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Sub-Field: 9002274.4035

Package: Third Party Billing

3P BILL(#9002274.4)-->9002274.4035

Sub-Field: 9002274.4035


Information

Parent File Name Number Package
3P BILL(#9002274.4) Radiology 9002274.4035 Third Party Billing

Details

Field # Name Loc Type Details
.01 RADIOLOGY (CPT CODE) 0;1 POINTER TO CPT FILE (#81) CPT(#81)

  • INPUT TRANSFORM:  S DIC("S")="I $P($$IHSCPT^ABMCVAPI(Y,""),U,6)'=1,$P($$CPT^ABMCVAPI(Y,""),U,4)]"""",$P(^DIC(81.1,$P($$CPT^ABMCVAPI(Y,""),U,4),0),U,3)=4" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
  • LAST EDITED:  JUL 15, 2008
  • SCREEN:  S DIC("S")="I $P($$IHSCPT^ABMCVAPI(Y,""),U,6)'=1,$P($$CPT^ABMCVAPI(Y,""),U,4)]"""",$P(^DIC(81.1,$P($$CPT^ABMCVAPI(Y,""),U,4),0),U,3)=4"
  • EXPLANATION:  CPT MAJOR CATEGORY MUST BE RADIOLOGY
  • NOTES:  XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
.02 REVENUE CODE 0;2 POINTER TO REVENUE CODES FILE (#9999999.72) REVENUE CODES(#9999999.72)

  • INPUT TRANSFORM:  S DIC("S")="I $P(^(0),U,3)'=0,$E(^(0),1,2)>31,$E(^(0),1,2)<36!($E(^(0),1,2)=40)!($E(^(0),1,2)=61)" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
  • LAST EDITED:  JUL 11, 2008
  • SCREEN:  S DIC("S")="I $P(^(0),U,3)'=0,$E(^(0),1,2)>31,$E(^(0),1,2)<36!($E(^(0),1,2)=40)!($E(^(0),1,2)=61)"
  • EXPLANATION:  REVN CODE MUST RELATE TO RADIOLOGY
  • NOTES:  XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
.03 UNITS 0;3 NUMBER
************************REQUIRED FIELD************************

  • INPUT TRANSFORM:  K:+X'=X!(X>99)!(X<1)!(X?.E1"."1N.N) X
  • LAST EDITED:  APR 29, 1990
  • HELP-PROMPT:  Type a Number between 1 and 99, 0 Decimal Digits
.04 UNIT CHARGE 0;4 NUMBER
************************REQUIRED FIELD************************

  • INPUT TRANSFORM:  S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>9999.99)!(X<0) X
  • OUTPUT TRANSFORM:  S Y=$J(Y,4,2)
  • LAST EDITED:  MAY 05, 1990
  • HELP-PROMPT:  Type a Dollar Amount between 0 and 9999.99, 2 Decimal Digits
.05 MODIFIER 0;5 FREE TEXT

  • INPUT TRANSFORM:  D EN^ABMMODIT
  • LAST EDITED:  JUL 15, 2008
  • HELP-PROMPT:  Select entry from CPT Modifiers File.
  • NOTES:  XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
.06 SECOND MODIFIER 0;6 FREE TEXT

  • INPUT TRANSFORM:  D EN^ABMMODIT
  • LAST EDITED:  JUL 15, 2008
  • HELP-PROMPT:  Select entry from CPT Modifiers File.
  • NOTES:  XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
.07 THIRD MODIFIER 0;7 FREE TEXT

  • INPUT TRANSFORM:  D EN^ABMMODIT
  • LAST EDITED:  JUL 15, 2008
  • HELP-PROMPT:  Select entry from CPT Modifiers File.
  • NOTES:  XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
.08 CORRESPONDING DIAGNOSIS 0;8 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>7!($L(X)<1) X
  • LAST EDITED:  APR 06, 1995
  • HELP-PROMPT:  Answer must be 1-7 characters in length.
.09 SERVICE FROM DATE/TIME 0;9 DATE

  • INPUT TRANSFORM:  S %DT="ESTX" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  JUN 19, 2006
.1 *PROVIDER 0;10 POINTER TO NEW PERSON FILE (#200) NEW PERSON(#200)

  • LAST EDITED:  JAN 10, 2006
.12 SERVICE TO DATE/TIME 0;12 DATE

  • INPUT TRANSFORM:  S %DT="ESTX" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  JUN 19, 2006
.15 HCFA POS 0;15 POINTER TO 3P CODES FILE (#9002274.03) 3P CODES(#9002274.03)

  • INPUT TRANSFORM:  S DIC("S")="I $P(^(0),U,4)'=1,$P(^(0),U,2)=""H""" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
  • LAST EDITED:  MAY 18, 2004
  • SCREEN:  S DIC("S")="I $P(^(0),U,4)'=1,$P(^(0),U,2)=""H"""
  • EXPLANATION:  HCFA POS entries only
.16 HCFA TOS 0;16 POINTER TO 3P CODES FILE (#9002274.03) 3P CODES(#9002274.03)

  • INPUT TRANSFORM:  S DIC("S")="I $P(^(0),U,4)'=1,$P(^(0),U,2)=""K""" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
  • LAST EDITED:  MAY 18, 2004
  • SCREEN:  S DIC("S")="I $P(^(0),U,4)'=1,$P(^(0),U,2)=""K"""
  • EXPLANATION:  HCFA TOS entries only
.17 DATA SOURCE 0;17 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>12!($L(X)<1) X
  • LAST EDITED:  DEC 13, 2005
  • HELP-PROMPT:  Answer must be 1-12 characters in length.
.18 SERVICE LINE PROVIDER P;0 POINTER Multiple #9002274.403518 9002274.403518
.23 PRINT ORDER 0;23 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>99999)!(X<1)!(X?.E1"."1.N) X
  • LAST EDITED:  SEP 05, 2017
  • HELP-PROMPT:  Type a number between 1 and 99999, 0 decimal digits.
21 LINE ITEM CONTROL NUMBER 2;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>18!($L(X)<18) X
  • LAST EDITED:  FEB 01, 2011
  • HELP-PROMPT:  Answer must be 18 characters in length
  • TECHNICAL DESCR:  This field will be unique for each line item on every bill. The format being used is:
    Characters 1-12  = Bill IEN
    Characters 13-14 = Multiple #
    Characters 15-18 = Line item counter
22 CPT NARRATIVE 2;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>80!($L(X)<3) X
  • LAST EDITED:  FEB 22, 2012
  • HELP-PROMPT:  Answer must be 3-80 characters in length
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