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HI Other Procedure Information Pos: 2310 Detail - Optional Max: 2 Loop: 2300 Elements: 12

In document 837 Health Care Claim : Institutional (Page 91-100)

BQ International Classification of Diseases Clinical Modification (ICD-9-CM) Other Procedure Codes

CODE SOURCE:

131: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)

BBQ International Classification of Diseases Clinical Modification (ICD-10-PCS) Other Procedure Codes

This code set is not allowed for use under HIPAA at the time of this writing. The qualifier can only be used:

If a new rule names the ICD-10-PCS as an allowable code set under HIPAA, OR

The Secretary grants an exception to use the code set as a pilot project as allowed under the law,

OR

For claims which are not covered under HIPAA.

CODE SOURCE:

896: International Classification of Diseases, 10th Revision, Procedure Coding System

HI01-02 1271 Industry Code M AN 1/30 Required 1

ExternalCodeList

Name: 896

Description: International Classification of Diseases, 10th Revision, Procedure Coding System

ExternalCodeList

Name: 131P

Description: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)

HI01-03 1250 Date Time Period Format Qualifier X ID 2/3 Required 1

Code Name

D8 Date Expressed in Format CCYYMMDD

HI01-04 1251 Date Time Period X AN 1/35 Required 1

HI02 C022 Health Care Code Information O Comp Situational 1 Situational Rule: Required when it is necessary to report an additional procedure and the preceding HI

data elements have been used to report other procedures. If not required by this implementation guide, do not send.

BQ International Classification of Diseases Clinical Modification (ICD-9-CM) Other Procedure Codes

131: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)

BBQ International Classification of Diseases Clinical Modification (ICD-10-PCS) Other Procedure Codes

This code set is not allowed for use under HIPAA at the time of this writing. The qualifier can only be used:

If a new rule names the ICD-10-PCS as an allowable code set under HIPAA, OR

The Secretary grants an exception to use the code set as a pilot project as allowed under the law,

OR

For claims which are not covered under HIPAA.

CODE SOURCE:

896: International Classification of Diseases, 10th Revision, Procedure Coding System

HI02-02 1271 Industry Code M AN 1/30 Required 1

ExternalCodeList

Name: 896

Description: International Classification of Diseases, 10th Revision, Procedure Coding System

ExternalCodeList

Name: 131P

Description: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)

HI02-03 1250 Date Time Period Format Qualifier X ID 2/3 Required 1

Code Name

D8 Date Expressed in Format CCYYMMDD

HI02-04 1251 Date Time Period X AN 1/35 Required 1

HI03 C022 Health Care Code Information O Comp Situational 1

Situational Rule: Required when it is necessary to report an additional procedure and the preceding HI data elements have been used to report other procedures. If not required by this implementation guide, do not send.

BQ International Classification of Diseases Clinical Modification (ICD-9-CM) Other Procedure Codes

CODE SOURCE:

131: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)

BBQ International Classification of Diseases Clinical Modification (ICD-10-PCS) Other Procedure Codes

This code set is not allowed for use under HIPAA at the time of this writing. The qualifier can only be used:

If a new rule names the ICD-10-PCS as an allowable code set under HIPAA, OR

The Secretary grants an exception to use the code set as a pilot project as allowed under the law,

OR

For claims which are not covered under HIPAA.

CODE SOURCE:

896: International Classification of Diseases, 10th Revision, Procedure Coding System

HI03-02 1271 Industry Code M AN 1/30 Required 1

5010X837IA2.ecs 89 For internal use only

ExternalCodeList

Name: 896

Description: International Classification of Diseases, 10th Revision, Procedure Coding System

ExternalCodeList

Name: 131P

Description: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)

HI03-03 1250 Date Time Period Format Qualifier X ID 2/3 Required 1

Code Name

D8 Date Expressed in Format CCYYMMDD

HI03-04 1251 Date Time Period X AN 1/35 Required 1

HI04 C022 Health Care Code Information O Comp Situational 1

Situational Rule: Required when it is necessary to report an additional procedure and the preceding HI data elements have been used to report other procedures. If not required by this implementation guide, do not send.

BQ International Classification of Diseases Clinical Modification (ICD-9-CM) Other Procedure Codes

CODE SOURCE:

131: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)

BBQ International Classification of Diseases Clinical Modification (ICD-10-PCS) Other Procedure Codes

This code set is not allowed for use under HIPAA at the time of this writing. The qualifier can only be used:

If a new rule names the ICD-10-PCS as an allowable code set under HIPAA, OR

The Secretary grants an exception to use the code set as a pilot project as allowed under the law,

OR

For claims which are not covered under HIPAA.

CODE SOURCE:

896: International Classification of Diseases, 10th Revision, Procedure Coding System

HI04-02 1271 Industry Code M AN 1/30 Required 1

ExternalCodeList

Name: 896

Description: International Classification of Diseases, 10th Revision, Procedure Coding System

ExternalCodeList

Name: 131P

Description: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)

HI04-03 1250 Date Time Period Format Qualifier X ID 2/3 Required 1

Code Name

D8 Date Expressed in Format CCYYMMDD

HI04-04 1251 Date Time Period X AN 1/35 Required 1

HI05 C022 Health Care Code Information O Comp Situational 1

Situational Rule: Required when it is necessary to report an additional procedure and the preceding HI

HI05-01 1270 Code List Qualifier Code M ID 1/3 Required 1

Code Name

BQ International Classification of Diseases Clinical Modification (ICD-9-CM) Other Procedure Codes

CODE SOURCE:

131: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)

BBQ International Classification of Diseases Clinical Modification (ICD-10-PCS) Other Procedure Codes

This code set is not allowed for use under HIPAA at the time of this writing. The qualifier can only be used:

If a new rule names the ICD-10-PCS as an allowable code set under HIPAA, OR

The Secretary grants an exception to use the code set as a pilot project as allowed under the law,

OR

For claims which are not covered under HIPAA.

