM code for surgical or other procedure other than the principal procedure, including
the 4th and 5th digits if applicable. Decimal is implied following the third character.
1005
Data Source: Assigned
5
Alphanumeric
Type:
OTH_SURG_PROC_CODE_19
Code for surgical or other procedure other than the principal procedure performed during the
period covered by the bill. ICD-9, HCPCS, or CPT code.
1010
Data Source: Claim
7
Alphanumeric
Type:
OTH_SURG_PROC_DAY_19
Day of other surgical or other procedure equals Other Surgical Procedure Date minus
Admission/Start of Care Date.
1017
Data Source: Calculated
4
Alphanumeric
Type:
OTH_ICD9_CODE_19
ICD-9-CM code for surgical or other procedure other than the principal procedure, including
the 4th and 5th digits if applicable. Decimal is implied following the third character.
1021
Data Source: Assigned
5
Alphanumeric
Type:
OTH_SURG_PROC_CODE_20
Code for surgical or other procedure other than the principal procedure performed during the
period covered by the bill. ICD-9, HCPCS, or CPT code.
1026
Data Source: Claim
7
Alphanumeric
Type:
OTH_SURG_PROC_DAY_20
Day of other surgical or other procedure equals Other Surgical Procedure Date minus
Admission/Start of Care Date.
1033
Data Source: Calculated
4
Alphanumeric
Type:
OTH_ICD9_CODE_20
ICD-9-CM code for surgical or other procedure other than the principal procedure, including
the 4th and 5th digits if applicable. Decimal is implied following the third character.
1037
Data Source: Assigned
5
Alphanumeric
Type:
OTH_SURG_PROC_CODE_21
Code for surgical or other procedure other than the principal procedure performed during the
period covered by the bill. ICD-9, HCPCS, or CPT code.
1042
Data Source: Claim
7
Alphanumeric
Type:
OTH_SURG_PROC_DAY_21
Day of other surgical or other procedure equals Other Surgical Procedure Date minus
Admission/Start of Care Date.
1049
Data Source: Calculated
4
Alphanumeric
Type:
OTH_ICD9_CODE_21
ICD-9-CM code for surgical or other procedure other than the principal procedure, including
the 4th and 5th digits if applicable. Decimal is implied following the third character.
1053
Data Source: Assigned
5
Alphanumeric
Type:
OTH_SURG_PROC_CODE_22
Code for surgical or other procedure other than the principal procedure performed during the
period covered by the bill. ICD-9, HCPCS, or CPT code.

Texas Health Care Information Collection

Beginning Position:
Length:
Field 160:

Beginning Position:
Length:
Field 161:

Beginning Position:
Length:
Field 162:

Beginning Position:
Length:
Field 163:

Beginning Position:
Length:
Field 164:

Beginning Position:
Length:
Field 165:

Beginning Position:
Length:
Field 166:

Beginning Position:
Length:
Field 167:

Beginning Position:
Length:
Field 168:

Beginning Position:
Length:
Field 169:

Beginning Position:
Length:
Field 170:

1058
Data Source: Claim
7
Alphanumeric
Type:
OTH_SURG_PROC_DAY_22
Day of other surgical or other procedure equals Other Surgical Procedure Date minus
Admission/Start of Care Date.
1065
Data Source: Calculated
4
Alphanumeric
Type:
OTH_ICD9_CODE_22
ICD-9-CM code for surgical or other procedure other than the principal procedure, including
the 4th and 5th digits if applicable. Decimal is implied following the third character.
1069
Data Source: Assigned
5
Alphanumeric
Type:
OTH_SURG_PROC_CODE_23
Code for surgical or other procedure other than the principal procedure performed during the
period covered by the bill. ICD-9, HCPCS, or CPT code.
1074
Data Source: Claim
7
Alphanumeric
Type:
OTH_SURG_PROC_DAY_23
Day of other surgical or other procedure equals Other Surgical Procedure Date minus
Admission/Start of Care Date.
1081
Data Source: Calculated
4
Alphanumeric
Type:
OTH_ICD9_CODE_23
ICD-9-CM code for surgical or other procedure other than the principal procedure, including
the 4th and 5th digits if applicable. Decimal is implied following the third character.
1085
Data Source: Assigned
5
Alphanumeric
Type:
OTH_SURG_PROC_CODE_24
Code for surgical or other procedure other than the principal procedure performed during the
period covered by the bill. ICD-9, HCPCS, or CPT code.
1090
Data Source: Claim
7
Alphanumeric
Type:
OTH_SURG_PROC_DAY_24
Day of other surgical or other procedure equals Other Surgical Procedure Date minus
Admission/Start of Care Date.
1097
Data Source: Calculated
4
Alphanumeric
Type:
OTH_ICD9_CODE_24
ICD-9-CM code for surgical or other procedure other than the principal procedure, including
the 4th and 5th digits if applicable. Decimal is implied following the third character.
1101
Data Source: Assigned
5
Alphanumeric
Type:
E_CODE_1
ICD-9-CM diagnosis code, including the 4th and 5th digits if applicable, of the primary
external cause of injury. A decimal is implied following the third character.
1106
Data Source: Claim
5
Alphanumeric
Type:
E_CODE_2
ICD-9-CM diagnosis code, including the 4th and 5th digits if applicable, of an additional
external cause of injury. Decimal is implied following the third character.
1112
Data Source: Claim
5
Alphanumeric
Type:
E_CODE_3
ICD-9-CM diagnosis code, including the 4th and 5th digits if applicable, of an additional
external cause of injury. Decimal is implied following the third character.

Texas Health Care Information Collection

27

Beginning Position:
Length:
Field 171:

Beginning Position:
Length:
Field 172:

Beginning Position:
Length:
Field 173:

Beginning Position:
Length:
Field 174:

Beginning Position:
Length:
Field 175:

Beginning Position:
Length:
Field 176:

Beginning Position:
Length:
Field 177:

Beginning Position:
Length:
Field 178:
Coding Scheme:

1118
Data Source: Claim
5
Alphanumeric
Type:
E_CODE_4
ICD-9-CM diagnosis code, including the 4th and 5th digits if applicable, of an additional
external cause of injury. Decimal is implied following the third character.
1124
Data Source: Claim
5
Alphanumeric
Type:
E_CODE_5
ICD-9-CM diagnosis code, including the 4th and 5th digits if applicable, of an additional
external cause of injury. Decimal is implied following the third character.
1130
Data Source: Claim
5
Alphanumeric
Type:
E_CODE_6
ICD-9-CM diagnosis code, including the 4th and 5th digits if applicable, of an additional
external cause of injury. Decimal is implied following the third character.
1136
Data Source: Claim
5
Alphanumeric
Type:
E_CODE_7
ICD-9-CM diagnosis code, including the 4th and 5th digits if applicable, of an additional
external cause of injury. Decimal is implied following the third character.
1142
Data Source: Claim
5
Alphanumeric
Type:
E_CODE_8
ICD-9-CM diagnosis code, including the 4th and 5th digits if applicable, of an additional
external cause of injury. Decimal is implied following the third character.
1148
Data Source: Claim
5
Alphanumeric
Type:
E_CODE_9
ICD-9-CM diagnosis code, including the 4th and 5th digits if applicable, of an additional
external cause of injury. Decimal is implied following the third character.
1154
Data Source: Claim
5
Alphanumeric
Type:
E_CODE_10
ICD-9-CM diagnosis code, including the 4th and 5th digits if applicable, of an additional
external cause of injury. Decimal is implied following the third character.
1160
Data Source: Claim
5
Alphanumeric
Type:
CONDITION_CODE_1
Code describing a condition relating to the claim.
1
2

Military service related
Condition is employment related

76
77

3
4
5
6

Patient covered by insurance not reflected here
Information only bill.
Lien has been filed
ESRD patient in first 18 months of entitlement
covered by EGHP
Treatment of non-terminal condition for hospice
patient
Beneficiary would not provide information
concerning other insurance coverage
Neither patient or spouse is employed
Patient and/or spouse is employed but no EGHP
exists
Disabled beneficiary but no LGHP coverage
exists
Patient is homeless
Maiden name retained

78
79
80
A0

Back-up in facility dialysis
Provider accepts or is obligated/required due to a
contractual arrangement or law to accept
payment by a primary payer as payment
New coverage not implemented by HMO
CORF services provided offsite
Home dialysis - nursing facility
CHAMPUS external partnership program

A1

EPSDT/CHAP

A2

Physically handicapped children's program

A3
A4

Special Federal Funding
Family planning

A5

Disability

A6
A7

Vaccines/Medicare 100% payment
Induced abortion - danger to life

7
8
9
10
11
17
18

28

Texas Health Care Information Collection

19
20
21
22
23

Child retains mother's name
Beneficiary requested billing
Billing for denial notice
Patient on multiple drug regimen
Home care giver available

A8
A9
AA
AB
AC

24

Home IV patient also receiving HHA services

AD

25

Patient is non-US resident

AE

26

AF

33
34

VA eligible patient chooses to receive services in
a Medicare certified facility
Patient referred to a sole community hospital for
a diagnostic laboratory test
Patient and/or spouse's EGHP is secondary to
Medicare
Disabled beneficiary and/or family member's
LGHP is secondary to Medicare
Non-research services provided to patients
enrolled in a qualified clinical trial
Patient is student (full time - day)
Patient is student (cooperative/work study
program)
Patient is student (full time - night)
Patient is student (part-time)

36
37
38

General care patient in a special unit
Ward accommodation at patient request
Semi-private room not available

AN
B0
B1

39
40
41
42

Private room medically necessary
Same day transfer
Partial hospitalization
Continuing care not related to inpatient
admission
Continuing care not provided within prescribed
postdischarge window
Inpatient admission changed to outpatient
Reserved
Non-availability statement on file
Reserved for CHAMPUS
Psychiatric residential treatment centers for
children and adolescents (RTCs)
Product replacement within product lifecycle
SNF bed not available
Medical appropriateness

B2
B3
B4
C1

27
28
29
30
31
32

43
44
45
46
47
48
49
55
56
57
58
59
60
61
66
67
68
69
70
71
72

SNF readmission
Terminated Medicare+Choice organization
enrollee
Non-primary ESRD facility
Day outlier
Cost outlier
Provider does not wish cost outlier payment
Beneficiary elects not to use life time reserve
(LTR) days
Beneficiary elects to use life time reserve (LTR)
days
IME/DGME/N&AH Payment Only
Self-administered anemia management drug
Full care in unit
Self care in unit

AH

Induced abortion - victim rape/incest
Second opinion surgery
Abortion performed due to rape
Abortion performed due to incest
Abortion performed due to serious fatal genetic
defect, deformity, or abnormality
Abortion performed due to life endangering
physical condition caused by, arising from or
exacerbated by the pregnancy itself
Abortion performed due to physical health of
mother that is not life endangering
Abortion performed due to
emotional/psychological health of mother
Abortion performed due to social or economic
reasons
Elective abortion

AI

Sterilization

AJ

Payer responsible for co-payment

AJ
AK

Payer responsible for co-payment
Air ambulance required

AL
AM

Specialized treatment/bed unavailable
Non-emergency medically necessary stretcher
transport required
Pre-admission screening not required
Medicare coordinated care demonstration claim
Beneficiary is ineligible for demonstration
program
Critical access hospital ambulance attestation
Pregnancy indicator
Admission unrelated to discharge on same day
Approved as billed

AG

C2
C3
C4
C5
C6
C7
D0
D1
D2

Automatic approval as billed based on focused
review
Partial approval
Admission/services denied
Postpayment review applicable
Admission Preauthorization
Extended Authorization

D7
D8
D9

Changes to Service Dates
Changes to Charges
Changes in Revenue Codes/HCPCS/HIPPS rate
code
Second or Subsequent Interim PPS Bill
Change in ICD-9-CM diagnosis and/or procedure
codes.
Cancel to correct HICN or Provider ID
Cancel Only to Repay a Duplicate or OIG
Overpayment
Change to Make Medicare the Secondary Payer
Change to Make Medicare the Primary Payer
Any Other Change

DR

Katrina disaster related

E0
G0
H0
M0

Changes in Patient Status
Distinct Medical Visit
Delayed Filing, Statement of Intent Submitted
All inclusive rate for outpatient services

D3
D4
D5
D6

Texas Health Care Information Collection

29

Beginning Position:
Length:
Field 179:
Coding Scheme:
Beginning Position:
Length:
Field 180:
Coding Scheme:
Beginning Position:
Length:
Field 181:
Coding Scheme:
Beginning Position:
Length:
Field 182:
Coding Scheme:
Beginning Position:
Length:
Field 183:
Coding Scheme:
Beginning Position:
Length:
Field 184:
Coding Scheme:
Beginning Position:
Length:
Field 185:
Coding Scheme:
Beginning Position:
Length:
Field 186:
Coding Scheme:

73

Self care training

M1

74
75

Home
Home - 100% reimbursement

M2
P1
WO

1166
Data Source: Claim
2
Alphanumeric
Type:
CONDITION_CODE_2
Code describing a condition relating to the claim.
Same as Field 178.
1168
Data Source: Claim
2
Alphanumeric
Type:
CONDITION_CODE_3
Code describing a condition relating to the claim.
Same as Field 178.
1170
Data Source: Claim
2
Alphanumeric
Type:
CONDITION_CODE_4
Code describing a condition relating to the claim.
Same as Field 178.
1174
Data Source: Claim
2
Alphanumeric
Type:
CONDITION_CODE_5
Code describing a condition relating to the claim.
Same as Field 178.
1176
Data Source: Claim
2
Alphanumeric
Type:
CONDITION_CODE_6
Code describing a condition relating to the claim.
Same as Field 178.
1178
Data Source: Claim
2
Alphanumeric
Type:
CONDITION_CODE_7
Code describing a condition relating to the claim.
Same as Field 178.
1180
Data Source: Claim
2
Alphanumeric
Type:
CONDITION_CODE_8
Code describing a condition relating to the claim.
Same as Field 178.
1182
Data Source: Claim
2
Alphanumeric
Type:
OCCUR_CODE_1
Code describing a significant event relating to the claim.
1
2
3
4
5
6
9
10
11
12
16

30

Roster billed influenza virus vaccine or
pneumococcal pneumonia vaccine (PPV)
HHA payment significantly exceeds total charges
Do not Resuscitate Order (DNR)
United Mine Workers of America (UMWA)
Demonstration Indicator

Auto accident
No Fault Insurance Involved - Including Auto
Accident/Other
Accident/ Tort Liability
Accident/ Employment Related
Other accident
Crime Victim
Start of Infertility Treatment Cycle
Last Menstrual Period
Onset of Symptoms/ Illness
Date of Onset for a Chronically Dependent
Individual
Date of Last Therapy

40
41

Scheduled date of admission
Date of first test of pre-admission testing

42
43
44
45
46
47
A1
A2

Date of discharge (hospice only)
Scheduled date of canceled surgery
Date treatment started - OT
Date treatment started - ST
Date treatment started - Cardiac rehabiliation
Date cost outlier status begins
Birthdate - Insured A
Effective Date - Insured A Policy

A3

Payer A benefits exhausted

Texas Health Care Information Collection

17
18
19
20
21
22
24
25
26
27
28
29
30
31
32
37
38
39

Beginning Position:
Length:
Field 187:
Beginning Position:
Length:
Field 188:
Coding Scheme:
Beginning Position:
Length:
Field 189:
Beginning Position:
Length:
Field 190:
Coding Scheme:
Beginning Position:
Length:
Field 191:
Beginning Position:
Length:
Field 192:
Coding Scheme:
Beginning Position:
Length:
Field 193:
Beginning Position:

Date Outpatient OT Plan Established or Last
Reviewed
Date of Retirement - Patient/Beneficiary
Date of Retirement - Spouse
Date Guarantee of Payment Began
Date UR Notice Received
Date Active Care Ended
Date Insurance Denied
Date Benefits Terminated by Primary Payer
Date SNF Bed Became Available
Date Home Health Plan Established or Last
Reviewd
Date Comprehensive Outpatient Rehabilitation
Plan Established or Last Reviewed
Date Outpatient PT Plan established or last
reviewed
Date Outpatient ST Plan established or last
reviewed
Date beneficiary notified of intent to bill
(accommodations)
Date beneficiary notified of intent to bill
(procedures or treatments)
Date of inpatient hospital discharge for noncovered transplant patients
Date treatment started for home IV therapy
Date discharged on a continuous course if IV
therapy

A4

Split Bill Date

B1
B2
B3
C1
C2
C3
DR
E1
E2

Birthdate - Insured B
Effective date - Insured B Policy
Payer B benefits exhausted
Birthdate - Insured C
Effective date - Insured C Policy
Payer C benefits exhausted
Katrina disaster related
Birthdate - Insured D
Effective date - Insured D Policy

