| Value |
Description |
German Interpretation |
Comment |
Chapter |
| 01 |
Auto accident |
|
|
|
| 02 |
No fault insurance involved-including auto accident/other |
|
|
|
| 03 |
Accident/tort liability |
|
|
|
| 04 |
Accident/employment related |
|
|
|
| 05 |
Other accident |
|
|
|
| 06 |
Crime victim |
|
|
|
| 09 |
Start of infertility treatment cycle |
|
|
|
| 10 |
Last menstrual period |
|
|
|
| 11 |
Onset of symptoms/illness |
|
|
|
| 12 |
Date of onset for a chronically dependent individual |
|
|
|
| 17 |
Date outpatient occupational therapy plan established or last reviewed |
|
|
|
| 18 |
Date of retirement patient/beneficiary |
|
|
|
| 19 |
Date of retirement spouse |
|
|
|
| 20 |
Guarantee of payment began |
|
|
|
| 21 |
UR notice received |
|
|
|
| 22 |
Date active care ended |
|
|
|
| 24 |
Date insurance denied |
|
|
|
| 25 |
Date benefits terminated by primary payor |
|
|
|
| 26 |
Date SNF bed available |
|
|
|
| 27 |
Date home health plan established |
|
|
|
| 28 |
Spouse’s date of birth |
|
|
|
| 29 |
Date outpatient physical therapy plan established or last reviewed |
|
|
|
| 30 |
Date outpatient speech pathology plan established or last reviewed |
|
|
|
| 31 |
Date beneficiary notified of intent to bill (accommodations) |
|
|
|
| 32 |
Date beneficiary notified of intent to bill (procedures or treatments) |
|
|
|
| 33 |
First day of the Medicare coordination period for ESRD beneficiaries covered by EGHP |
|
|
|
| 34 |
Date of election of extended care facilities |
|
|
|
| 35 |
Date treatment started for P.T. |
|
|
|
| 36 |
Date of inpatient hospital discharge for covered transplant patients |
|
|
|
| 37 |
Date of inpatient hospital discharge for non-covered transplant patient |
|
|
|
| 40 |
Scheduled date of admission |
|
|
|
| 41 |
Date of first test for pre-admission testing |
|
|
|
| 42 |
Date of discharge |
|
|
|
| 43 |
Scheduled date of canceled surgery |
|
|
|
| 44 |
Date treatment started for O.T. |
|
|
|
| 45 |
Date treatment started for S.T. |
|
|
|
| 46 |
Date treatment started for cardiac rehab. |
|
|
|
| 48 |
Payer codes |
|
|
|
| 49 |
Payer codes |
|
|
|
| 47 ... 49 |
Payer codes |
|
|
|
| 47 |
Payer codes |
|
|
|
| 50 |
Date lien released |
|
|
|
| 51 |
Date treatment started for psychiatric care |
|
|
|
| 96 |
Occurrence span codes and dates |
|
|
6 |
| 78 |
Occurrence span codes and dates |
|
|
6 |
| 70 |
Occurrence span codes and dates |
|
|
6 |
| 70 ... 99 |
Occurrence span codes and dates |
|
|
|
| 71 |
Occurrence span codes and dates |
|
|
6 |
| 72 |
Occurrence span codes and dates |
|
|
6 |
| 73 |
Occurrence span codes and dates |
|
|
6 |
| 74 |
Occurrence span codes and dates |
|
|
6 |
| 75 |
Occurrence span codes and dates |
|
|
6 |
| 76 |
Occurrence span codes and dates |
|
|
6 |
| 77 |
Occurrence span codes and dates |
|
|
6 |
| 89 |
Occurrence span codes and dates |
|
|
6 |
| 99 |
Occurrence span codes and dates |
|
|
6 |
| 98 |
Occurrence span codes and dates |
|
|
6 |
| 97 |
Occurrence span codes and dates |
|
|
6 |
| 95 |
Occurrence span codes and dates |
|
|
6 |
| 93 |
Occurrence span codes and dates |
|
|
6 |
| 92 |
Occurrence span codes and dates |
|
|
6 |
| 94 |
Occurrence span codes and dates |
|
|
6 |
| 90 |
Occurrence span codes and dates |
|
|
6 |
| 79 |
Occurrence span codes and dates |
|
|
6 |
| 88 |
Occurrence span codes and dates |
|
|
6 |
| 87 |
Occurrence span codes and dates |
|
|
6 |
| 86 |
Occurrence span codes and dates |
|
|
6 |
| 85 |
Occurrence span codes and dates |
|
|
6 |
| 84 |
Occurrence span codes and dates |
|
|
6 |
| 83 |
Occurrence span codes and dates |
|
|
6 |
| 82 |
Occurrence span codes and dates |
|
|
6 |
| 81 |
Occurrence span codes and dates |
|
|
6 |
| 80 |
Occurrence span codes and dates |
|
|
6 |
| 91 |
Occurrence span codes and dates |
|
|
6 |
| A1 |
Birthdate - insured A |
|
|
|
| A2 |
Effective date - insured A policy |
|
|
|
| A3 |
Benefits exhausted payer A |
|
|
|
