18.8.131 PSL - Product/Service Line Item Segment (16.4.6)

The Product/Service Line Item segment is used to identify individual product/service items that typically are aggregated into an Invoice. Each instance of a Product/Service Line Item corresponds to a unique product delivered or service rendered.

HL7 Attribute Table - PSL - Product/Service Line Item

18.8.131.1 PSL field definitions (16.4.6.0)

18.8.131.2 PSL-1 Provider Product/Service Line Item Number (EI) 01955 (16.4.6.1)

Definition: Unique Product/Service Line Item Number assigned by the Provider Application.

18.8.131.3 PSL-2 Payer Product/Service Line Item Number (EI) 01956 (16.4.6.2)

Definition: Unique Product/Service Line Item Number assigned by the Payer Application.

18.8.131.4 PSL-3 Product/Service Line Item Sequence Number (SI) 01957 (16.4.6.3)

Definition: Unique sequence number for the Product/Service Line Item - starts with 1, then 2, etc. for each unique Product/Service Line Item in this Invoice.

18.8.131.5 PSL-4 Provider Tracking ID (EI) 01958 (16.4.6.4)

Definition: Identifier for this Product/Service Line Item assigned by the Provider Application. This will be echoed on all interactions between participants for this Product/Service Line Item.

18.8.131.6 PSL-5 Payer Tracking ID (EI) 01959 (16.4.6.5)

Definition: Identifier for this Product/Service Line Item assigned by the Payer Application. This will be echoed on all interactions between participants for this Product/Service Line Item.

18.8.131.7 PSL-6 Product/Service Line Item Status (CWE) 01960 (16.4.6.6)

Definition: Processing status for the Product/Service Code. Refer to User-defined Table 0559 - Product/Service Status in Chapter 2C, Code Tables, for suggested values.

18.8.131.8 PSL-7 Product/Service Code (CWE) 01961 (16.4.6.7)

Definition: Code describing the service that was delivered/received. Refer to User-defined Table 0879 - Product/Service Code in Chapter 2C, Code Tables, for suggested values.

18.8.131.9 PSL-8 Product/Service Code Modifier (CWE) 01962 (16.4.6.8)

Definition: Additional optional modifier(s) for the Product/Service Code (e.g., after hours - evening, after hours - weekend); repeats up to 5 times. Refer to User-defined Table 0880 - Product/Service Code Modifier in Chapter 2C, Code Tables, for suggested values.

18.8.131.10 PSL-9 Product/Service Code Description (ST) 01963 (16.4.6.9)

Definition: Text describing Product/Service Code in PSL.

18.8.131.11 PSL-10 Product/Service Effective Date (DTM) 01964 (16.4.6.10)

Definition: [ Start ] Date/Time product/service was delivered/received.

18.8.131.12 PSL-11 Product/Service Expiration Date (DTM) 01965 (16.4.6.11)

Definition: [ End ] Date/Time product/service was delivered/received. If specified, must be greater than or equal to Product/Service Effective Date.

18.8.131.13 PSL-12 Product/Service Quantity (CQ) 01966 (16.4.6.12)

Definition: Amount that has been negotiated for this Product/Service Code on PSL between a Provider and Payer for each unit. Refer to User-defined Table 0560 - Quantity Units in Chapter 2C, Code Tables, for valid values.

18.8.131.14 PSL-13 Product/Service Unit Cost (CP) 01967 (16.4.6.13)

Definition: This field contains the cost per unit either in monetary amount or in points.

Examples:

1. Qty * cost/unit = gross amount

2. Qty * cost/unit * factor = gross amount

3. Qty * cost/point * factor * points = gross amount

18.8.131.15 PSL-14 Number of Items per Unit (NM) 01968 (16.4.6.14)

Definition: Number of items in each unit - for Services, this should be set to 1.

18.8.131.16 PSL-15 Product/Service Gross Amount (CP) 01969 (16.4.6.15)

Definition: = Product/Service Quantity * Product/Service Unit Cost

18.8.131.17 PSL-16 Product/Service Billed Amount (CP) 01970 (16.4.6.16)

Definition: Amount that is being billed for this Product/Service Code on PSL, = Product/Service Gross Amount + sum of all Product/Service Adjustments on ADJ for this Product/Service Line Item.

= Product/Service Gross Amount + sum of all Product/Service Adjustments on ADJ

18.8.131.18 PSL-17 Product/Service Clarification Code Type (CWE) 01971 (16.4.6.17)

Definition: Additional codes describing the Product/Service Code on PSL - examples are Northern Allowance, Data Center Numbers, Sequence Numbers; repeats with Product/Service Clarification Code Value. Refer to User-defined Table 0561 - Product/Services Clarification Codes in Chapter 2C, Code Tables, for suggested values.

18.8.131.19 PSL-18 Product/Service Clarification Code Value (ST) 01972 (16.4.6.18)

Definition: Actual value for Product/Service Clarification Code Type (40) - examples are "Y", "N" for Northern Allowance, an actual number for a Data Center Number; repeats with Product/Service Clarification Code Type.

Repeats with Product/Service Clarification Code Type.

18.8.131.20 PSL-19 Health Document Reference Identifier (EI) 01973 (16.4.6.19)

Definition: Health Documents (electronic or paper) that support this Product/Service Line Item. This includes such health documents as forms used to register a claim with a Payer, reports, medical images, etc.

18.8.131.21 PSL-20 Processing Consideration Code (CWE) 01974 (16.4.6.20)

Definition: Codes indicating special processing requested of Payer for this Product/Service Line Item (e.g., hold until paper supporting documentation is received by Payer). Refer to User-defined Table 0562 - Processing Consideration Codes in Chapter 2C, Code Tables, for suggested values.