E3

Payer D benefits exhausted

F1

Birthdate - Insured E

F2

Effective date - Insured E Policy

F3

Payer E benefits exhausted

G1

Birthdate - Insured F

G2

Effective date - Insured F Policy

G3

Payer F benefits exhausted

1182
Data Source: Claim
2
Alphanumeric
Type:
OCCUR_DAY_1
Occurrence Day equals Occurrence Date minus Admission/Start of Care Date.
1184
Data Source: Calculated
4
Alphanumeric
Type:
OCCUR_CODE_2
Code describing a significant event relating to the claim.
Same as Field 186.
1188
Data Source: Claim
2
Alphanumeric
Type:
OCCUR_DAY_2
Occurrence Day equals Occurrence Date minus Admission/Start of Care Date.
1190
Data Source: Calculated
4
Alphanumeric
Type:
OCCUR_CODE_3
Code describing a significant event relating to the claim.
Same as Field 186.
1194
Data Source: Claim
2
Alphanumeric
Type:
OCCUR_DAY_3
Occurrence Day equals Occurrence Date minus Admission/Start of Care Date.
1196
Data Source: Calculated
4
Alphanumeric
Type:
OCCUR_CODE_4
Code describing a significant event relating to the claim.
Same as Field 186.
1200
Data Source: Claim
2
Alphanumeric
Type:
OCCUR_DAY_4
Occurrence Day equals Occurrence Date minus Admission/Start of Care Date.
1202
Data Source: Calculated

Texas Health Care Information Collection

31

Length:
Field 194:
Coding Scheme:
Beginning Position:
Length:
Field 195:
Beginning Position:
Length:
Field 196:
Coding Scheme:
Beginning Position:
Length:
Field 197:
Beginning Position:
Length:
Field 198:
Coding Scheme:
Beginning Position:
Length:
Field 199:
Beginning Position:
Length:
Field 200:
Coding Scheme:
Beginning Position:
Length:
Field 201:
Beginning Position:
Length:
Field 202:
Coding Scheme:
Beginning Position:
Length:
Field 203:
Beginning Position:
Length:
Field 204:
Coding Scheme:
Beginning Position:
Length:
Field 205:
Beginning Position:
Length:

32

4
Alphanumeric
Type:
OCCUR_CODE_5
Code describing a significant event relating to the claim.
Same as Field 186.
1206
Data Source: Claim
2
Alphanumeric
Type:
OCCUR_DAY_5
Occurrence Day equals Occurrence Date minus Admission/Start of Care Date.
1208
Data Source: Calculated
4
Alphanumeric
Type:
OCCUR_CODE_6
Code describing a significant event relating to the claim.
Same as Field 186.
1212
Data Source: Claim
2
Alphanumeric
Type:
OCCUR_DAY_6
Occurrence Day equals Occurrence Date minus Admission/Start of Care Date.
1214
Data Source: Calculated
4
Alphanumeric
Type:
OCCUR_CODE_7
Code describing a significant event relating to the claim.
Same as Field 186.
1218
Data Source: Claim
2
Alphanumeric
Type:
OCCUR_DAY_7
Occurrence Day equals Occurrence Date minus Admission/Start of Care Date.
1220
Data Source: Calculated
4
Alphanumeric
Type:
OCCUR_CODE_8
Code describing a significant event relating to the claim.
Same as Field 186.
1224
Data Source: Claim
2
Alphanumeric
Type:
OCCUR_DAY_8
Occurrence Day equals Occurrence Date minus Admission/Start of Care Date.
1226
Data Source: Calculated
4
Alphanumeric
Type:
OCCUR_CODE_9
Code describing a significant event relating to the claim.
Same as Field 186.
1230
Data Source: Claim
2
Alphanumeric
Type:
OCCUR_DAY_9
Occurrence Day equals Occurrence Date minus Admission/Start of Care Date.
1232
Data Source: Calculated
4
Alphanumeric
Type:
OCCUR_CODE_10
Code describing a significant event relating to the claim.
Same as Field 186.
1236
Data Source: Claim
2
Alphanumeric
Type:
OCCUR_DAY_10
Occurrence Day equals Occurrence Date minus Admission/Start of Care Date.
1238
Data Source: Calculated
4
Alphanumeric
Type:

Texas Health Care Information Collection

Field 206:
Coding Scheme:
Beginning Position:
Length:
Field 207:
Beginning Position:
Length:
Field 208:
Coding Scheme:
Beginning Position:
Length:
Field 209:
Beginning Position:
Length:
Field 210:
Coding Scheme:

Beginning Position:
Length:
Field 211:
Beginning Position:
Length:
Field 212:
Beginning Position:
Length:
Field 213:
Coding Scheme:
Beginning Position:
Length:
Field 214:
Beginning Position:
Length:
Field 215:
Beginning Position:
Length:
Field 216:
Coding Scheme:
Beginning Position:
Length:
Field 217:

OCCUR_CODE_11
Code describing a significant event relating to the claim.
Same as Field 186.
1242
Data Source: Claim
2
Alphanumeric
Type:
OCCUR_DAY_11
Occurrence Day equals Occurrence Date minus Admission/Start of Care Date.
1244
Data Source: Calculated
4
Alphanumeric
Type:
OCCUR_CODE_12
Code describing a significant event relating to the claim.
Same as Field 186.
1248
Data Source: Claim
2
Alphanumeric
Type:
OCCUR_DAY_12
Occurrence Day equals Occurrence Date minus Admission/Start of Care Date.
1250
Data Source: Calculated
4
Alphanumeric
Type:
OCCUR_SPAN_CODE_1
Code describing a significant event relating to the claim that may affect payer processing.
70
71
72
73
74
75
76
77

Qualifying stay dates (for SNF use only)
Prior stay dates
First/Last Visit
Benefit eligibility period
Noncovered level of care/Leave of absence
SNF level of care
Patient Liability Period
Provider Liability - Utilization Charged

78
79
DR
M0
M1
M2
M3
M4

SNF prior stay dates
Payer use codes
Katrina disaster related
PRO/UR approved stay dates
Provider liability - no utilization
Inpatient respite dates
ICF level of care
Residential level of care

1254
Data Source: Claim
2
Alphanumeric
Type:
OCCUR_SPAN_FROM_1
Occurrence Span From equals Beginning Date of Event minus Admission/Start of Care Date.
1256
Data Source: Calculated
6
Alphanumeric
Type:
OCCUR_SPAN_THRU_1
Occurrence Span Thru equals Ending Date of Event minus Admission/Start of Care Date.
1262
Data Source: Calculated
6
Alphanumeric
Type:
OCCUR_SPAN_CODE_2
Code describing a significant event relating to the claim that may affect payer processing.
Same as Field 210.
1268
Data Source: Claim
2
Alphanumeric
Type:
OCCUR_SPAN_FROM_2
Occurrence Span From equals Beginning Date of Event minus Admission/Start of Care Date.
1270
Data Source: Calculated
6
Alphanumeric
Type:
OCCUR_SPAN_THRU_2
Occurrence Span Thru equals Ending Date of Event minus Admission/Start of Care Date.
1276
Data Source: Calculated
6
Alphanumeric
Type:
OCCUR_SPAN_CODE_3
Code describing a significant event relating to the claim that may affect payer processing.
Same as Field 210.
1282
Data Source: Claim
2
Alphanumeric
Type:
OCCUR_SPAN_FROM_3

Texas Health Care Information Collection

33

Beginning Position:
Length:
Field 218:
Beginning Position:
Length:
Field 219:
Coding Scheme:
Beginning Position:
Length:
Field 220:
Beginning Position:
Length:
Field 221:
Beginning Position:
Length:
Field 222:
Coding Scheme:

Occurrence Span From equals Beginning Date of Event minus Admission/Start of Care Date.
1284
Data Source: Calculated
6
Alphanumeric
Type:
OCCUR_SPAN_THRU_3
Occurrence Span Thru equals Ending Date of Event minus Admission/Start of Care Date.
1290
Data Source: Calculated
6
Alphanumeric
Type:
OCCUR_SPAN_CODE_4
Code describing a significant event relating to the claim that may affect payer processing.
Same as Field 210.
1296
Data Source: Claim
2
Alphanumeric
Type:
OCCUR_SPAN_FROM_4
Occurrence Span From equals Beginning Date of Event minus Admission/Start of Care Date.
1298
Data Source: Calculated
6
Alphanumeric
Type:
OCCUR_SPAN_THRU_4
Occurrence Span Thru equals Ending Date of Event minus Admission/Start of Care Date.
1304
Data Source: Calculated
6
Alphanumeric
Type:
VALUE_CODE_1
Code describing information that may affect payer processing.
1
2
4
5
6
8
9
10
11
12
13
14
15
16
21
22
23
24
25
26
27
28
29
30
31

34

Most common semi-private rate
Hospital has no semi-private rooms
Inpatient professional component charges which
are combined billed
Professional component included in charges and
also billed separately to carrier
Medicare blood deductible
Medicare life time reserve amount in the first
calendar year
Medicare coinsurance amount in the first
calendar year
Medicare lifetime reserve amount in the second
calendar year
Medicare coinsurance amount in the second
calendar year
Working aged beneficiary/spouse with employer
group health plan
ESRD beneficiary in a Medicare coordination
period with an employer group health plan
No fault, including auto/other
Worker's compensation
Public health service (PHS) or other federal
agency
Catastrophic
Surplus
Recurring monthly income
Medicaid Rate Code
Offset to the patient - payment amount prescription drugs
Offset to the patient - payment amount - hearing
and ear services
Offset to the patient - payment amount - vision
and eye services
Offset to the patient - payment amount - dental
services
Offset to the patient - payment amount chiropractic services
Preadmission testing
Patient Liability Amount

66
67
68

Medicaid spenddown amount
Peritoneal dialysis
EPO-drug

69

State charity care percentage

72
73

Flat rate surgery charge
Drug deductible

74

Drug coinsurance

77

New technology add-on payment

A0

Special zip code reporting

A1

Deductible payer A

A2

Coinsurance payer A

A3
A4
A5

B1

Estimated responsibility payer A
Covered self-administrable drugs - emergency
Covered self-administrable drugs - administrable
in form and situation furnished to patient
Covered self-administrable drugs - diagnostic
study and other
Co-payment payer A
Patient weight
Patient height
Regulatory surcharges, assessments, allowances
or health care related taxes - payer A
Other assessments or allowances (e.g., medical
eduction) - payer A
Deductible payer B

B2

Coinsurance payer B

B3

Estimated responsibility payer B

B7
BA

Co-payment payer B
Regulatory surcharges, assessments, allowances
or health care related taxes - payer B

A6
A7
A8
A9
AA
AB

Texas Health Care Information Collection

32

Multiple patient ambulance transport

BB

33

C1
C2

Coinsurance payer C

C3

Estimated responsibility payer C

37
38

Offset to the patient - payment amount - podiatric
services
Offset to the patient - payment amount - other
medical services
Offset to the patient - payment amount - health
insurance premiums
Pints of blood furnished
Blood deductible pints

Other assessments or allowances (e.g., medical
eduction) - payer B
Deductible payer C

C7
CA

39

Pints of blood replaced

CB

40
41
42
43
44

D3
DR
E1
E2
E3

45
46

New coverage not implemented by HMO
Black lung
VA
Disabled beneficiary under age 65 with LGHP
Amount provider agreed to accept from primary
payer when this amount is less than charges but
higher than payment received
Accident hour
Number of grace days

Co-payment payer C
Regulatory surcharges, assessments, allowances
or health care related taxes - payer C
Other assessments or allowances (e.g., medical
eduction) - payer C
Patient estimated responsibility
Katrina disaster related
Deductible Payer D
Coinsurance Payer D
Coinsurance Payer D

47

Any liability insurance

EB

48
49
50
51
52

Hemoglobin reading
Hematocrit reading
PT visits
OT visits
ST visits

F1
F2
F3
F7
FA

53

Cardiac rehab visits

FB

54
55
56
57
58
59

Newborn birth weight in grams
Eligibility threshold for charity care
Skilled nurse - home visit hours
Home health aide - home visit hours
Arterial blood gas
Oxygen saturation

G1
G1
G2
G3
G7
GA

60

HHA branch MSA

GB

61

Location where service is furnished (HHA and
hospice)

P1

34
35

E7
EA

Y1
Y2
Y3
Y4

Beginning Position:
Length:
Field 223:
Beginning Position:
Length:
Field 224:
Coding Scheme:
Beginning Position:
Length:
Field 225:

Co-payment payer D
Regulatory surcharges, assessments, allowances
or health care related taxes - payer D
Other assessments or allowances (e.g. medical
education) - payer D
Deductible Payer E
Coinsurance Payer E
Coinsurance Payer E
Co-payment payer E
Regulatory surcharges, assessments, allowances
or health care related taxes - payer E
Other assessments or allowances (e.g. medical
education) - payer E
Deductible Payer F
Deductible Payer F
Coinsurance Payer F
Coinsurance Payer F
Co-payment payer F
Regulatory surcharges, assessments, allowances
or health care related taxes - payer F
Other assessments or allowances (e.g. medical
education) - payer F
Do not resuscitate order (DNR)
Part A Demonstration Payment
Part B Demonstration Payment
Part B Coinsurance
Conventional Provider Payment Amount for
Non-Demonstration Claims

1310
Data Source: Claim
2
Alphanumeric
Type:
VALUE_AMOUNT_1
Dollar amount that may be affected.
1312
Data Source: Claim
9
Alphanumeric
Type:
VALUE_CODE_2
Code describing information that may affect payer processing.
Same as Field 222.
1321
Data Source: Claim
2
Alphanumeric
Type:
VALUE_AMOUNT_2
Dollar amount that may be affected.

Texas Health Care Information Collection

35

Beginning Position:
Length:
Field 226:
Coding Scheme:
Beginning Position:
Length:
Field 227:
Beginning Position:
Length:
Field 228:
Coding Scheme:
Beginning Position:
Length:
Field 229:
Beginning Position:
Length:
Field 230:
Coding Scheme:
Beginning Position:
Length:
Field 231
Beginning Position:
Length:
Field 232:
Coding Scheme:
Beginning Position:
Length:
Field 233:
Beginning Position:
Length:
Field 234:
Coding Scheme:
Beginning Position:
Length:
Field 235:
Beginning Position:
Length:
Field 236:
Coding Scheme:
Beginning Position:
Length:
Field 237:
Beginning Position:

36

1323
Data Source: Claim
9
Alphanumeric
Type:
VALUE_CODE_3
Code describing information that may affect payer processing.
Same as Field 222.
1332
Data Source: Claim
2
Alphanumeric
Type:
VALUE_AMOUNT_3
Dollar amount that may be affected.
1334
Data Source: Claim
9
Alphanumeric
Type:
VALUE_CODE_4
Code describing information that may affect payer processing.
Same as Field 222.
1343
Data Source: Claim
2
Alphanumeric
Type:
VALUE_AMOUNT_4
Dollar amount that may be affected.
1345
Data Source: Claim
9
Alphanumeric
Type:
VALUE_CODE_5
Code describing information that may affect payer processing.
Same as Field 222.
1354
Data Source: Claim
2
Alphanumeric
Type:
VALUE_AMOUNT_5
Dollar amount that may be affected.
1356
Data Source: Claim
9
Alphanumeric
Type:
VALUE_CODE_6
Code describing information that may affect payer processing.
Same as Field 222.
1365
Data Source: Claim
2
Alphanumeric
Type:
VALUE_AMOUNT_6
Dollar amount that may be affected.
1367
Data Source: Claim
9
Alphanumeric
Type:
VALUE_CODE_7
Code describing information that may affect payer processing.
Same as Field 222.
1376
Data Source: Claim
2
Alphanumeric
Type:
VALUE_AMOUNT_7
Dollar amount that may be affected.
1378
Data Source: Claim
9
Alphanumeric
Type:
VALUE_CODE_8
Code describing information that may affect payer processing.
Same as Field 222.
1387
Data Source: Claim
2
Alphanumeric
Type:
VALUE_AMOUNT_8
Dollar amount that may be affected.
1389
Data Source: Claim

Texas Health Care Information Collection

Length:
Field 238:
Coding Scheme:
Beginning Position:
Length:
Field 239:
Beginning Position:
Length:
Field 240:
Coding Scheme:
Beginning Position:
Length:
Field 241:
Beginning Position:
Length:
Field 242:
Coding Scheme:
Beginning Position:
Length:
Field 243:
Beginning Position:
Length:
Field 244:
Coding Scheme:
Beginning Position:
Length:
Field 245:
Beginning Position:
Length:
Field 246:

Beginning Position:
Length:
Field 247:
Beginning Position:
Length:
Field 248:

Beginning Position:
Length:
Field 249:

9
Alphanumeric
Type:
VALUE_CODE_9
Code describing information that may affect payer processing.
Same as Field 222.
1398
Data Source: Claim
2
Alphanumeric
Type:
VALUE_AMOUNT_9
Dollar amount that may be affected.
1400
Data Source: Claim
9
Alphanumeric
Type:
VALUE_CODE_10
Code describing information that may affect payer processing.
Same as Field 222.
1409
Data Source: Claim
2
Alphanumeric
Type:
VALUE_AMOUNT_10
Dollar amount that may be affected.
1411
Data Source: Claim
9
Alphanumeric
Type:
VALUE_CODE_11
Code describing information that may affect payer processing.
Same as Field 222.
1420
Data Source: Claim
2
Alphanumeric
Type:
VALUE_AMOUNT_11
Dollar amount that may be affected.
1422
Data Source: Claim
9
Alphanumeric
Type:
VALUE_CODE_12
Code describing information that may affect payer processing.
Same as Field 222.
1431
Data Source: Claim
2
Alphanumeric
Type:
VALUE_AMOUNT_12
Dollar amount that may be affected.
1433
Data Source: Claim
9
Alphanumeric
Type:
CMS-MDC
Major Diagnostic Category (MDC) as assigned by Centers for Medicare and Medicaid Services
(CMS) (formerly Health Care Financing Administration (HCFA)) for hospital payment for
Medicare beneficiaries. First available 2004.
1442
Data Source: Assigned
2
Alphanumeric
Type:
APR-MDC
Major Diagnostic Category (MDC) as assigned by 3M APR-DRG Grouper, version 26.
1444
Data Source: Assigned
2
Alphanumeric
Type:
CMS-DRG
Centers for Medicare and Medicaid Services (CMS) Diagnosis Related Group (DRG), version
26, as assigned for hospital payment for Medicare beneficiaries.
1446
Data Source: Assigned
3
Alphanumeric
Type:
APR-DRG
All Patient Refined (APR) Diagnosis Related Group (DRG) as assigned by 3M APR-DRG
Grouper, version 26.

