18.3.68 OCD - occurrence code and date (2A.3.49)

HL7 Component Table - OCD - Occurrence Code and Date

Core Framework									Base Standard Profile
Seq#	Description	Interpretation	Flags	Cardinality	Length	C.LEN	Vocabulary	Data Type	Implement	Cardinality	Vocabulary
OCD
1	Occurrence Code			[1..1]			nubc-OccurrenceCode-cs (CD VS)	CNE	SHALL		(CS)
2	Occurrence Date			[1..1]				DT	SHALL

Definition: The code and associated date defining a significant event relating to a bill that may affect payer processing.

This data type carries data defined by CMS or other regulatory agencies. It corresponds to UB82 Fields 28-32 and UB92 fields 32a, 32b, 33a, 33b, 34a, 34b, 35a, and 35b. Refer to a UB specification for additional information.

Use Case: A Medicare beneficiary was confined in hospital from January 1, 1992 to January 10, 1992, however, his Medicare Part A benefits were exhausted as of January 8, 1992, and he was not entitled to Part B benefits. Therefore, Form Locator 32 should contain code 23 and the date 010892.

Example:

|23&Benefits Exhausted&NUBC^19920108|

18.3.68.1 Occurrence Code (CNE) (2A.3.49.0)

Definition: The NUBC code for the event or occurrence relating to a bill that may affect payer processing.

Refer to HL7-defined Table 0350 - Occurrence Code for valid values.

Values for this component need to come from National Uniform Billing Committee (NUBC). No extensions are allowed.

18.3.68.2 Occurrence Date (DT) (2A.3.49.1)

Definition: The date the event, relating to a bill that may affect payer processing, occurred.