ABME661 ; IHS/ASDST/DMJ - UB92 V5 EMC RECORD 61 (Outpatient Services) ;
Source file <ABME661.m>
| Name | Comments | DBIA/ICR reference |
|---|---|---|
| 10 | ;1-2 Record type
|
|
| 20 | ;3-5 Sequence
|
|
| 120 | ;74-81 Date of Service
|
|
| 30 | ;6-25 Patient Control Number
|
|
| 50 | ;32-36 HCPCS Procedure Code 1
|
|
| 35 | ;26-27 Filler (National Use)
|
|
| EX(ABMX,ABMY,ABMZ) | ;EXTRINSIC FUNCTION HERE
|
|
| 60 | ;37-38 Modifier 1 (CPT-4 and HCPCS) 1
|
|
| START | ;START HERE
|
|
| ADD | ;ADD TO RECORD
|
|
| 130 | ;82 Filler (National Use)
|
|
| 40 | ;28-31 Revenue Code 1
|
|
| 70 | ;39-40 Modifier 2 (CPT-4 and HCPCS) 1
|
|
| 90 | ;48-53 Form Locator 49
|
|
| 80 | ;41-47 Units of Service 1
|
|
| 100 | ;54-63 Charges Total 1
|
|
| LOOP | ;LOOP HERE
|
|
| 110 | ;64-73 Charges Non-Covered 1
|
| Name | Line Occurrences |
|---|---|
| @( | LOOP+8, LOOP+9, EX+4 |
| ADD | LOOP+8, LOOP+9 |
| LOOP | START+6 |
| >> | Not killed explicitly |
| * | Changed |
| ! | Killed |
| ~ | Newed |
| Name | Field # of Occurrence |
|---|---|
| ABM | START+8!, EX+7! |
| ABM("ACTOT" | LOOP+11* |
| ABM("NCTOT" | LOOP+12* |
| ABME | START+8!, EX+7! |
| ABME("RTYPE" | START+2* |
| ABME("S#" | START+2*, LOOP+7*, LOOP+14, LOOP+15, ADD+1, 20+1 |
| >> ABMP("BDFN" | 30+1, EX+2* |
| >> ABMP("FLAT" | START+4! |
| >> ABMP("FMT" | EX+3*, EX+6* |
| >> ABMP("NOFMT" | LOOP+14, ADD+1, EX+3 |
| >> ABMP("VDT" | 120+1 |
| >> ABMR(61 | START+1!, ADD+1, 10+1*, 20+1*, 20+2*, 30+1*, 30+2*, 35+1*, 35+2*, 40+1* , 40+2*, 50+1*, 50+2*, 60+1*, 60+2*, 70+1*, 70+2*, 80+1*, 80+2*, 90+1* , 90+2*, 100+1*, 100+2*, 110+1*, 110+2*, 120+1*, 120+2*, 130+1*, 130+2*, EX+5 , EX+7! |
| >> ABMREC(61 | START+1!, START+7, LOOP+14, LOOP+15*, ADD+1* |
| ABMRV | START+8! |
| ABMRV( | LOOP+2, LOOP+3, LOOP+5, LOOP+11, LOOP+12, 40+1, 50+1, 60+1, 70+1, 80+1 , 100+1 |
| ABMX | EX~, EX+4, EX+5, EX+7! |
| ABMY | EX~, EX+2, EX+7! |
| ABMZ | EX~, EX+7! |
| >> I | LOOP+8*, LOOP+9*, ADD+1 |
| >> J | LOOP+2*, LOOP+3, LOOP+5, LOOP+10, LOOP+11, LOOP+12, 40+1, 50+1, 60+1, 70+1 , 80+1, 100+1 |
| >> K | LOOP+3*, LOOP+5, LOOP+11, LOOP+12, 40+1, 50+1, 60+1, 70+1, 80+1, 100+1 |
| >> L | START+7*, LOOP+1*, LOOP+6* |
| >> M | LOOP+4*, LOOP+5*, LOOP+11, LOOP+12, 40+1, 50+1, 60+1, 70+1, 80+1, 100+1 |
| U | LOOP+11, LOOP+12, 40+1, 50+1, 60+1, 70+1, 80+1, 100+1 |
| >> Y | EX+5*, EX+8 |