Texas Health Care Information Collection

37

Beginning Position:
Length:
Field 250:

Coding Scheme:

Beginning Position:
Length:
Field 251:

Coding Scheme:

Beginning Position:
Length:
Field 252:

Suppression:
Beginning Position:
Length:
Field 253:

Suppression:

1449
Data Source: Assigned
3
Alphanumeric
Type:
RISK_MORTALITY
Assignment of a risk of mortality score from the All Patient Refined (APR) Diagnosis Related
Group (DRG) from the 3M APR-DRG Grouper, version 26. Indicates the likelihood of dying.
1
2
3
4

Minor
Moderate
Major
Extreme

1452
Data Source: Assigned
1
Alphanumeric
Type:
ILLNESS_SEVERITY
Assignment of a severity of illness score from the All Patient Refined (APR) Diagnosis Related
Group (DRG) from the 3M APR-DRG Grouper, version 26. Indicates the extent of physiologic
decompensation.
1
2
3
4

Minor
Moderate
Major
Extreme

1453
Data Source: Assigned
1
Alphanumeric
Type:
ATTENDING_PHYSICIAN_UNIF_ID
Attending Physician Uniform Identifier. Unique identifier assigned to the licensed physician
expected to certify medical necessity of services rendered, with primary responsibility for the
patient’s medical care and treatment. Physician is an individual licensed to practice medicine
under the Medical Practice Act. Can include an individual other than a physician who admits
patients to hospitals or who provides diagnostic or therapeutic procedures to inpatients,
including psychologists, chiropractors, dentists, nurse practitioners, nurse midwives, and
podiatrists authorized by the hospital to admit or treat patients.
Suppressed when the number of physicians represented in a DRG for a hospital is less than the
minimum cell size of five.
1454
Data Source: Assigned
10
Alphanumeric
Type:
OPERATING_PHYSICIAN_UNIF_ID
Operating or other Physician Uniform Identifier (if applicable). Unique identifier assigned to
the operating physician or physician other than the attending physician. Physician is an
individual licensed to practice medicine under the Medical Practice Act. Can include an
individual other than a physician who admits patients to hospitals or who provides diagnostic or
therapeutic procedures to inpatients, including psychologists, chiropractors, dentists, nurse
practitioners, nurse midwives, and podiatrists authorized by the hospital to admit or treat
patients.
Suppressed when the number of physicians represented in a DRG for a hospital is less than the
minimum cell size of five.

Coding Scheme:

9999999998
9999999999

Beginning Position:
Length:
Field 254:

1464
Data Source: Assigned
10
Alphanumeric
Type:
CERT_STATUS
Assignment of a code to indicate the certification of data and submission of comments by the
hospital. First available 3rd quarter 1999.

Coding Scheme:

Beginning Position:
Length:

38

1
2
3
4
5
6

1474
1

Cell size less than 5
Temporary license or license number could not be matched

Certified, without comment
Certified, with comment
Certified, with comment, comment not received by deadline
Hospital elected not to certify
Hospital closed, data not certified
Hospital out of compliance, did not certify data

Data Source:
Type:

Assigned
Alphanumeric

Texas Health Care Information Collection

Field 255:
Description:
Beginning Position:
Length:

RECORD_ID
Record Identification Number. Unique number assigned to identify the record. First available
1st quarter 2002.
1475
Assigned
Data Source:
12
Alphanumeric
Type:

References:
There are currently three major versions of the Diagnosis Related Groups (DRGs) in use. The basic DRGs are used by
the Centers for Medicare and Medicaid Services (CMS) (formerly known as the Health Care Financing Administration
(HCFA)) for hospital payment for Medicare beneficiaries. The All Patient DRGs (AP-DRGs) are an expansion of the
basic DRGs to be more representative of non-Medicare populations such as pediatric patients. The All Patient Refined
DRGs (APR-DRGs) incorporate severity of illness and risk or mortality subclasses into the AP-DRGs. The CMS DRGs
and the APR-DRGs are included in this data.

Texas Health Care Information Collection

39

CHARGES DATA FILE
Field 1:
Description:
Beginning Position:
Length:
Field 2:
Description:
Coding Scheme:

RECORD_ID
Record Identification Number. Unique number assigned to identify the record. First available
1st quarter 2002.
1
Assigned
Data Source:
12
Alphanumeric
Type:
REVENUE_CODE
Code corresponding to each specific accommodation, ancillary service or billing calculation
related to the services being billed.
100
101
110
111

516
517
519
520

Clinic - urgent care
Clinic - family practice
Clinic - other
Freestanding Clinic - general

112

All-inclusive room charges plus ancillary
All-inclusive room charges
Room charges for private rooms - general
Room charges for private rooms medical/surgical/GYN
Room charges for private rooms - obstetrics

521

113

Room charges for private rooms - pediatric

522

114
115

Room charges for private rooms - psychiatric
Room charges for private rooms - hospice

523
524

116

Room charges for private rooms - detoxification

525

117
118

Room charges for private rooms - oncology
Room charges for private rooms - rehabilitation

526
527

119

Room charges for private rooms - other

528

120
121

Room charges for semi-private rooms - general
Room charges for semi-private rooms medical/surgical/GYN
Room charges for semi-private rooms obstetrics
Room charges for semi-private rooms pediatric
Room charges for semi-private rooms psychiatric
Room charges for semi-private rooms - hospice
Room charges for semi-private rooms detoxification
Room charges for semi-private rooms oncology
Room charges for semi-private rooms rehabilitation
Room charges for semi-private rooms - other
Room charges for semi-private - 3/4 beds rooms - general
Room charges for semi-private - 3/4 beds rooms - medical/surgical/GYN
Room charges for semi-private - 3/4 beds rooms - obstetrics
Room charges for semi-private - 3/4 beds rooms - pediatric
Room charges for semi-private - 3/4 beds rooms - psychiatric
Room charges for semi-private - 3/4 beds rooms - hospice
Room charges for semi-private - 3/4 beds rooms - detoxification
Room charges for semi-private - 3/4 beds rooms - oncology

529
530

Freestanding Clinic - Clinic Visit by Member to
RHC/FQHC
Freestanding Clinic - Home Visit by
RHC/FQHC Practitioner
Freestanding Clinic - family practice
Freestanding Clinic - Visit by RHC/FQHC
Practitioner to a Member in a Covered Part A
Stay at SNF
Freestanding Clinic - Visit by RHC/FQHC
Practitioner to a Member in a SNF (not Covered
Part A Stay) or NF or ICF MR or Other
Residential Facility
Freestanding Clinic - urgent care
Freestanding Clinic - Visiting Nurse Services(s)
to a Member's Home when in a Home Health
Shortage Area
Freestanding Clinic – Visit by RHC/FQHC
Practitioner to Other non RHC/FQHC Site (e.g.
Scene of Accident)
Freestanding Clinic - other
Osteopathic service - general

531

Osteopathic service - therapy

539

Osteopathic service - other

540

Ambulance service - general

541
542

Ambulance service - supplies
Ambulance service - medical transport

543

Ambulance service - heart mobile

544

Ambulance service - oxygen

545
546

Ambulance service - air ambulance
Ambulance service - neonatal

547

Ambulance service - pharmacy

548
549

Ambulance service - telephone transmission
EKG
Ambulance service - other

550

Skilled nursing - general

551

Skilled nursing - visit charge

552

Skilled nursing - hourly charge

559

Skilled nursing - other

122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137

40

Texas Health Care Information Collection

138

152
153
154

Room charges for semi-private - 3/4 beds rooms - rehabilitation
Room charges for semi-private - 3/4 beds rooms - other
Room charges for private (deluxe) rooms general
Room charges for private (deluxe) rooms medical/surgical/GYN
Room charges for private (deluxe) rooms obstetrics
Room charges for private (deluxe) rooms pediatric
Room charges for private (deluxe) rooms psychiatric
Room charges for private (deluxe) rooms hospice
Room charges for private (deluxe) rooms detoxification
Room charges for private (deluxe) rooms oncology
Room charges for private (deluxe) rooms rehabilitation
Room charges for private (deluxe) rooms other
Room charges for ward rooms - general
Room charges for ward rooms medical/surgical/GYN
Room charges for ward rooms - obstetrics
Room charges for ward rooms - pediatric
Room charges for ward rooms - psychiatric

155

Room charges for ward rooms - hospice

602

156

Room charges for ward rooms - detoxification

603

157
158
159
160
161

604
610
611
612
619

162
163

Room charges for ward rooms - oncology
Room charges for ward rooms - rehabilitation
Room charges for ward rooms - other
Room charges for other rooms - general
Room charges for other rooms medical/surgical/GYN
Room charges for other rooms - obstetrics
Room charges for other rooms - pediatric

164
165

Room charges for other rooms - psychiatric
Room charges for other rooms - hospice

623
624

166
167

Room charges for other rooms - detoxification
Room charges for other rooms - oncology

630
631

168

Room charges for other rooms - rehabilitation

632

169

Room charges for other rooms - other

633

170

Room charges for nursery - general

634

171

Room charges for nursery - newborn level I

635

172

Room charges for nursery - newborn level II

636

173

Room charges for nursery - newborn level III

637

174
179

Room charges for nursery - newborn level IV
Room charges for nursery - other

640
641

180

Room charges for LOA - general

642

139
140
141
142
143
144
145
146
147
148
149
150
151

560

Medical social services - general

561

Medical social services - visit charge

562

Medical social services - hourly charge

569

Medical social services - other

570

Home health aide - general

571

Home health aide - visit charge

572

Home health aide - hourly charge

579

Home health aide - other

580

Other visits (home health) - general

581

Other visits (home health) - visit charge

582

Other visits (home health) - hourly charge

583

Other visits (home health) - assessment

589
590

Other visits (home health) - other
Units of service (home health) - general

599
600
601

Units of service (home health) - other
Oxygen (home health) - general
Oxygen (home health) - stat/equip/supply or
contents
Oxygen (home health) - stat/equip/supply under
1 liter per minute
Oxygen (home health) - stat/equip/supply over 4
liters per minute
Oxygen (home health) - portable add-in
MRI - general
MRI - brain (including brain stem)
MRI - spinal cord (including spine)
MRI - other

621
622

Texas Health Care Information Collection

Medical/surgical supplies - incident to radiology
Medical/surgical supplies - incident to other
diagnostic services
Medical/surgical supplies - surgical dressings
Medical/surgical supplies - FDA investigational
devices
Drugs requiring specific identification - general
Drugs requiring specific identification - single
source
Drugs requiring specific identification - multiple
source
Drugs requiring specific identification restrictive prescription
Drugs requiring specific identification - EPO,
less than 10,000 units
Drugs requiring specific identification - EPO,
10,000 or more units
Drugs requiring specific identification requiring detailed coding
Drugs requiring specific identification - selfadminstrable nto requiring detailed coding
Home IV therapy services - general
Home IV therapy services - nonroutine nursing,
central line
Home IV therapy services - IV site care, central
line

41

182

Room charges for LOA - patient convenicecharges billable
Room charges for LOA - therapeutic leave

643

645

185

Room charges for LOA - ICF mentally retarded
- any reason
Room charges for LOA - hospitalization

189

Room charges for LOA - other

647

190

Room charges for subacute care - general

648

191

649
650

Hospice services - general

651

Hospice services - routine home care

652

Hospice services - continuous home care

199
200

Room charges for subacute care - Level I
(skilled care)
Room charges for subacute care - Level II
(comprehensive care)
Room charges for subacute care - Level III
(complex care)
Room charges for subacute care - Level IV
(intensive care)
Room charges for subacute care - other
Room charges for intensive care - general

Home IV therapy services - IV start/change,
peripheral line
Home IV therapy services - nonroutine nursing,
peripheral line
Home IV therapy services - training
patient/caregiver, central line
Home IV therapy services - traning, disabled
patient, central line
Home IV therapy services - training,
patient/caregiver, peripheral
Home IV therapy services - training, disabled
patient, peripheral
Home IV therapy services - other

655
656

201
202

Room charges for intensive care - surgical
Room charges for intensive care - medical

657
658

203
204
206

Room charges for intensive care - pediatric
Room charges for intensive care - psychiatric
Room charges for intensive care - intermediate
intensive care unit (ICU)
Room charges for intensive care - burn care

659
660
661

Hospice services - inpatient respite care
Hospice services - general inpatient care
(nonrespite)
Hospice services - physician services
Hospice services - room and board - nursing
facility
Hospice services - other
Respite care - general
Respite care - hourly charge/skilled nursing

Room charges for intensive care - trauma
Room charges for intensive care - other
Room charges for coronary care - general
Room charges for coronary care - myocardial
infarction
Room charges for coronary care - pulmonary
care
Room charges for coronary care - heart
transplant
Room charges for coronary care - intermediate
coronary care unit (CCU)
Room charges for coronary care - other
Special charges - general
Special charges - admission charge
Special charges - technical support charge
Special charges - UR service charge
Special charges - late discharge, medically
necessary
Special charges - other
Incremental nursing care - general
Incremental nursing care - nursery
Incremental nursing care - OB
Incremental nursing care - ICU (includes
transitional care)
Incremental nursing care - CCU (includes
transitional care)
Incremental nursing care - hospice
Incremental nursing care - other
All-inclusive ancillary - general
All-inclusive ancillary - other
Pharmacy - general
Pharmacy - generic drugs

663
669
670
671

Respite care - hourly
charge/aide/homemaker/companion
Respite care - daily charge
Respite care - other
Outpatient special residence - general
Outpatient special residence - hospital based

672

Outpatient special residence - contracted

679

Outpatient special residence - other

681

Trauma response - level I

682
683
684
689
700
709

Trauma response - level II
Trauma response - level III
Trauma response - level IV
Trauma response - other
Cast Room services - general
Cast Room services - other

710
719
720
721
722

Recovery Room services - general
Recovery Room services - other
Labor/Delivery Room services - general
Labor/Delivery Room services - labor
Labor/Delivery Room services - delivery

723

Labor/Delivery Room services - circumcision

724
729
730
731
732
739

Labor/Delivery Room services - birthing center
Labor/Delivery Room services - other
EKG/ECG services - general
EKG/ECG services - holter monitor
EKG/ECG services - telemetry
EKG/ECG services - other

183
184

192
193
194

207
208
209
210
211
212
213
214
219
220
221
222
223
224
229
230
231
232
233
234
235
239
240
249
250
251

42

644

646

662

Texas Health Care Information Collection

252
253
254

740
749
750

EEG services - general
EEG services - other
Gastrointestinal services - general

255
256

Pharmacy - nongeneric drugs
Pharmacy - take-home drugs
Pharmacy - drugs incident to other diagnostic
services
Pharmacy - drugs incident to radiology
Pharmacy - experimental drugs

759
760

257

Pharmacy - nonprescription

761

258

Pharmacy - IV solutions

762

Gastrointestinal services - other
Treatment or observation room services general
Specialty Room - Treatment/ Observation Room
- Treatment Room
Specialty Room - Treatment/ Observation Room
- Observation Room

259
260
261
262

Pharmacy - other
IV Therapy - general
IV Therapy - infusion pump
IV Therapy - pharmacy services