18.8.131.22 PSL-21 Restricted Disclosure Indicator (ID) 01975 (16.4.6.21)

Definition: Set to "Yes" if information on this invoice should be treated with increased confidentiality/security. Refer to User-defined Table 0532 - Expanded Yes/No Indicator in Chapter 2C, Code Tables, for suggested values.

18.8.131.23 PSL-22 Related Product/Service Code Indicator (CWE) 01976 (16.4.6.22)

Definition: Two Product /Service Line Items (PSL-7) may be in a relation to each other. One could be an addition to another. In this case this field contains the Code of PSL-7 of the "master" Product/Service Line Item. Refer to User-defined Table 0879 - Product/Service Code in Chapter 2C, Code Tables, for suggested values.

18.8.131.24 PSL-23 Product/Service Amount for Physician (CP) 01977 (16.4.6.23)

Definition: Monetary Amount of product/service item which is for the physician.

18.8.131.25 PSL-24 Product/Service Cost Factor (NM) 01978 (16.4.6.24)

Definition: Factor to increase the billed amount.

18.8.131.26 PSL-25 Cost Center (CX) 01933 (16.4.6.25)

Definition: Cost centers are organizational units or activities that provide goods and services. In this context, it would be the department which delivered the Service/Product Line Item, e.g., Radiology, Emergency Room.

18.8.131.27 PSL-26 Billing Period (DR) 01980 (16.4.6.26)

Definition: Begin and end of billing period.

18.8.131.28 PSL-27 Days without Billing (NM) 01981 (16.4.6.27)

Definition: Number of Days for which no invoice is created.

18.8.131.29 PSL-28 Session-No (NM) 01982 (16.4.6.28)

Definition: Several line items may be grouped to a session.

18.8.131.30 PSL-29 Executing Physician ID (XCN) 01983 (16.4.6.29)

Definition: ID of the physician who is providing the Service, e.g., executing the radiology-exam (EAN ID = European Article Numbering).

18.8.131.31 PSL-30 Responsible Physician ID (XCN) 01984 (16.4.6.30)

Definition: ID of the physician who is responsible for the Service.

18.8.131.32 PSL-31 Role Executing Physician (CWE) 01985 (16.4.6.31)

Definition: Account role of the physician, for example only billing for the professional part, the technical part or both. Refer to User-defined Table 0881 - Role Executing Physician in Chapter 2C, Code Tables, for suggested values.

18.8.131.33 PSL-32 Medical Role Executing Physician (CWE) 01986 (16.4.6.32)

Definition: The role of the Physician ("self-employed" or "employed"). Refer to User-defined Table 0882 - Medical Role Executing Physician in Chapter 2C, Code Tables, for suggested values.

18.8.131.34 PSL-33 Side of body (CWE) 01987 (16.4.6.33)

Definition: Left / right. Refer to User-defined Table 0894 - Side of Body in Chapter 2C, Code Tables, for suggested values.

18.8.131.35 PSL-34 Number of TP's PP (NM) 01988 (16.4.6.34)

Definition: Cost of the service "professional part" expressed in "points".

18.8.131.36 PSL-35 TP-Value PP (CP) 01989 (16.4.6.35)

Definition: Monetary Value of one "point" for the professional part of the service.

18.8.131.37 PSL-36 Internal Scaling Factor PP (NM) 01990 (16.4.6.36)

Definition: Internal Scaling Factor for the amount of the professional part of the service.

18.8.131.38 PSL-37 External Scaling Factor PP (NM) 01991 (16.4.6.37)

Definition: External Scaling Factor for the amount of the professional part of the service.

18.8.131.39 PSL-38 Amount PP (CP) 01992 (16.4.6.38)

Definition: Total Amount for the professional part of this service.

18.8.131.40 PSL-39 Number of TP's Technical Part (NM) 01993 (16.4.6.39)

Definition: Cost of the service (Technical Part) expressed in "points".

18.8.131.41 PSL-40 TP-Value Technical Part (CP) 01994 (16.4.6.40)

Definition: Monetary Value of one "point" for the technical part of the service.

18.8.131.42 PSL-41 Internal Scaling Factor Technical Part (NM) 01995 (16.4.6.41)

Definition: Internal Scaling Factor for the amount of the technical part of the service.

18.8.131.43 PSL-42 External Scaling Factor Technical Part (NM) 01996 (16.4.6.42)

Definition: External Scaling Factor for the amount of the technical part of the service.

18.8.131.44 PSL-43 Amount Technical Part (CP) 01997 (16.4.6.43)

Definition: Total Amount for the technical part of this service.

18.8.131.45 PSL-44 Total Amount Professional Part + Technical Part (CP) 01998 (16.4.6.44)

Definition: Total Amount of the cost of this service (Professional plus technical part)

18.8.131.46 PSL-45 VAT-Rate (NM) 01999 (16.4.6.45)

Definition: VAT-Rate Applied on the total amount of this service.

18.8.131.47 PSL-46 Main-Service (ID) 02000 (16.4.6.46)

Definition: Main service.

18.8.131.48 PSL-47 Validation (ID) 02001 (16.4.6.47)

Definition: Service line item has passed an approved validator software (yes/no). For reason see PSL-48. Refer to HL7 Table 0136 - Yes/No Indicator in Chapter 2C, Code Tables, for suggested values.

18.8.131.49 PSL-48 Comment (ST) 02002 (16.4.6.48)

Definition: Reason why the service line item has not passed the validator software.