Parent File | Name | Number | Package |
---|---|---|---|
3P CLAIM DATA(#9002274.3) | ICD Procedure | 9002274.3019 | Third Party Billing |
Field # | Name | Loc | Type | Details |
---|---|---|---|---|
.01 | ICD Procedure | 0;1 | POINTER TO ICD OPERATION/PROCEDURE FILE (#80.1) | ICD OPERATION/PROCEDURE(#80.1)
|
.02 | PRIORITY ORDER | 0;2 | NUMBER |
|
.03 | DATE of SERVICE | 0;3 | DATE | ************************REQUIRED FIELD************************
|
.04 | PROVIDER'S NARRATIVE | 0;4 | POINTER TO PROVIDER NARRATIVE FILE (#9999999.27) | ************************REQUIRED FIELD************************ PROVIDER NARRATIVE(#9999999.27)
|
.06 | ICD INDICATOR | 0;6 | SET |
|
.17 | DATA SOURCE | 0;17 | FREE TEXT |
|
11 | SNOMED CT | 1;1 | FREE TEXT |
|
12 | SNOMED CT PREFERRED TERM | COMPUTED |
|
|
21 | DUAL CODING ICD-9 PROCEDURE | 2;1 | POINTER TO ICD OPERATION/PROCEDURE FILE (#80.1) | ICD OPERATION/PROCEDURE(#80.1)
|
22 | DUAL CODING ICD-9 DX CODE | 2;2 | POINTER TO ICD DIAGNOSIS FILE (#80) | ICD DIAGNOSIS(#80)
|