769
770
771

263
264
269
270
271

779
780
789
790
799

800

Inpatient renal dialysis services - general

801

Inpatient renal dialysis services - hemodialysis

802

279
280
289
290
291
292

IV Therapy - durg/supply delivery
IV Therapy - supplies
IV Therapy - other
Medical surgical supplies and devices - general
Medical surgical supplies and devices nonsterile
Medical surgical supplies and devices - sterile
Medical surgical supplies and devices - takehome
Medical surgical supplies and devices prosthetic/orthotic
Medical surgical supplies and devices pacemaker
Medical surgical supplies and devices intraocular lens (IOL)
Medical surgical supplies and devices - oxygen
- take-home
Medical surgical supplies and devices - other
implants
Medical surgical supplies and devices - other
Oncology - general
Oncology - other
DME - general
DME - rental
DME - purchase of new

Treatment or observation room services - other
Preventive care services - general
Preventive care services - vaccine
administration
Preventive care services - other
Telemedicine services - general
Telemedicine services - other
Extra-corporeal shockwave therapy - general
Extra-corporeal shockwave therapy - other

293
294
299

DME - purchase of used
DME - supplies/drugs for DME effectiveness
DME - other equipment

819
820
821

300

Laboratory - general

825

301
302

Laboratory - chemistry
Laboratory - immunology

829
830

303

Laboratory - renal patient (home)

831

304

Laboratory - nonroutine dialysis

835

305
306
307

Laboratory - hemotology
Laboratory - bacteriology and microbiology
Laboratory - urology

839
840
841

309
310
311
312

Laboratory - other
Laboratory pathological - general
Laboratory pathological - cytology
Laboratory pathological - histology

845
849
850
851

Inpatient renal dialysis services - peritoneal
(non-CAPD)
Inpatient renal dialysis services - continuous
ambulatory peritoneal dialysis (CAPD)
Inpatient renal dialysis services - continuous
cycling peritoneal dialysis (CAPD)
Inpatient renal dialysis services - other
Organ acquisition - general
Organ acquisition - living donor
Organ acquisition - cadaver donor
Organ acquisition - unknown donor
Organ acquisition - unsuccessful organ searchdonor bank charges
Organ acquisition - other donor
Hemodialysis - outpatient or home - general
Hemodialysis - outpatient or home - composite
or other rate
Hemodialysis - outpatient or home - support
services
Hemodialysis - outpatient or home - other
Peritoneal dialysis - outpatient or home general
Peritoneal dialysis - outpatient or home composite or other rate
Peritoneal dialysis - outpatient or home support services
Peritoneal dialysis - outpatient or home - other
CAPD - outpatient or home - general
CAPD - outpatient or home - composite or other
rate
CAPD - outpatient or home - support services
CAPD - outpatient or home - other
CCPD - outpatient or home - general
CCPD - outpatient or home - composite or other
rate

272
273
274
275
276
277
278

803
804
809
810
811
812
813
814

Texas Health Care Information Collection

43

313
319
320
321
322
323
324
329

Laboratory pathological - biopsy
Laboratory pathological - other
Radiology - diagnostic - general
Radiology - diagnostic - angiocardiography
Radiology - diagnostic - arthrography
Radiology - diagnostic - arteriography
Radiology - diagnostic - chest x-ray
Radiology - diagnostic - other

855
859
880
881
882
889
900
901

330

Radiology - therapeutic and/or chemotherapy
adminstration - general
Radiology - therapeutic and/or chemotherapy
adminstration - chemotherapy - injected
Radiology - therapeutic and/or chemotherapy
adminstration - chemotherapy - oral
Radiology - therapeutic and/or chemotherapy
adminstration - radiation therapy
Radiology - therapeutic and/or chemotherapy
adminstration - chemotherapy - IV
Radiology - therapeutic and/or chemotherapy
adminstration - other
Nuclear medicine - general
Nuclear medicine - diagnostic procedures
Nuclear medicine - therapeutic procedures

902

912

349

Nuclear medicine - diagnostic
radiopharmaceuticals
Nuclear medicine - therapeutic
radiopharmaceuticals
Nuclear medicine - other

350

CT scan - general

915

351

CT scan - head

916

352

CT scan - body

917

359
360
361
362

918
919
920
921

374
379
380
381
382
383

CT scan - other
Operating room services - general
Operating room services - minor surgery
Operating room services - organ transplant
other than kidney
Operating room services - kidney transplant
Operating room services - other
Anesthesia - general
Anesthesia - incident to radiology
Anesthesia - incident to other diagnostic
services
Anesthesia - acupuncture
Anesthesia - other
Blood - general
Blood - packed red cells
Blood - whole blood
Blood - plasma

931
932
940
941
942
943

384
385

Blood - platelets
Blood - leukocytes

944
945

386

Blood - other components

946

387

Blood - other derivatives (cryoprecipitates)

947

389

Blood - other

949

331
332
333
335
339
340
341
342
343
344

367
369
370
371
372

44

903
904
905
906
907
909
910
911

913
914

922
923
924
925
929

Texas Health Care Information Collection

CCPD - outpatient or home - support services
CCPD - outpatient or home - other
Miscellaneous dialysis - general
Miscellaneous dialysis - ultrafiltration
Miscellaneous dialysis - home aide visit
Miscellaneous dialysis - other
Behavior health reatments/services - general
Behavior health treatments/services electroshock
Behavior health treatments/services - milieu
therapy
Behavioral health treatments/services - play
therapy
Behavior health treatments/services - activity
therapy
Behavior health treatments/services - intensive
outpatient services - psychiatric
Behavior health treatments/services - intensive
outpatient services - chemical dependency
Behavior health treatments/services community behavioral health program
Behavior health treatments - other
Reserved
Behavior health treatment/services rehabilitation
Behavior health treatment/services - partial
hospitalization - less intensive
Behavior health treatment/services - partial
hospitalization - intensive
Behavior health treatment/services - individual
therapy
Behavior health treatment/services - group
therapy
Behavior health treatment/services - family
therapy
Behavior health treatment/services biofeedback
Behavior health treatment/services - testing
Behavior health treatment/services - other
Other diagnostic services - general
Other diagnostic services - peripheral vascular
lab
Other diagnostic services - electromyelogram
Other diagnostic services - pap smear
Other diagnostic services - allergy test
Other diagnostic services - pregnancy test
Other diagnostic services - other
Medical rehabilitation day program - half day
Medical rehabilitation day program - full day
Other therapeutic services - general
Other therapeutic services - recreational therapy
Other therapeutic services - education/training
Other therapeutic services - cardiac
rehabilitation
Other therapeutic services - drug rehabilitation
Other therapeutic services - alcohol
rehabilitation
Other therapeutic services - complex medical
equipment - routine
Other therapeutic services - complex medical
equipment - ancillary
Other therapeutic services - other

390
391
399
400
401
402
403
404
409
410
412
413
419
420
421
422
423
424
429
430
431
432
433
434
439
440
441
442
443
444
449
450
451

Blood amd blood component administration,
storage and processing - general
Blood and blood component administration,
storage and processing - administration
Blood and blood component administration,
storage and processing - other
Other imaging services - general
Other imaging services - diagnostic
mammography
Other imaging services - ultrasound
Other imaging services - screening
mammography
Other imaging services - PET
Other imaging services - other
Respiratory services - general
Respiratory services - inhalation
Respiratory services - hyperbaric oxygen
therapy
Respiratory services - other
Physical therapy - general
Physical therapy - visit charge
Physical therapy - hourly charge
Physical therapy - group rate
Physical therapy - evaluation or reevaluation
Physical therapy - other
Occupational therapy - general
Occupational therapy - visit charge
Occupational therapy - hourly charge
Occupational therapy - group rate
Occupational therapy - evaluation or
reevaluation
Occupational therapy - other
Speech-language pathology - general
Speech-language pathology - visit charge
Speech-language pathology - hourly charge
Speech-language pathology - group rate
Speech-language pathology - evaluation or
reevaluation
Speech-language pathology - other
Emergency room - general

960

Professional fees - general

961

Professional fees - psychiatric

962

Professional fees - ophthalmology

963
964

Professional fees - anesthesiologist (MD)
Professional fees - anesthetist (CRNA)

969
970

Professional fees - other
Professional fees - general

971
972
973
974
975

Professional fees - laboratory
Professional fees - radiology - diagnostic
Professional fees - radiology - therapeutic
Professional fees - readiology - nuclear
medicine
Professional fees - operating room

976
977
978
979
980
981
982
983
984
985
986
987

Professional fees - respiratory therapy
Professional fees - physical therapy
Professional fees - occupational therapy
Professional fees - speech therapy
Professional fees - general
Professional fees - emergency room
Professional fees - outpatient services
Professional fees - clinic
Professional fees - medical social services
Professional fees - EKG
Professional fees - EEG
Professional fees - hospital visit

988
989
990
991
992
993

Professional fees - consultation
Professional fees - private duty nurse
Patient convenience items - general
Patient convenience items - cafeteria/guest tray
Patient convenience items - private linen service
Patient convenience items - telephone/telegraph

994
995

Patient convenience items - TV/radio
Patient convenience items - nonpatient room
rentals
Patient convenience items - late discharge
charge
Patient convenience items - admission kits
Patient convenience items - beauty shop/barber
Patient convenience items - other
Behavior health accommodations - general
Behavior health accommodations - residential
treatment - psychiatric
Behavior health accommodations - residential
treatment - chemical dependency
Behavior health accommodations - supervised
living
Behavior health accommodations - halfway
house
Behavior health accommodations - group home
Alternative therapy services - general
Alternative therapy services - acupuncture
Alternative therapy services - acupressure
Alternative therapy services - massage
Alternative therapy services - reflexology

452
456
459
460
469

Emergency room - EMTALA emergency
medical screening services
Emergency room - beyond EMTALA screening
Emergency room - urgent care
Emergency room - other
Pulmonary function - general
Pulmonary function - other

996
997
998
999
1000
1001

470

Audiology - general

1002

471

Audiology - diagnostic

1003

472

Audiology - treatment

1004

479
480
481
482
483
489

Audiology - other
Cardiology - general
Cardiology - cardiac cath lab
Cardiology - stress test
Cardiology - echocardiology
Cardiology - other

1005
2100
2101
2102
2103
2104

Texas Health Care Information Collection

45

490
499
500
509
510
511
512
513
514
515

Beginning Position:
Length:
Field 3:
Description:
Beginning Position:
Length:
Field 4
Description:
Coding Scheme:
Beginning Position:
Length:
Field 5:
Description:
Coding Scheme:

13
4
HCPCS_QUALIFIER

Data Source:
Type:

2105
2106
2109
3101
3102
3103
3104
3105
3109

Alternative therapy services - biofeedback
Alternative therapy services - hypnosis
Alternative therapy services - other
Adult day care, medical and social - hourly
Adult day care, social - hourly
Adult day care, medical and social - daily
Adult day care, social - daily
Adult foster care - daily
Adult foster care - other

Claim
Alphanumeric

17
Claim
Data Source:
2
Alphanumeric
Type:
HCPCS_PROCEDURE_CODE
HCFA Common Procedure Coding System (HCPCS) code applicable to ancillary services or
accommodations.
See http://www.cms.hhs.gov/HCPCSReleaseCodeSets/ANHCPCS/list.asp for complete list.
19
Claim
Data Source:
5
Alphanumeric
Type:
MODIFIER_1
Identifies special circumstances related to the performance of the service
0
1
2
3
4
7
8
11
25

31
32
33
34
37
38

No assessment completed
Medicare 5 day assessment (full)
Medicare 30 day assessment (full)
Medicare 60 day assessment (full)
Medicare 90 day assessment (full)
Medicare 14 day assessment (comprehensive or
full)
Other Medicare required assessment (OMRA)
Admission assessment - Medicare 5 day
assessment (comprehensive)
Significant, separately identifiable evaluation and
management service by the same physician on
the same day of the procedure o
SCSA or OMRA/Medicare 5 day assessment
(replacement)
SCSA or OMRA/Medicare 30 day assessment
(replacement)
SCSA or OMRA/Medicare 60 day assessment
(replacement)
SCSA or OMRA/Medicare 90 day assessment
(replacement)
SCSA or OMRA/Medicare 14 day assessment
(replacement)
Significant change in status assessment (SCSA)

F2
F3
F4
F5
F6
F7

Left hand, third digit
Left hand, fourth digit
Left hand, fifth digit
Right hand, thumb
Right hand, second digit
Right hand, third digit

F8
F9

Right hand, fourth digit
Right hand, fifth digit

FA

Left hand, thumb

G1

Most recent URR of less than 60%

G2

Most recent URR of 60% to 64%

G3

Most recent URR of 65% to 69.9%

G4

Most recent URR of 70% to 74.9%

G5

Most recent URR of 75% or greater

GN

41

Significant correction of prior full
assessment/Medicare 5 day assessment

GO

42

Significant correction of prior full
assessment/Medicare 30 day assessment

GP

43

Significant correction of prior full
assessment/Medicare 60 day assessment
Significant correction of prior full
assessment/Medicare 90 day assessment
Significant correction of prior full
assessment/Medicare 14 day assessment
Significant correction of prior full
assessment/OMRA or SCSA

LC

Service delivered personally by a speechlanguage pathologist or under an outpatient
speech-language pathology plan of care.
Service delivered personally by an occupational
therapist or under an outpatient occupational
therapy plan of care.
Service delivered personally by an physical
therapist or under an outpatient physical therapy
plan of care.
Left circulflex coronary artery

LD

Left anterior descending coronary artery

LT

Left side of the body procedure

QM

Ambulance service provided under arrangement
by a provider of services

44
47
48

46

Ambulatory surgical care - general
Ambulatory surgical care - other
Outpatient services - general
Outpatient services - other
Clinic - general
Clinic - chronic pain
Clinic - dental
Clinic - psychiatric
Clinic - OB/GYN
Clinic - pediatric

Texas Health Care Information Collection

50

Bilateral procedure

QN

52

Reduced services

QP

53
54

Discontinued procedure
Quarterly review assessment - Medicare 90
assessment (full)
Staged or related procedure or service by the
same physician during the postoperative period
Distinct procedural service
Repeat procedure by same physician
Repeat procedure by another physician
Return to the operating room for a related
procedure during the postoperative period
Unrelated procedure of service by the same
physician during the postoperative period
Upper left eyelid
Lower left eyelid
Upper right eyelid
Lower right eyelid
Left hand, second digit

RC
RT

Ambulance service furnished directly by a
provider of services
Documentation exists showing that the
laboratory test(s) was ordered individually, or as
CPT-recognized panel other than profil
Right coronary artery
Right side of the body procedure

T1

Left foot, second digit

T2
T3
T4
T5

Left foot, third digit
Left foot, fourth digit
Left foot, fifth digit
Right foot, great toe

T6

Right foot, second digit

T7
T8
T9
TA

Right foot, third digit
Right foot, fourth digit
Right foot, fifth digit
Left foot, great toe

58
59
76
77
78
79
E1
E2
E3
E4
F1

Beginning Position:
Length:
Field 6:
Description:
Coding Scheme:
Beginning Position:
Length:
Field 7:
Description:
Coding Scheme:
Beginning Position:
Length:
Field 8:
Description:
Coding Scheme:
Beginning Position:
Length:
Field 9:
Description:
Coding Scheme:

24
Claim
Data Source:
2
Alphanumeric
Type:
MODIFIER_2
Identifies special circumstances related to the performance of the service.
Same as Field 5
26
Claim
Data Source:
2
Alphanumeric
Type:
MODIFIER_3
Identifies special circumstances related to the performance of the service.
Same as Field 5
28
Claim
Data Source:
2
Alphanumeric
Type:
MODIFIER_4
Identifies special circumstances related to the performance of the service.
Same as Field 5
30
Claim
Data Source:
2
Alphanumeric
Type:
UNIT_MEASUREMENT_CODE
Code specifying the units in which a value is being expressed.

Beginning Position:
Length:
Field 10:
Description:
Beginning Position:
Length:
Field 11:
Description:
Beginning Position:
Length:
Field 12:
Description:
Beginning Position:
Length:
Field 13:

32
2
UNITS_OF_SERVICE
Numeric value of quantity
34
7
UNIT_RATE
Rate per unit
41
12
CHRGS_LINE_ITEM
Total amount of the charge
53
14
CHRGS_NON_COV

DA
F2
UN

Days
International unit
Unit

Data Source:
Type:

Claim
Alphanumeric

Data Source:
Type:

Claim
Numeric

Data Source:
Type:

Claim
Numeric

Data Source:
Type:

Assigned
Numeric

Texas Health Care Information Collection

47

Description:
Beginning Position:
Length:

48

Total non-covered amount of the charge
67
Data Source:
14
Type:

Assigned
Numeric

Texas Health Care Information Collection

Texas Hospital Inpatient Discharge
Public Use Data File
Base Data File
Charges Data File
Data Fields

Fields that are shaded are not available in this release of data.

Base Data File
NUMBER
1
2
3
4
5
6
7
8
9
10
11
12
12a
12b
12c
12d
12e
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

FIELD NAME
DISCHARGE
THCIC_ID
PROVIDER_NAME
FAC_TEACHING_IND
FAC_PSYCH_IND
FAC_REHAB_IND
FAC_ACUTE_CARE_IND
FAC_SNF_IND
FAC_LONG_TERM_AC_IND
FAC_OTHER_LTC_IND
FAC_PEDS_IND
SPEC_UNIT
SPEC_UNIT_1 (fixed length format only)
SPEC_UNIT_2 (fixed length format only)
SPEC_UNIT_3 (fixed length format only)
SPEC_UNIT_4 (fixed length format only)
SPEC_UNIT_5 (fixed length format only)
ENCOUNTER_INDICATOR
SEX_CODE
TYPE_OF_ADMISSION
SOURCE_OF_ADMISSION
PAT_STATE
PAT_ZIP
PAT_COUNTRY
COUNTY
PUBLIC_HEALTH_REGION
ADMIT_WEEKDAY
LENGTH_OF_STAY
PAT_AGE
PAT_STATUS
RACE
ETHNICITY
FIRST_PAYMENT_SRC
SECONDARY_PAYMENT_SRC
TYPE_OF_BILL
PRIVATE_AMOUNT
SEMI_PRIVATE_AMOUNT

POSITION
1
7
13
68
69
70
71
72
73
74
75
76
76
77
78
79
80
81
83
84
85
86
88
93
95
98
100
101
105
107
109
110
111
113
115
118
130

Texas Health Care Information Collection

LENGTH
6
6
55
1
1
1
1
1
1
1
1
5
1
1
1
1
1
2
1
1
1
2
5
2
3
2
1
4
2
2
1
1
2
2
3
12
12

FIELD TYPE
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Numeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Numeric
Numeric

49

33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85

50

WARD_AMOUNT
ICU_AMOUNT
CCU_AMOUNT
OTHER_AMOUNT
PHARM_AMOUNT
MEDSURG_AMOUNT
DME_AMOUNT
USED_DME_AMOUNT
PT_AMOUNT
OT_AMOUNT
SPEECH_AMOUNT
IT_AMOUNT
BLOOD_AMOUNT
BLOOD_ADM_AMOUNT
OR_AMOUNT
LITH_AMOUNT
CARD_AMOUNT
ANES_AMOUNT
LAB_AMOUNT
RAD_AMOUNT
MRI_AMOUNT
OP_AMOUNT
ER_AMOUNT
AMBULANCE_AMOUNT
PRO_FEE_AMOUNT
ORGAN_AMOUNT
ESRD_AMOUNT
CLINIC_AMOUNT
TOTAL_CHARGES
TOTAL_NON_COV_CHARGES
TOTAL_CHARGES_ACCOMM
TOTAL_NON_COV_CHARGES_ACCOMM

TOTAL_CHARGES_ANCIL
TOTAL_NON_COV_CHARGES_ANCIL
ADMITTING_DIAGNOSIS
PRINC_DIAG_CODE
OTH_DIAG_CODE_1
OTH_DIAG_CODE_2
OTH_DIAG_CODE_3
OTH_DIAG_CODE_4
OTH_DIAG_CODE_5
OTH_DIAG_CODE_6
OTH_DIAG_CODE_7
OTH_DIAG_CODE_8
OTH_DIAG_CODE_9
OTH_DIAG_CODE_10
OTH_DIAG_CODE_11
OTH_DIAG_CODE_12
OTH_DIAG_CODE_13
OTH_DIAG_CODE_14
OTH_DIAG_CODE_15
OTH_DIAG_CODE_16
OTH_DIAG_CODE_17

142
154
166
178
190
202
214
226
238
250
262
274
286
298
310
322
334
346
358
370
382
394
406
418
430
442
454
466
478
490
502
514
526
538
550
556
562
568
574
580
586
592
598
604
610
616
622
628
634
640
646
652
658

Texas Health Care Information Collection

12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6

Numeric
Numeric
Numeric
Numeric
Numeric
Numeric
Numeric
Numeric
Numeric
Numeric
Numeric
Numeric
Numeric
Numeric
Numeric
Numeric
Numeric
Numeric
Numeric
Numeric
Numeric
Numeric
Numeric
Numeric
Numeric
Numeric
Numeric
Numeric
Numeric
Numeric
Numeric
Numeric
Numeric
Numeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric

86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138

OTH_DIAG_CODE_18
OTH_DIAG_CODE_19
OTH_DIAG_CODE_20
OTH_DIAG_CODE_21
OTH_DIAG_CODE_22
OTH_DIAG_CODE_23
OTH_DIAG_CODE_24
PRINC_SURG_PROC_CODE
PRINC_SURG_PROC_DAY
PRINC_ICD9_CODE
OTH_SURG_PROC_CODE_1
OTH_SURG_PROC_DAY_1
OTH_ICD9_CODE_1
OTH_SURG_PROC_CODE_2
OTH_SURG_PROC_DAY_2
OTH_ICD9_CODE_2
OTH_SURG_PROC_CODE_3
OTH_SURG_PROC_DAY_3
OTH_ICD9_CODE_3
OTH_SURG_PROC_CODE_4
OTH_SURG_PROC_DAY_4
OTH_ICD9_CODE_4
OTH_SURG_PROC_CODE_5
OTH_SURG_PROC_DAY_5
OTH_ICD9_CODE_5
OTH_SURG_PROC_CODE_6
OTH_SURG_PROC_DAY_6
OTH_ICD9_CODE_6
OTH_SURG_PROC_CODE_7
OTH_SURG_PROC_DAY_7
OTH_ICD9_CODE_7
OTH_SURG_PROC_CODE_8
OTH_SURG_PROC_DAY_8
OTH_ICD9_CODE_8
OTH_SURG_PROC_CODE_9
OTH_SURG_PROC_DAY_9
OTH_ICD9_CODE_9
OTH_SURG_PROC_CODE_10
OTH_SURG_PROC_DAY_10
OTH_ICD9_CODE_10
OTH_SURG_PROC_CODE_11
OTH_SURG_PROC_DAY_11
OTH_ICD9_CODE_11
OTH_SURG_PROC_CODE_12
OTH_SURG_PROC_DAY_12
OTH_ICD9_CODE_12
OTH_SURG_PROC_CODE_13
OTH_SURG_PROC_DAY_13
OTH_ICD9_CODE_13
OTH_SURG_PROC_CODE_14
OTH_SURG_PROC_DAY_14
OTH_ICD9_CODE_14
OTH_SURG_PROC_CODE_15

664
670
676
682
688
694
700
706
713
717
722
729
733
738
745
749
754
761
765
770
777
781
786
793
797
802
809
813
818
825
829
834
841
845
850
857
861
866
873
877
882
889
893
898
905
909
914
921
925
930
937
941
946

Texas Health Care Information Collection

6
6
6
6
6
6
6
7
4
5
7
4
5
7
4
5
7
4
5
7
4
5
7
4
5
7
4
5
7
4
5
7
4
5
7
4
5
7
4
5
7
4
5
7
4
5
7
4
5
7
4
5
7

Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric

51

139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191

52

OTH_SURG_PROC_DAY_15
OTH_ICD9_CODE_15
OTH_SURG_PROC_CODE_16
OTH_SURG_PROC_DAY_16
OTH_ICD9_CODE_16
OTH_SURG_PROC_CODE_17
OTH_SURG_PROC_DAY_17
OTH_ICD9_CODE_17
OTH_SURG_PROC_CODE_18
OTH_SURG_PROC_DAY_18
OTH_ICD9_CODE_18
OTH_SURG_PROC_CODE_19
OTH_SURG_PROC_DAY_19
OTH_ICD9_CODE_19
OTH_SURG_PROC_CODE_20
OTH_SURG_PROC_DAY_20
OTH_ICD9_CODE_20
OTH_SURG_PROC_CODE_21
OTH_SURG_PROC_DAY_21
OTH_ICD9_CODE_21
OTH_SURG_PROC_CODE_22
OTH_SURG_PROC_DAY_22
OTH_ICD9_CODE_22
OTH_SURG_PROC_CODE_23
OTH_SURG_PROC_DAY_23
OTH_ICD9_CODE_23
OTH_SURG_PROC_CODE_24
OTH_SURG_PROC_DAY_24
OTH_ICD9_CODE_24
E_CODE_1
E_CODE_2
E_CODE_3
E_CODE_4
E_CODE_5
E_CODE_6
E_CODE_7
E_CODE_8
E_CODE_9
E_CODE_10
CONDITION_CODE_1
CONDITION_CODE_2
CONDITION_CODE_3
CONDITION_CODE_4
CONDITION_CODE_5
CONDITION_CODE_6
CONDITION_CODE_7
CONDITION_CODE_8
OCCUR_CODE_1
OCCUR_DAY_1
OCCUR_CODE_2
OCCUR_DAY_2
OCCUR_CODE_3
OCCUR_DAY_3

953
957
962
969
973
978
985
989
994
1001
1005
1010
1017
1021
1026
1033
1037
1042
1049
1053
1058
1065
1069
1074
1081
1085
1090
1097
1101
1106
1112
1118
1124
1130
1136
1142
1148
1154
1160
1166
1168
1170
1172
1174
1176
1178
1180
1182
1184
1188
1190
1194
1196

Texas Health Care Information Collection

4
5
7
4
5
7
4
5
7
4
5
7
4
5
7
4
5
7
4
5
7
4
5
7
4
5
7
4
5
6
6
6
6
6
6
6
6
6
6
2
2
2
2
2
2
2
2
2
4
2
4
2
4

Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric

192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244

OCCUR_CODE_4
OCCUR_DAY_4
OCCUR_CODE_5
OCCUR_DAY_5
OCCUR_CODE_6
OCCUR_DAY_6
OCCUR_CODE_7
OCCUR_DAY_7
OCCUR_CODE_8
OCCUR_DAY_8
OCCUR_CODE_9
OCCUR_DAY_9
OCCUR_CODE_10
OCCUR_DAY_10
OCCUR_CODE_11
OCCUR_DAY_11
OCCUR_CODE_12
OCCUR_DAY_12
OCCUR_SPAN_CODE_1
OCCUR_SPAN_FROM_1
OCCUR_SPAN_THRU_1
OCCUR_SPAN_CODE_2
OCCUR_SPAN_FROM_2
OCCUR_SPAN_THRU_2
OCCUR_SPAN_CODE_3
OCCUR_SPAN_FROM_3
OCCUR_SPAN_THRU_3
OCCUR_SPAN_CODE_4
OCCUR_SPAN_FROM_4
OCCUR_SPAN_THRU_4
VALUE_CODE_1
VALUE_AMOUNT_1
VALUE_CODE_2
VALUE_AMOUNT_2
VALUE_CODE_3
VALUE_AMOUNT_3
VALUE_CODE_4
VALUE_AMOUNT_4
VALUE_CODE_5
VALUE_AMOUNT_5
VALUE_CODE_6
VALUE_AMOUNT_6
VALUE_CODE_7
VALUE_AMOUNT_7
VALUE_CODE_8
VALUE_AMOUNT_8
VALUE_CODE_9
VALUE_AMOUNT_9
VALUE_CODE_10
VALUE_AMOUNT_10
VALUE_CODE_11
VALUE_AMOUNT_11
VALUE_CODE_12

1200
1202
1206
1208
1212
1214
1218
1220
1224
1226
1230
1232
1236
1238
1242
1244
1248
1250
1254
1256
1262
1268
1270
1276
1282
1284
1290
1296
1298
1304
1310
1312
1321
1323
1332
1334
1343
1345
1354
1356
1365
1367
1376
1378
1387
1389
1398
1400
1409
1411
1420
1422
1431

Texas Health Care Information Collection

2
4
2
4
2
4
2
4
2
4
2
4
2
4
2
4
2
4
2
6
6
2
6
6
2
6
6
2
6
6
2
9
2
9
2
9
2
9
2
9
2
9
2
9
2
9
2
9
2
9
2
9
2

Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric

53

245
246
247
248
249
250
251
252
253
254
255

VALUE_AMOUNT_12
CMS_MDC
APR_MDC
CMS_DRG
APR_DRG
RISK_MORTALITY
ILLNESS_SEVERITY
ATTENDING_PHYSICIAN_UNIF_ID
OPERATING_PHYSICIAN_UNIF_ID
CERT_STATUS
RECORD_ID

1433
1442
1444
1446
1449
1452
1453
1454
1464
1474
1475

9
2
2
3
3
1
1
10
10
1
12

Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric

POSITION
1
13
17
19
24
26
28
30
32
34
41
53
67

LENGTH
12
4
2
5
2
2
2
2
2
7
12
14
14

FIELD TYPE
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Alphanumeric
Numeric
Numeric
Numeric
Numeric

Charges Data File
NUMBER
1
2
3
4
5
6
7
8
9
10
11
12
13

54

FIELD NAME
RECORD_ID
REVENUE_CODE
HCPCS_QUALIFIER
HCPCS_PROCEDURE_CODE
MODIFIER_1
MODIFIER_2
MODIFIER_3
MODIFIER_4
UNIT_MEASUREMENT_CODE
UNITS_OF_SERVICE
UNIT_RATE
CHRGS_LINE_ITEM
CHRGS_NON_COV

Texas Health Care Information Collection

Texas Hospital Inpatient Discharge Data
Public Use Data File
Reporting Status of Texas Hospitals, 2010

Reports
With

Abilene
091001 Abilene Regional Medical Center
500000 Hendrick Medical Center
688000 Hendrick Center–Extended Care
846000 Acadia Abilene
920000 Reliant Rehab Hospital Abilene
Alice
689400 CHRISTUS Spohn Hospital Alice–Laviana
Reports 4st quarter 2010 with 689401
689401 CHRISTUS Spohn Hospital Alice
Allen
724200 Texas Health Presbyterian Hospital Allen
854000 Twin Creeks Hospital
Alpine
711900 Big Bend Regional Medical Center
Alvin
212001 Clear Lake Regional Medical Center Alvin
Emergency Center
Amarillo
001000 Baptist St Anthonys Health System–Baptist
Campus
318000 Northwest Texas Hospital
318001 Pavilion
714000 Northwest Texas Surgery Center
796000 Plum Creek Specialty Hospital
818000 Triumph Hospital Amarillo
841400 Northwest Texas Rehab Hospital
852900 Physicians Surgical Hospital–Quail Creek
852901 Physicians Surgical Hospital–Panhandle
Campus
Anahuac
442000 Bayside Community Hospital
Andrews
187000 Permian Regional Medical Center
Angleton
126000 Angleton Danbury Medical Center
Anson
016000 Anson General Hospital
Aransas Pass
239001 North Bay Hospital
Arlington
409001 Diagnostic & Surgery Center–Arlington
422000 Texas Health Arlington Memorial Hospital

1Q10

With
Comment

2Q10

With
Comment

3Q10

x
x
xLV
x
x

x
x
xLV
xOC
x

x
x
xLV
x
x

xLV

xLV

xLV

x

x

x

x
x

x

x
x

x

x
x

With
Comment

4Q10

With
Comment

x
x
xLV
x
x

x
x

x
x

x

x

x

x

x

x

x

x

x

x

x

x

xLV
x
x
x
x
x

xLV
x
x
x
x
x

xLV
x
x
x
x
x

xLV
x
x
x
x
x

*

*

*

*

*

*

*

*

x

x

x

*

*

*

x

x

x

x

x

***
x

xLV
x

x

212000

318000

x

x

*
x
xLV
x

Texas Health Care Information Collection

x

x

***
x

x

55

Reports
With

502000 Medical Center–Arlington
660000 HEALTHSOUTH Rehab Hospital–
Arlington
690000 Kindred Hospital–Tarrant County
765001 Millwood Hospital
799001 USMD Hospital–Arlington
831800 RehabCare Physical Rehab
936000 Baylor Orthopedic and Spine Hospital–
Arlington

1Q10

With
Comment

x
x
x
x
x
x

2Q10

With
Comment

x
x
x

x
x
x
x
x

3Q10

With
Comment

x
x
x

x
x
x
x
x

4Q10

With
Comment

x
x
x

x
xOC
x
x
x

x

First reports 2nd quarter 2010

Aspermont
666000 Stonewall Memorial Hospital
Athens
374000 East Texas Medical Center–Athens
Atlanta
131000 Atlanta Memorial Hospital
Aubrey
873200 Emerus Hospital
Austin
000100 Austin State Hospital
000119 UTMB Austin Womens Hospital
035000 St Davids Hospital
335000 University Medical Center–Brackenridge
497000 Seton Medical Center
602000 South Austin Hospital
622001 Texas NeuroRehab Center
649000 St Davids Rehab Center
663000 HEALTHSOUTH Rehab Hospital–Austin
700000 Cornerstone Hospital–Austin
739001 Texas NeuroRehab Center
770000 Seton Shoal Creek Hospital
794000 Northwest Hills Surgical Hospital
797500 Seton Southwest Hospital
797600 Seton Northwest Hospital
798500 Austin Surgical Hospital
822800 Westlake Medical Center
829000 Heart Hospital–Austin
829900 North Austin Medical Center
852000 Dell Childrens Medical Center
854400 Central Texas Rehab Hospital
855200 Austin Lakes Hospital
Azle
469000 Texas Health Harris Methodist Hospital Azle
Ballinger
234000 Ballinger Memorial Hospital District
Bastrop
831400 Lakeside Hospital Bastrop

*

*

*

*

x

x

x

x

*

*

*

*

xLV

xLV

xLV

xLV

x
x
x
x
x
x
x
x
xOC
x
x
x
x
x
x
x
x
x
x
x
x
x

x

x

x

x
x

x
x

x
x

x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x

x

x

x

*x

*x

xOC

xOC

x
x

x
x

x

x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x

x

x

x

x
x

x
x

x

*xLV

x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x

x

x

x

x
x

x
x

x

xLV

nd

Last reports 2 quarter 2010

Bay City
006000 Matagorda Regional Medical Center
006001 Matagorda Regional Medical Center
Baytown
405000 San Jacinto Methodist Hospital

56

x
xLV

x
x

x

Texas Health Care Information Collection

x
xLV
x

x
x

x
xLV
x

x
x

x
xLV
x

x
x

Reports
With

405002 San Jacinto Methodist Hospital–Alexander
Campus
720401 Triumph Hospital Baytown
Beaumont
389000 Baptist Hospitals of Southeast Texas
389002 Baptist Hospitals of Southeast Texas Fannin
Behavioral Ctr
444001 CHRISTUS Hospital
671000 HEALTHSOUTH Rehab Hospital–Beaumont
708000 CHRISTUS Dubuis Hospital–Beaumont
826500 Beaumont Bone & Joint Institute
861900 Kate Dishman Rehab Hospital
Bedford
182000 Texas Health Harris Methodist HEB
182001 Texas Health Harris Methodist HEB
778000 Texas Health Springwood Hospital
Beeville
429001 CHRISTUS Spohn Hospital–Beeville
Bellaire
831900 Foundation Surgical Hospital
840100 First Street Hospital
Bellville
552000 Bellville General Hospital
Belton
806002 Cedar Crest Hospital
Big Lake
343000 Reagan Memorial Hospital
Big Spring
000101 Big Spring State Hospital
221000 Scenic Mountain Medical Center
Bonham
106001 Red River Regional Hospital
Borger
654000 Golden Plains Community Hospital
Bowie
440000 Bowie Memorial Hospital
Brady
362000 Heart of Texas Memorial Hospital
Breckenridge
430000 Stephens Memorial Hospital
Brenham
066000 Scott & White Hospital–Brenham
Bridgeport
868700 North Texas Community Hospital
Brownfield
078000 Brownfield Regional Medical Center
Brownsville
019000 Valley Regional Medical Center
314001 Valley Baptist Medical Center–Brownsville
314002 Valley Baptist Medical Center–Brownsville
Psych Unit
724900 Brownsville Doctors Hospital
821100 South Texas Rehab Hospital
847500 Solara Hospital–Brownsville Campus

1Q10

With
Comment

2Q10

With
Comment

3Q10

With
Comment

4Q10

With
Comment

405000

x

x

x

x

x

x

x

x

x
x
x
***
x

x

x

x
x
x
***
x

x

x
x
x
***
x

x

x

x
x
x
xLV
x

x

x

x

x

x

x

x

x

x

x

x

x

x

x

x

x

389000

x

182000

x

x

x

x

x
x

x
x

x
x

x
x

*

*

*

*

x

x

x

x

*

*

*

*

x
x

x

x
x

x

x
x

x

x
x

x

x

x

x

x

x

x

x

*

*

*

*

*

*

*

*

*

*

*

*

*

*

*

*

x

x

x

x

*

*

*

*

x
xOC

x
x

x
x

x
x

x
x
x

x
x
x

xOC
x
x

xOC
x
x

x

314001

Texas Health Care Information Collection

57

Reports
With

Brownwood
058000 Brownwood Regional Medical Center
Bryan
002001 St Joseph Regional Health Center
002002 St Joseph Regional Rehab Center
717500 Physicians Centre
864800 CHRISTUS Dubuis Hospital–Bryan
Burnet
559000 Seton Highland Lakes
Caldwell
679000 Burleson St Joseph Health Center–Caldwell
Cameron
665000 Central Texas Hospital
Canadian
457000 Hemphill County Hospital
Carrizo Springs
156000 Dimmit County Memorial Hospital
Carrollton
042000 Baylor Medical Center at Carrollton
835100 Regency Hospital North Dallas

1Q10

With
Comment

xOC

2Q10

With
Comment

3Q10

With
Comment

xOC

x

4Q10

With
Comment

x

x

x

x

x

x

x

x

x

x
xLV

x

x
x

x

x
x

x

x
x

x

x

x

x

x

x

x

x

x

x

x

x

x

002001

xOC
x

x

x

x

xOC

x

*

*

*

*

*

*

*

*

x
xOC

x

x
C

x

x

x

x

x

Last reports 2nd quarter 2010

Carthage
484000 East Texas Medical Center–Carthage
Cedar Park
858300 Cedar Park Regional Medical Center
Center
860500 Shelby Regional Medical Center
Channelview
720400 Triumph Hospital–East Houston
Childress
026000 Childress Regional Medical Center
Chillicothe
523000 Chillicothe Hospital
Clarksville
292000 East Texas Medical Center–Clarksville
Cleburne
323000 Texas Health Harris Methodist Hospital
Cleburne
Cleveland
108000 Cleveland Regional Medical Center
840400 Doctors Diagnostic Hospital
Clifton
070000 Goodall–Witcher Healthcare Foundation
Coleman
049000 Coleman County Medical Center
College Station
071000 College Station Medical Center
Colorado City
075000 Mitchell County Hospital
Columbus
014000 Columbus Community Hospital
Comanche
495001 Comanche County Medical Center

58

x

x

x

x

x

x

x

xOC

x

x

xOC

x

x

x

x

x

x

x

x

x

*

*

*

*

x

x

x

x

x

x

x

x

x

x

x

x
xOC

x
xOC

x
OC

x
xOC

*

*

*

*

*

*

*

*

x

x

x

x

x

x

x

x

*

*

*

*

xOC

x

x

x

Texas Health Care Information Collection

x

Reports
With

Commerce
087000 Hunt Regional Community Hospital
Conroe
508001 Conroe Regional Medical Center
695000 HEALTHSOUTH Rehab Hospital–North
Houston
854100 Solara Hospital Conroe
915000 Aspire Behavioral Health–Conroe
Corpus Christi
398000 CHRISTUS Spohn Hospital Corpus Christi
398001 CHRISTUS Spohn Hospital Corpus Christi–
Shoreline
398002 CHRISTUS Spohn Hospital Corpus Christi–
South
488000 Driscoll Childrens Hospital
699000 Corpus Christi Specialty Hospital
703000 Corpus Christi Medical Center–Bay Area
703002 Corpus Christi Medical Center–Doctors
Regional
703003 Corpus Christi Medical Center–Heart
Hospital
704004 Corpus Christi Medical Center–Northwest
Reports 1st quarter 2010 with 703000
716500 Padre Behavioral Hospital
797001 Dubuis Hospital–Corpus Christi
804100 Kindred Hospital–Corpus Christi
931000 South Texas Surgical Hospital
Corsicana
141000 Navarro Regional Hospital
Crane
467000 Crane Memorial Hospital
Crockett
185000 East Texas Medical Center–Crockett
Crosbyton
176000 Crosbyton Clinic Hospital
Cuero
074000 Cuero Community Hospital
Cypress
843200 North Cypress Medical Center
Dalhart
262000 Coon Memorial Hospital & Home
Dallas
008001 Baylor Medical Center at Uptown
028000 Kindred Hospital–Dallas
054000 Texas Scottish Rite Hospital for Children
142000 Methodist Charlton Medical Center
143000 Childrens Medical Center–Dallas
255000 Methodist Dallas Medical Center
331000 Baylor University Medical Center
340000 Medical City Dallas Hospital
431000 Texas Health Presbyterian Hospital Dallas
448001 UT Southwestern University Hospital–St Paul
449000 RHD Memorial Medical Center
474000 Parkland Memorial Hospital

1Q10

With
Comment

2Q10

With
Comment

3Q10

With
Comment

4Q10

With
Comment

x

x

x

x

x
x

x
x

x
x

x
x

x
xLV

x
xLV

x
x

x
x

x
x

x
x

xOC
x

x
x

x

x

x

x

x
x
x
x

x
x

x
x
x
x

x
x

x
x
x
x

x
x

x
x
x
x

x
x

x

x

x

x

x

x

x

x

x

x

x

x

x

x

x
x
x
x

x
x

x
x
x
xLV

x
x

x
x
x
x

x

x
xLV
x
x

x

x

x

x

x

*

*

*

*

x

x

x

x

*

*

*

*

*

*

*

*

x

x

x

x

*

*

*

*

xLV
x
*
x
x
x
x
xOC
x
x
x
x

xLV
x
*
x
x
x
x
x
x
x
x
x

x

x
x

x

Texas Health Care Information Collection

x

x
x

x

x
x
*
x
x
x
x
x
x
x
x
x

x

x
x

x

x
x
*
x
x
x
x
x
x
x
x
x

x

x
x

x

59

Reports
With

511000 Doctors Hospital–White Rock Lake
586000 Baylor Specialty Hospital
642000 Baylor Institute for Rehab–Gaston Episcopal
Hospital
653001 UT Southwestern University Hospital–Zale
Lipshy
661001 Texas Specialty Hospital–Dallas
672000 Select Specialty Hospital–Dallas
680001 Reliant Rehab Hospital Dallas

1Q10

x
x
x

With
Comment

x
x

2Q10

With
Comment

3Q10

x
x
x

x

x
x
x

With
Comment

x
x

4Q10

With
Comment

x
x
x

x

x

x

x

x
x

x
x

x
x

xOC
x
xOC

x
x
x
x
x
x
xLV

x
x
x
x
x
x
xLV

First reports 4th quarter 2010

710000 Our Childrens House Baylor
717000 LifeCare Hospital–Dallas
719400 Kindred Hospital–White Rock
752000 Timberlawn Mental Health System
766000 Green Oaks Hospital
784400 Baylor Heart & Vascular Center
813100 Texas Institute for Surgery–Texas Health
Presbyterian–D
818200 Pine Creek Medical Center
839100 Vibra Specialty Hospital
860600 North Central Surgical Center
862000 Methodist Rehab Hospital
872100 Global Rehab
900000 Forest Park Medical Center
908000 South Hampton Community Hospital
914000 Dallas LTAC
De Soto
785900 Select Specialty Hospital–South Dallas
837800 Hickory Trail Hospital
Decatur
254000 Wise Regional Health System
254001 Wise Regional Health System
Del Rio
462000 Val Verde Regional Medical Center
Denison
847000 Texoma Medical Center
847001 Reba McEntire Center–Rehab
847002 Texoma Medical Center Behavioral Health
Center
864600 Carrus Specialty Hospital
Denton
336001 Denton Regional Medical Center
816500 North Texas Hospital
820800 Texas Health Presbyterian Hospital–Denton
826800 University Behavioral Health–Denton
831700 Mayhill Hospital
844200 Integrity Transitional Hospital
847200 Atrium Medical Center–Corinth
871500 Select Rehab Hospital–Denton
Denver City
485000 Yoakum County Hospital
Dilley
803000 Community General Hospital Dilley Texas

60

x
x
x
x
x
x
xLV
x
xOC
x
x
x
x
x
x

x
x

x

x

x
xOC
x
x
x
x
x
x

x

x

x
x

x
xOC
x
x
x
x
x
x

x
x
x
x
x
x
xLV
x
xOC
x
x
x
x
x
x

x
x

x
xOC

x
x

xOC
xOC

xOC
xOC

xOC
xOC

xOC
xOC
x

x

x

x
x

x

x

x

x

x

x

x

x

xLV

x

x

xOC

x
xOC
x
x
x
x
x
x

x
xOC
x
x
x
x
x
x

x
xOC
x
x
x
x
x
x

x
xOC
x
x
x
x
x
x

x

x

x

x

847000
847000

x

x

x

*

*

*

*

xOC

xOC

xOC

xOC

Texas Health Care Information Collection

x

x

Reports
With

Dimmitt
260000 Plains Memorial Hospital
Dumas
199000 Memorial Hospital
Eagle Lake
560000 Rice Medical Center
Eagle Pass
547001 Fort Duncan Regional Medical Center
Eastland
222000 Eastland Memorial Hospital
Eden
202000 Concho County Hospital
Edinburg
140002 Edinburg Regional Medical Center
797100 Doctors Hospital–Renaissance
797101 Womens Hospital–Renaissance
797102 Behavioral Medicine–Renaissance
797103 Rehab Center at Renaissance
802004 South Texas Behavioral Health Center
830000 Cornerstone Regional Hospital
816301 Solara Hospital
Edna
017000 Jackson Healthcare Center
El Campo
426000 El Campo Memorial Hospital
El Paso
000118 El Paso Psychiatric Center
130000 Providence Memorial Hospital
180000 Las Palmas Medical Center
180001 Las Palmas Rehab Hospital
263000 The University Medical Center of El Paso
266000 Sierra Medical Center
319000 Del Sol Medical Center
701000 Mesa Hills Specialty Hospital
718002 Highlands Regional Rehab Hospital
727100 Triumph Hospital El Paso
728200 El Paso Specialty Hospital
801300 East El Paso Physicians Medical Center
841300 El Paso LTAC Hospital
858600 University Behavioral Health–El Paso
865000 Sierra Providence East Medical Center
Eldorado
136000 Schleicher County Medical Center
Electra
490000 Electra Memorial Hospital
Ennis
714500 Ennis Regional Medical Center
Fairfield
401000 East Texas Medical Center–Fairfield
Floresville
433000 Connally Memorial Medical Center

1Q10

With
Comment

2Q10

With
Comment

3Q10

With
Comment

4Q10

*

*

*

*

*x

*x

*x

x

x

x

x

xLV

x

x

x

x

*

*

*

*

*

*

*

*

x
x

x
x

x
x

x
x

x
x

x
x

x
x

x
x

*

*

*

*

x

x

x

x

With
Comment

797100
797100
797100
802001

x
x
x

x

x
x
xOC

x

x
x
x

x

x
x
x

x

x
x
x
x
x
x
x
x
x
x
x

x

x
x
x
x
x
x
x
x
x
x
x

x

x
x
x
OC
x
x
x
x
xLV
x
x

x

x
x
x
x
x
x
x
x
x
x
x

x

180000

x

xLV

xLV

xLV

xLV

x

xLV

xLV

xLV

x

x

x

x

x

x

x

x

x

x

x

x

x

Texas Health Care Information Collection

x

61

Reports
With

1Q10

With
Comment

Flower Mound
943000 Texas Health Presbyterian Hospital Flower
Mound

2Q10

With
Comment

3Q10

With
Comment

4Q10

x

x

x

*

*

*

With
Comment

First reports 2nd quarter 2010

Fort Stockton
356000 Pecos County Memorial Hospital
Fort Worth
047000 Huguley Memorial Medical Center
235000 Texas Health Harris Methodist Hospital–Fort
Worth
332000 Cook Childrens Medical Center
363000 Baylor All Saints Medical Center–Fort Worth
363001 Baylor Medical Center–Southwest Fort Worth
409000 John Peter Smith Hospital
477000 Plaza Medical Center–Fort Worth
627000 Texas Health Harris Methodist Hospital–
Southwest
652000 Texas Health Specialty Hospital–Fort Worth
659000 HEALTHSOUTH Rehab Hospital
662000 HEALTHSOUTH City View Rehab Hospital
690600 LifeCare Hospital–Fort Worth
800000 Kindred Hospital–Tarrant County
800700 Kindred Hospital–Fort Worth
804500 Baylor Surgical Hospital–Fort Worth
839200 Regency Hospital–Fort Worth
861400 USMD Hospital Fort Worth
873800 Global Rehab–Fort Worth
Fredericksburg
219000 Hill Country Memorial Hospital
Friona
200000 Parmer Medical Center
Frisco
787400 Baylor Medical Center–Frisco
806300 Centennial Medical Center
942000 Kessler Rehabilitation Hospital

*
x
x

x
x

x
x

x
x

x
x

x
x

x
x

x
x

x
x
x
x
x
x

x
x
x
x

x
x
x
x
x
x

x
x
x
x

x
x
x
x
x
x

x
x
x
x

x
x
x
x
x
x

x
x
x
x

xLV
x
x
x
x
x
x
x
x
x

x

xLV
x
x
x
x
x
x
x
x
x

x

xLV
x
x
x
x
x
x
x
x
x

x

xLV
x
x
x
x
x
x
x
x
x

x

x

x
x

x

x
x

x

x
x

xOC

xOC

xOC

xOC

*

*

*

*

x
x

xOC
x

xOC
x
***

x
x
xLV

xN

xN

x

x
*

x
*

x
*

x

x
x

First reports 3rd quarter 2010

Gainesville
298000 North Texas Medical Center
Galveston
000102 UT Medical Branch Hospital
247000 Shriners Burns Hospital–Galveston
Garland
027000 Baylor Medical Center–Garland
359002 Vista Hospital–Dallas
Gatesville
346000 Coryell Memorial Hospital
Georgetown
835700 St Davids Georgetown Hospital
Gilmer
806800 East Texas Medical Center–Gilmer
Glen Rose
059000 Glen Rose Medical Center
Gonzales
103000 Memorial Hospital

62

x
xOC

x

x
x

x

x
xLV

x

xOC
x
*

x

x
xLV

x

x

x

x

x

x

x

x

x

x

x

x

*

*

*

*

*

*

*

*

Texas Health Care Information Collection

x

Reports
With

Graham
094000 Graham Regional Medical Center
Granbury
424000 Lake Granbury Medical Center
Grand Saline
138000 Cozby–Germany Hospital
Grapevine
513000 Baylor Regional Medical Center–Grapevine
858200 Ethicus Hospital DFW
Greenville
085000 Hunt Regional Medical Center Greenville
754000 Glen Oaks Hospital
Groesbeck
052000 Limestone Medical Center
Groves
907000 Renaissance Hospital–Groves
Hallettsville
527000 Lavaca Medical Center
Hamilton
640000 Hamilton General Hospital
Hamlin
305000 Hamlin Memorial Hospital
Harlingen
000104 Rio Grande State Center
400000 Valley Baptist Medical Center
788002 Harlingen Medical Center
840700 Solara Hospital Harlingen
Haskell
572000 Haskell Memorial Hospital
Hemphill
522000 Sabine County Hospital
Henderson
248000 East Texas Medical Center Henderson
Henrietta
193000 Clay County Memorial Hospital
Hereford
420000 Hereford Regional Medical Center
Hillsboro
383000 Hill Regional Hospital
Hondo
427000 Medina Regional Hospital
Houston
000105 UT MD Anderson Cancer Center
000115 Harris County Psychiatric Center
007000 Womans Hospital–Texas
030000 Doctors Hospital–Tidwell
117000 Texas Childrens Hospital
118000 St Lukes Episcopal Hospital
119000 Memorial Hermann Southeast Hospital
124000 Methodist Hospital
124001 West Pavillion
164000 TIRR Memorial Hermann
172000 Memorial Hermann Northwest Hospital
206003 Select Specialty Hospital–Houston Heights

1Q10

With
Comment

2Q10

With
Comment

3Q10

With
Comment

4Q10

*

*

*

*

x

x

x

x

x

xOC

xOC

xOC

x
x

x

x
x

x
x

x
x

x
x

x

x
x

x
x

x
x

*

*

*

*

x

xOC

xOC

xOC

*

*

*

*

*

*

*

*

*

*

*

*

x
x
x
x

x

x
x
x
x

x
x

x
x
x
x

x
x

x
xOC
x
x

*

*

*

*

x

x

x

x

xOC

xOC

xOC

xOC

*

*

*

*

*

*

*

*

x

x

x

x

*

*

*

*

x
x
x
x
x
x
x
x

x
x
x
x
x
x
x
x

x
x
x
x
x
x
x
x

x

x

x

x

x
x
xOC
x
x
x
x
x

With
Comment

x

x

124000

x
x
x

Texas Health Care Information Collection

x
x
x

x
x
x

x
x
x

63

Reports
With

206004 Select Specialty Hospital–Houston West
206005 Select Specialty Hospital–Houston Medical
Center
229000 Houston Northwest Medical Center
302000 Memorial Hermann Memorial City Medical
Center
337001 West Houston Medical Center
347000 Memorial Hermann Hospital
384000 Lyndon B Johnson General Hospital
390000 Park Plaza Hospital
407000 Memorial Hermann Southwest Hospital
421000 Spring Branch Medical Center
458001 East Houston Regional Medical Center
459000 Ben Taub General Hospital
459001 Quentin Mease Community Hospital
460000 Riverside General Hospital
526000 Shriners Hospitals For Children
606000 Cypress Fairbanks Medical Center
646000 HEALTHSOUTH Hospital–Houston
674000 TOPS Surgical Specialty Hospital
676000 Kindred Hospital–Houston
678000 Triumph Hospital–Central Houston
698005 Cornerstone Hospital Houston–Bellaire
706000 Kindred Hospital Houston NW
712500 HealthBridge Childrens Hospital–Houston
713400 Triumph Hospital–North Houston
715001 Texas Specialty Hospital–Houston
724700 Methodist Willowbrook Hospital
740000 St Lukes Hospital at the Vintage

1Q10

With
Comment

x
x

2Q10

With
Comment

x
x

x
x

x

x
x
x
x
x
x
x
x
x
x
*
x
x
x
x
x
x
x
x
x
x
x

x

x

x
x

x

x
x
x
x
x
x
x
x
x
x
*
x
x
x
xOC
x
x
x
x
x
x
x

x

x

x

3Q10

With
Comment

4Q10

x
x

x
x

x
x

x
x

x
x
x
x
x
***
x
x
x
x
*
x
x
x
x
xLV
x
x
xOC
x
xLV
x

x

x

x
x
x
x
x
***
xOC
x
x
x
*
x
x
x
x
x
x
xOC
x
x
x
x
x

With
Comment

x

x

x

First reports 4th quarter 2010

744001 Cypress Creek Hospital
755001 West Oaks Hospital
758000 Houston Hospital for Specialized Surgery
762001 IntraCare Medical Center Hospital
763000 Plaza Specialty Hospital
782001 Intracare North Hospital
792000 Texas Orthopedic Hospital
792600 Triumph Hospital–Northwest
792702 Triumph Hospital Town & Country
794200 Menninger Clinic
807000 CHRISTUS Dubuis Hospital–Houston
838400 Memorial Hermann Rehab Hospital
838600 St Joseph Medical Center
840200 University General Hospital
844900 Behavioral Hospital–Bellaire
Last reports 3rd quarter 2010
Acuity Hospital–Houston

856300
909000 St Anthonys Hospital
941000 Triumph Hospital–The Heights

x
x
xLV
x
x
x
x
x
x
x
xLV
x
x
OC
x

x

x
x

xLV
x

x
x
xLV
x
x
x
x
x
x
x
xLV
x
x
x
xOC
xLV
x
x

x
x
x
x

x
x
xLV
x
x
x
x
x
x
x
xLV
x
x
x
xOC

x
x
x

x
x
xLV
x
x
x
x
x
x
x
xLV
x
x
x
xOC

x
x
x
x

x
x
x

xLV
x
x

***

x

x

xOC

x

x

First reports 2nd quarter 2010

956000 Westbury Community Hospital
First reports 3rd quarter 2010

969200 Behavioral Hospital–Bellaire
First reports 3rd quarter 2010

64

Texas Health Care Information Collection

Reports
With

Humble
616000 HEALTHSOUTH Rehab Hospital
847100 Memorial Hermann Northeast
865900 Icon Hospital
901100 Humble Surgical Hospital

2Q10

With
Comment

3Q10

x
x
x

x
x
x

x

x
x
x

x
x
xLV
xLV

x

CN

x

x

x

x

xLV
xOC

x
xOC

x
xOC

x
xOC

*

*

*

*

1Q10

With
Comment

With
Comment

4Q10

With
Comment

First reports 4th quarter 2010

Hunt
325000 La Hacienda Treatment Center
Last reports 2nd quarter 2010

Huntsville
061000 Huntsville Memorial Hospital
Hurst
812300 Southwest Surgical Hospital
850200 Cook Childrens Northeast Hospital
Iraan
258000 Iraan General Hospital
Irving
300000 Baylor Medical Center–Irving
799500 Irving Coppell Surgical Hospital
814000 Las Colinas Medical Center
Jacksboro
046000 Faith Community Hospital
Jacksonville
416000 East Texas Medical Center–Jacksonville
725400 Mother Frances Hospital–Jacksonville
Jasper
038001 CHRISTUS Jasper Memorial Hospital
Jourdanton
334002 South Texas Regional Medical Center
Junction
205000 Kimble Hospital
Katy
534001 Memorial Hermann Katy Hospital
715901 CHRISTUS St Catherine Hospital
848000 Kingsland Hospital of Katy

x
x
x

x

x
x
x

x

x
x
x

x

x
x
x

*

*

*

*

x
x

x
x

x
x

x
x

x

x

x

x

x

x

x

x

xLV

xLV

x

xLV

x
x
x

x
x

x
x
xOC

x
x

CNLV

x

rd

Last reports 3 quarter 2010

Kaufman
303000 Texas Health Presbyterian Hospital–Kaufman
Kenedy
357000 Otto Kaiser Memorial Hospital
Kermit
062000 Winkler County Memorial Hospital
Kerrville
000106 Kerrville State Hospital
406000 Peterson Regional Medical Center
Kilgore
031001 Allegiance Specialty Hospital–Kilgore
Killeen
397001 Metroplex Hospital
397001
397002 Metroplex Pavilion
Kingsville
216001 CHRISTUS Spohn Hospital–Kleberg
Kingwood
675000 Kingwood Medical Center

x

x

x

x

x

x

x

*

*

*

*

xLV

xLV

xLV

xLV

xLV
x

x

xLV
x

x

xLV
x

x
x

xLV
x

x

x

x

x

x

x

x

x

x

x

x

x

x

x

x

xOC

Texas Health Care Information Collection

x

x

65

Reports
With

813800 Memorial Hermann Specialty Hospital
Kingwood
818600 Kingwood Pines Hospital
Knox City
568000 Knox County Hospital
Kyle
921000 Seton Medical Center Hays
La Grange
823400 St Marks Medical Center
Lake Jackson
436000 Brazosport Regional Health System
Lamesa
341000 Medical Arts Hospital
Lampasas
397000 Rollins–Brooks Community Hospital
Laredo
207001 Laredo Medical Center
301000 Doctors Hospital–Laredo
836300 Laredo Specialty Hospital
League City
718000 Devereux Texas Treatment Network
Levelland
307000 Covenant Hospital–Levelland
Lewisville
394000 Medical Center–Lewisville
Liberty
089001 Liberty–Dayton Regional Medical Center
Linden
822100 Good Shepherd Medical Center–Linden
Littlefield
217000 Lamb Healthcare Center
Livingston
466000 Memorial Medical Center–Livingston
Llano
476000 Llano Memorial Hospital
Lockney
010000 WJ Mangold Memorial Hospial
Longview
029000 Good Shepherd Medical Center
525000 Longview Regional Medical Center
794600 Select Specialty Hospital–Longview
862100 Behavioral Hospital Longview

1Q10

x

With
Comment

LV

2Q10

x

With
Comment

LV

3Q10

x

With
Comment

LV

4Q10

x

x

x

x

x

*

*

*

*

x

x

x

x

x

x

x

x

x

x

x

x

x

x

x

*

*

*

*

x

x

x

x

x
x
x

x
x
x

x
x
x

x
x
x

x

x

x

x

x

x

x

x

x

x

x

x

x

x

x

xOC

x

x

xOC

*

*

*

*

x

x

x

x

*

*

*

x

*

*

*

*

x
x
x
xLV

x
x
x
xOC

x
x
x

x
x
x

x

x

x

x

x

With
Comment

OC

x

x
x

Last reports 2nd quarter 2010

944000 Behavioral Hospital Longview
First reports 2nd quarter 2010

Lubbock
013001 Grace Medical Center
109000 Covenant Medical Center–Lakeside
145000 University Medical Center
465000 Covenant Medical Center
686000 Covenant Childrens Hospital
786001 Southwest Regional Specialty Hospital
801500 Lubbock Heart Hospital
804000 Sunrise Canyon

66

x
x
x
x
x
x
xN
x

x
x
x
x

Texas Health Care Information Collection

x
x
x
x
x
x
xN
x

x
x
x
x

x
x
x
x
x
x
xN
xOC

x
x
x
x

x
x
x
x
x
x
xN
x

x
x

Reports
With

846200 Covenant Specialty Hospital
865800 Trustpoint Hospital
940000 Texas Specialty Hospital Lubbock

1Q10

With
Comment

2Q10

With
Comment

3Q10

With
Comment

4Q10

With
Comment

x
xN

x
xN
xLV

x
xN
xLV

x
xN
xLV

x
x
xLV

x
x
x

x
x
x

x
x
x

xOC
x

x
x

x

x
x

x

x
x

x

First reports 2nd quarter 2010

Lufkin
129000 Memorial Medical Center East Texas
481000 Woodland Heights Medical Center
691000 Memorial Specialty Hospital
Luling
597000 Seton Edgar B Davis Hospital
848200 Warm Springs Specialty Hospital–Luling
Madisonville
041000 Madison St Joseph Health Center
Mansfield
657000 Kindred Hospital–Mansfield
842800 Methodist Mansfield Medical Center
Marlin
517000 Falls Community Hospital & Clinic
Marshall
020000 Good Shepherd Medical Center–Marshall
McAllen
601000 Rio Grande Regional Hospital
802001 McAllen Medical Center
802003 McAllen Heart Hospital
816300 Solara Hospital
821001 LifeCare Hospital–South Texas–South
821002 LifeCare Hospitals–South Texas–North
McCamey
240000 McCamey Hospital
McKinney
246000 Columbia Medical Center–McKinney
246001 Medical Center McKinney–Wysong Campus
922000 The Hospital at Craig Ranch
937000 Methodist McKinney Hospital

x

x

x

x

x

x

x

x

x
x

x

x
x

x

x
x

x

x
x

x

*
x

*
x

x

*
x

x

*
x

x

x
x

x
x

x
x

x
x

x
x
x

x
x
x

x
x
x

x
x
x

*

*

*

*

x

x

x

x

x

x
xLV

x
x

x
x

xOC
x

xOC
x

xOC
x

xOC
x

x

x

x

x

x

x

x

x

x

x

x

x

x
x
xLV

x
x
x

x
x
x

x
x
x

x

x

x

x

x

x

xOC

xOC

x

x

x

x

x

802001

246000

First reports 2nd quarter 2010

Mesquite
315003 Dallas Regional Medical Center
840000 Mesquite Specialty Hospital
Mexia
505000 Parkview Regional Hospital
Midland
452000 Midland Memorial Hospital
452002 Midland Memorial Hospital–West Campus
693000 HEALTHSOUTH Rehab Hospital–
Midland/Odessa
789900 Select Specialty Hospital–Midland
874500 BCA Permian Basin
924000 Allegiance Health Center Permian Basin
Mineral Wells
034000 Palo Pinto General Hospital
Mission
370000 Mission Regional Medical Center
Missouri City
609001 Memorial Hermann Sugar Land

x

452000

Texas Health Care Information Collection

67

Reports
With

Monahans
468000 Ward Memorial Hospital
Morton
159000 Cochran Memorial Hospital
Mount Pleasant
137000 Titus Regional Medical Center
Mount Vernon
282000 East Texas Medical Center–Mount Vernon
Muenster
365000 Muenster Memorial Hospital
Muleshoe
631000 Muleshoe Area Medical Center
Nacogdoches
392000 Nacogdoches Medical Center
478000 Nacogdoches Memorial Hospital
478000
478001 Cecil R Bomar Rehab Center
Nassau Bay
600001 CHRISTUS St John Hospital
Navasota
002000 St Joseph Regional Health Center Behavioral 002001
Health
728800 Grimes St Joseph Health Center
New Braunfels
851800 Gulf States LTAC–New Braunfels
863300 CHRISTUS Santa Rosa Hospital New
Braunfels
Nocona
348000 Nocona General Hospital
Odessa
181000 Medical Center–Hospital
425000 Odessa Regional Medical Center–6th Street
791001 Regency Hospital–Odessa
938000 Basin Healthcare Center

1Q10

With
Comment

2Q10

With
Comment

3Q10

With
Comment

4Q10

*

*

*

*

*

*

*

*

*

*

*

*

x

x

x

x

*

*

*

*

*

*

*

*

x
x

x
x

x
x

x
xOC

x

x

x

x

x

x

x

x

With
Comment

x

x

x

x

xN
x

x
x

x

x
x

x
x

*

*

*

*

x
x
x

x
x
x
x

x
x
xLV
x

x
x
x
x

*

*

*

*

x
x

x
x

x
x

x
x

xOC

x

xOC

xLV
x

xLV
x

xLV
x

xLV
x

x

x

x

x

x

x

x

x

x

x

xLV

x

xLV

xLV

x

First reports 2nd quarter 2010

Olney
294000 Hamilton Hospital
Orange
121000 Memorial Hermann Baptist Orange Hospital
851400 Harbor Hospital–Southeast Texas
Palacios
574001 Palacios Community Medical Center
Palestine
377001 Palestine Regional Rehab Hospital
629001 Palestine Regional Medical Center
629001
629002 Palestine Regional Medical Center Psych
Services
Pampa
832900 Pampa Regional Medical Center
Paris
095002 Paris Regional Medical Center South Campus
095003 Paris Regional Medical Center North Campus 095002
787500 Dubuis Hospital–Paris
Pasadena
349001 Bayshore Medical Center

68

x

xLV

x

x

x

Texas Health Care Information Collection

x

x

x

x

Reports
With

694100 Surgery Specialty Hospitals of America–
Southeast Houston
801000 Kindred Hospital
846100 Patients Medical Center
Pearsall
441000 Frio Regional Hospital
Pecos
367000 Reeves County Hospital
Perryton
098000 Ochiltree General Hospital
Pittsburg
438000 East Texas Medical Center–Pittsburg
Plainview
146000 Covenant Hospital–Plainview
816001 Allegiance Behavioral Health Center–
Plainview
Plano
143001 Childrens Medical Center Legacy
214000 Medical Center–Plano
664000 Texas Health Presbyterian Hospital–Plano
670000 HEALTHSOUTH Plano Rehab Hospital
720000 Texas Health Seay Behavioral Health Center
789800 LifeCare Hospital–Plano
805000 Plano Specialty Hospital
814001 Baylor Regional Medical Center–Plano
815300 Texas Health Center–Diagnostics & Surgery
Plano
844000 Heart Hospital Baylor Plano
913000 Integra Hospital Plano
Port Arthur
299001 CHRISTUS Hospital–St Mary
464002 Medical Center–Southeast Texas
708001 CHRISTUS Dubuis Hospital–Port Arthur
792100 Promise Specialty Hospital–Southeast Texas
Port Lavaca
487000 Memorial Medical Center
Quanah
102000 Hardeman County Memorial Hospital
Quitman
411000 East Texas Medical Center–Quitman
Rankin
290000 Rankin County Hospital District
Refugio
368000 Refugio County Memorial Hospital District
Richardson
549000 Methodist Richardson Medical Center
549001 Bush Renner
861300 Reliant Rehab Hospital North Texas
Richland Hills
437000 North Hills Hospital
Richmond
230000 Oakbend Medical Center
230001 Oakbend Medical Center

1Q10

With
Comment

x

2Q10

With
Comment

3Q10

With
Comment

4Q10

x

x

xOC
x

x
x

*

*

*

*

*

*

*

*

*

*

*

*

x

x

x

x

x
x

xOC
x

x
x

x
x
x
x
x
x
x
x
x

x
x
x
x
x
x
x
x
x

x
x
x
x
x
x
x
x
x

x
x

x
x

x
x
x
x
x
x
x
x
x
x
x
x
x
xLV
x

x

x

x
x
x
x
x

x

x

x
x
x
x
x

x
x

x
x

x
xOC
xLV
x

x
xOC
xLV
xOC

x

x
x

x
x
x
x
x

x

x

x
x

x
x
xLV
x

*

*

*

*

*

*

*

x

x

x

x

*

*

*

*

*

*

*

*

x

x
***
x

x

x
***
x

x

x
***
xOC

x

x

x

x

x
x

x
x

x
x

x
x

Texas Health Care Information Collection

x

x
x
x
x
x

x
xOC

*

x
***
x

With
Comment

LV

x

x

69

Reports
With

1Q10

Rio Grande City
393000 Starr County Memorial Hospital
x
Rockdale
369000 Richards Memorial Hospital
x
Rockwall
859900 Texas Health Presbyterian Hospital–Rockwall
x
Rotan
355000 Fisher County Hospital District
*
Round Rock
608000 Round Rock Medical Center
x
852600 Scott & White Hospital–University Medical
x
Campus
861700 Seton Medical Center Williamson
x
866100 Reliant Rehab Hospital Central Texas
x
Rowlett
625000 Lake Pointe Medical Center
x
Rusk
000107 Rusk State Hospital
x
San Angelo
056000 San Angelo Community Medical Center
x
168000 Shannon West Texas Memorial Hospital
x
168000
445000 Shannon Medical Center–St Johns Campus
747000 River Crest Hospital
x
San Antonio
000108 Texas Center for Infectious Disease
OC
000110 San Antonio State Hospital
x
081001 Southeast Baptist Hospital
x
114001 Baptist Medical Center
x
134001 Northeast Baptist Hospital
x
154000 Methodist Hospital
x
154001 Methodist Specialty & Transplant Hospital
xOC
154002 Northeast Methodist Hospital
x
158000 University Hospital
x
228001 Southwest General Hospital
x
283000 Metropolitan Methodist Hospital
xOC
339000 CHRISTUS Santa Rosa Hospital
x
339001 CHRISTUS Santa Rosa Medical Center
x
339002 CHRISTUS Santa Rosa Hospital–Westover
x
Hills
396002
396001 Nix Specialty Health Center
396002 Nix Health Care System
x
503001 St Lukes Baptist Hospital
x
634000 CHRISTUS Santa Rosa Childrens Hospital
x
636000 HEALTHSOUTH Rehab Institute–San Antonio
x
645000 Kindred Hospital–San Antonio
x
677001 North Central Baptist Hospital
x
681001 Methodist Ambulatory Surgery Hospital–
x
Northwest
702001 Acuity Hospital South Texas
xLV
711000 COMPASS Hospital San Antonio
x

With
Comment

2Q10

With
Comment

3Q10

With
Comment

4Q10

x

x

x

x

x

x

x

x

x

*

*

*

x

x
x

x

x
x

x

x
x

x

x

x
x

x

x
x

x

x
x

x

x
x

x

x

x
x

x

x
x

x

x
x

x
xOC

x
x

x

x

x

xLV
x
x
x
x
x
x
x
x
x
xOC
x
x
x

xLV
x
x
x
x
x
x
x
x
x
x
x
x
x

xLV
x
x
x
x
x
x
x
x
x
x
x
x
x

x

x

x
x
x
x
x
x
x

x
x
x
x
x
x
x

x
x
x
x
x
x
x

xLV

x

xLV

x
x
x

x
x
x

x
x
x

Last reports 1st quarter 2010

719300 Select Specialty Hospital–San Antonio
723001 Laurel Ridge Treatment Center
737000 Southwest Mental Health Center

70

With
Comment

x
x
x

Texas Health Care Information Collection

x

x
x

Reports
With

786800 South Texas Spine & Surgical Hospital
799200 Promise Specialty Hospital–San Antonio
800600 Texsan Heart Hospital
815000 LifeCare Hospital–San Antonio
820600 Innova Hospital–San Antonio
844600 Warm Springs Rehab Hospital–San Antonio
852100 Foundation Bariatric Hospital–San Antonio
874100 Methodist Stone Oak Hospital
939000 GlobalRehab Hospital–San Antonio

1Q10

x
x
x
x
x
x
x
xOC

With
Comment

x

2Q10

With
Comment

3Q10

With
Comment

4Q10

x
x
x
x
x
x
xLV
xOC
x

x
xLV
x
x
x
x
x
x
x

x
xLV
x
x
x
x
x
x
x

x

x

x

x

x

x

x

x

x

x

x

x

*

*

*

*

*

*

*

*

*

*

*

*

x
xOC

xOC
xOC

OC
xOC

x
x

x
x

x
x

xLV

xOC

With
Comment

First reports 2nd quarter 2010

San Augustine
072000 Memorial Medical Center–San Augustine
San Marcos
556000 Central Texas Medical Center
Seguin
155000 Guadalupe Regional Medical Center
Seminole
113000 Memorial Hospital
Seymour
546000 Seymour Hospital
Shamrock
571000 Shamrock General Hospital
Shenandoah
795000 Nexus Specialty Hospital Shenandoah Campus
873700 Reliant Rehab Hospital North Houston
Sherman
297000 Wilson N Jones Medical Center
875300 Lifelong Independence and Fitness
Enrichment Center
957000 Carrus Rehab Hospital

x
xOC

x

x
x

rd

First reports 3 quarter 2010

Smithville
385000 Smithville Regional Hospital
Snyder
439000 Cogdell Memorial Hospital
Sonora
147000 Lillian M Hudspeth Memorial Hospital
Southlake
812800 Texas Health Harris Methodist Hospital
Southlake
Spearman
395000 Hansford County Hospital
Stafford
874000 Atrium Medical Center
Stamford
043000 Stamford Memorial Hospital
Stanton
388000 Martin County Hospital District
Stephenville
256000 Texas Health Harris Methodist Hospital–
Stephenville
Sugar Land
790500 Sugar Land Surgical Hospital
792700 Triumph Hospital–Southwest

x

x

x

x

*

*

*

*

*x

*x

*xLV

x

x

x

x

x

*

*

*

*

x

x

x

x

*

*

*

*

*

*

*

*

x

x

x
x

Texas Health Care Information Collection

x

x
x

x

x

x
x

x

x

x

x
x

71

Reports
With

823000 Methodist Sugar Land Hospital
844500 Sugar Land Rehab Hospital

1Q10

With
Comment

x
xOC

2Q10

With
Comment

x
CN

3Q10

With
Comment

x

4Q10

With
Comment

x

Last reports 2nd quarter 2010

869700 St Lukes Sugar Land Hospital
916000 Sugar Land 24 Hour Hospital
969000 HEALTHSOUTH Sugar Land Rehab
Hospital

x
***

x

x
xLV

x

x
xLV

x

x
xLV
x

x

First reports 4th quarter 2010

Sulphur Springs
280000 Hopkins County Memorial Hospital
Sunnyvale
919000 Texas Regional Medical Center
Sweeny
178000 Sweeny Community Hospital
Sweetwater
471000 Rolling Plains Memorial Hospital
Tahoka
192000 Lynn County Hospital District
Taylor
044000 Johns Community Hospital
Temple
186000 Kings Daughters Hospital
537000 Scott & White Memorial Hospital
537001 Scott & White Santa Fe Center
537002 Scott & White Pavilion
537003 Scott & White Memorial Hospital–SNF
537004 Scott & White Memorial Hospital–Rehab

*

*

*

*

x

x

x

xOC

x

x

x

x

*

*

*

*

*

*

*

*

x

x

x

xOC

xOC
x

x
x

x
x

***
x

x
x

x
x

x
x

x

x
x

x
x

x
x

x
x

x

537000
537000

Last reports 3rd quarter 2010

537005 Scott & White Memorial Hospital–Psych
850300 Scott & White Continuing Care
Terrell
000111 Terrell State Hospital
848600 Renaissance Hospital Terrell
Texarkana
144000 Wadley Regional Medical Center
684000 HEALTHSOUTH Rehab Hospital–Texarkana
713001 CHRISTUS St Michael Rehab Hospital
788001 CHRISTUS St Michael Health System
822000 Dubuis Hospital–Texarkana
847600 Dubuis Hospital–Texarkana–Wadley
Texas City
793000 Mainland Medical Center
The Woodlands
615000 Memorial Hermann The Woodlands Hospital
793100 St Lukes Community Medical Center–The
Woodlands
795001 Nexus Specialty Hospital
923000 St Lukes Lakeside Hospital
Throckmorton
428000 Throckmorton County Memorial Hospital
Tomball
076000 Tomball Regional Hospital
792601 Triumph Hospital Tomball

72

x
x
x
x
x
x
x
x

x

x
x

xOC
x
x
xLV
x

x
x
x
x
x
x
x
xLV

x

x
x
x

xOC

x

x
x

x

xLV
x

x
xOC
x
x
x
x
x
x

x

x
x
x

xOC

x

x
x

x

xOC
x

x
x
xOC
x
x
x
x
x

x
x
x

xOC

x

x
x

x

x

xLV
x

x

*

*

*

*

xOC
x

xOC
x

xOC
x

xOC
x

Texas Health Care Information Collection

x

Reports
With

Trinity
287000 East Texas Medical Center–Trinity
Trophy Club
805100 Baylor Medical Center Trophy Club
Tulia
273000 Swisher Memorial Hospital
Tyler
000112 UT Health Center–Tyler
286000 Mother Frances Hospital
410000 East Texas Medical Center
410001 East Texas Medical Center Behavioral Health
Center
692000 Trinity Mother Frances Rehab Hospital
777000 East Texas Medical Center Specialty Hospital
790200 Texas Spine & Joint Hospital
799000 East Texas Medical Center Rehab Hospital
806500 Tyler Continue Care Hospital–Mother
Frances
Uvalde
063000 Uvalde Memorial Hospital
Van Horn
139000 Culberson Hospital
Vernon
000113 North Texas State Hospital–Vernon
084000 Wilbarger General Hospital
Victoria
064000 Citizens Medical Center
453000 DeTar Hospital–Navarro
453001 DeTar Hospital–North
812000 Triumph Hospital Victoria
848100 Warm Springs Specialty Hospital–Victoria
Waco
000117 Waco Center for Youth
040000 Providence Health Center
506000 Hillcrest Baptist Medical Center
506001 Hillcrest Baptist Medical Center
736000 DePaul Center–Div of Providence Health Center
Waxahachie
285000 Baylor Medical Center–Waxahachie
Weatherford
844800 Weatherford Regional Medical Center
Webster
212000 Clear Lake Regional Medical Center
680000 Clear Lake Rehab Hospital
698004 Cornerstone Hospital Houston–Clear Lake
720402 Triumph Hospital–Clearlake
822001 Houston Physicians Hospital
Weimar
005000 Colorado–Fayette Medical Center
Wellington
195000 Collingsworth General Hospital

1Q10

With
Comment

2Q10

With
Comment

3Q10

With
Comment

4Q10

x

x

x

x

x

x

x

x

*

*

*

*

x
x
x

x
x
x

x
x
x

x
x
x

x
x
x
x
x

x
x
x
x
x

x
x
x
x
x

x

x

x

x

xLV

xLV

xLV

xLV

*

*

*

*

With
Comment

410000

x
x
x
x
x

x

000114

x
x

x

x
x

x

x
x

x

x
x

x

453000

x
x
xLV
x
x

x
x
x

xLV
x
x

x
x
x

xLV
x
xOC

x
x
x

xLV
x
x

x

506000

xOC

x
x

x

x

x
x

x

x
x

x

x

x

x

x

x
x
x
x
x

x
x
x
x
x

x
x
x
x
x

x
x
x
x
x

*

*

*

*

x

xLV

x

x

Texas Health Care Information Collection

x

73

Reports
With

Weslaco
480000 Knapp Medical Center
808500 Weslaco Rehab Hospital
Wharton
833000 Gulf Coast Medical Center
Wheeler
116000 Parkview Hospital
Whitney
161000 Lake Whitney Medical Center
Wichita Falls
000114 North Texas State Hospital
417000 United Regional Health Care System
681400 Kell West Regional Hospital
685000 HEALTHSOUTH Rehab Hospital–Wichita
Falls
709001 Red River Hospital
820002 Texas Specialty Hospital–Wichita Falls
Winnie
781400 Winnie Community Hospital
Winnsboro
446000 Texas Health Presbyterian Hospital–
Winnsboro

1Q10

With
Comment

2Q10

With
Comment

3Q10

With
Comment

4Q10

x
x

x
x

x
x

x
x

x

x

x

x

*

*

*

*

x

x

x

x

x
x
x
x

x

x
x
x
x

x

x
x
x
x

x

x
x
x
x

x

x
x

x
x

x
x

x
xOC

x

x

x

x

x

x

x

x

*

*

*

*

x

With
Comment

x

x

Last reports 1st quarter 2010

446001 Mother Frances Hospital Winnsboro
Winters
151000 North Runnels Hospital
Woodville
569000 Tyler County Hospital
Yoakum
023000 Yoakum Community Hospital

*

*

*

*

xOC

xOC

xOC

xOC

Total exempt hospitals

88

88

88

84

Total exempt hospitals voluntarily reporting

3

3

3

0

Total hospitals not in compliance. No data submitted

2

0

2

1

Total hospitals with discharges reported by another
hospital

32

31

30

31

Total reporting

546

555

550

553

Note: Hospitals that report discharge data with another hospital are so indicated in the ‘Reports With’ column.
C Closed, no data submitted.
CN Closed, data not certified.
NC
Certification comments not submitted to DSHS.
OC Not in compliance for this quarter. No data submitted.
x Hospital submitted and certified data, submitted comments.
xlv Hospital with fewer than fifty discharges in the quarter. The hospital IDs for these hospitals have been changed to
'999999' in the Public Use Data File, but their comments are listed under their actual THCIC ID. Other changes to
the patient records for these hospitals are indicated in the 'Data Dictionary'.
xN Hospital elected not to certify data.
xOC Hospital did not certify data. Not in compliance for this quarter.

74

Texas Health Care Information Collection

*

***

Exempt hospital. Includes those located in a county with a population less than 35,000, or those located in a county
with a population more than 35,000 and with fewer than 100 licensed hospital beds and not located in an area that is
delineated as an urbanized area by the United States Bureau of the Census (Section 108.0025). Also includes
hospitals that do not seek insurance payment or government reimbursement (Section 108.009).
No discharges for this quarter.

Texas Health Care Information Collection

75



---

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