CODE SOURCE:

896: International Classification of Diseases, 10th Revision, Procedure Coding System

HI05-02 1271 Industry Code M AN 1/30 Required 1

ExternalCodeList

Name: 896

Description: International Classification of Diseases, 10th Revision, Procedure Coding System

ExternalCodeList

Name: 131P

Description: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)

HI05-03 1250 Date Time Period Format Qualifier X ID 2/3 Required 1

Code Name

D8 Date Expressed in Format CCYYMMDD

HI05-04 1251 Date Time Period X AN 1/35 Required 1

HI06 C022 Health Care Code Information O Comp Situational 1 Situational Rule: Required when it is necessary to report an additional procedure and the preceding HI

data elements have been used to report other procedures. If not required by this implementation guide, do not send.

BQ International Classification of Diseases Clinical Modification (ICD-9-CM) Other Procedure Codes

CODE SOURCE:

131: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)

BBQ International Classification of Diseases Clinical Modification (ICD-10-PCS) Other Procedure Codes

This code set is not allowed for use under HIPAA at the time of this writing. The qualifier can only be used:

If a new rule names the ICD-10-PCS as an allowable code set under HIPAA, OR

5010X837IA2.ecs 91 For internal use only The Secretary grants an exception to use the code set as a pilot project as allowed under the law,

OR

For claims which are not covered under HIPAA.

CODE SOURCE:

896: International Classification of Diseases, 10th Revision, Procedure Coding System

HI06-02 1271 Industry Code M AN 1/30 Required 1

ExternalCodeList

Name: 896

Description: International Classification of Diseases, 10th Revision, Procedure Coding System

ExternalCodeList

Name: 131P

Description: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)

HI06-03 1250 Date Time Period Format Qualifier X ID 2/3 Required 1

Code Name

D8 Date Expressed in Format CCYYMMDD

HI06-04 1251 Date Time Period X AN 1/35 Required 1

HI07 C022 Health Care Code Information O Comp Situational 1 Situational Rule: Required when it is necessary to report an additional procedure and the preceding HI

data elements have been used to report other procedures. If not required by this implementation guide, do not send.

BQ International Classification of Diseases Clinical Modification (ICD-9-CM) Other Procedure Codes

CODE SOURCE:

131: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)

BBQ International Classification of Diseases Clinical Modification (ICD-10-PCS) Other Procedure Codes

This code set is not allowed for use under HIPAA at the time of this writing. The qualifier can only be used:

If a new rule names the ICD-10-PCS as an allowable code set under HIPAA, OR

The Secretary grants an exception to use the code set as a pilot project as allowed under the law,

OR

For claims which are not covered under HIPAA.

CODE SOURCE:

896: International Classification of Diseases, 10th Revision, Procedure Coding System

HI07-02 1271 Industry Code M AN 1/30 Required 1

ExternalCodeList

Name: 896

Description: International Classification of Diseases, 10th Revision, Procedure Coding System

ExternalCodeList

Name: 131P

Description: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)

HI07-03 1250 Date Time Period Format Qualifier X ID 2/3 Required 1

Code Name

D8 Date Expressed in Format CCYYMMDD

HI07-04 1251 Date Time Period X AN 1/35 Required 1

HI08 C022 Health Care Code Information O Comp Situational 1

Situational Rule: Required when it is necessary to report an additional procedure and the preceding HI data elements have been used to report other procedures. If not required by this implementation guide, do not send.

BQ International Classification of Diseases Clinical Modification (ICD-9-CM) Other Procedure Codes

CODE SOURCE:

131: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)

BBQ International Classification of Diseases Clinical Modification (ICD-10-PCS) Other Procedure Codes

This code set is not allowed for use under HIPAA at the time of this writing. The qualifier can only be used:

If a new rule names the ICD-10-PCS as an allowable code set under HIPAA, OR

The Secretary grants an exception to use the code set as a pilot project as allowed under the law,

OR

For claims which are not covered under HIPAA.

CODE SOURCE:

896: International Classification of Diseases, 10th Revision, Procedure Coding System

HI08-02 1271 Industry Code M AN 1/30 Required 1

ExternalCodeList

Name: 896

Description: International Classification of Diseases, 10th Revision, Procedure Coding System

ExternalCodeList

Name: 131P

Description: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)

HI08-03 1250 Date Time Period Format Qualifier X ID 2/3 Required 1

Code Name

D8 Date Expressed in Format CCYYMMDD

HI08-04 1251 Date Time Period X AN 1/35 Required 1

HI09 C022 Health Care Code Information O Comp Situational 1

Situational Rule: Required when it is necessary to report an additional procedure and the preceding HI data elements have been used to report other procedures. If not required by this implementation guide, do not send.

BQ International Classification of Diseases Clinical Modification (ICD-9-CM) Other Procedure Codes

CODE SOURCE:

5010X837IA2.ecs 93 For internal use only 131: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)

BBQ International Classification of Diseases Clinical Modification (ICD-10-PCS) Other Procedure Codes

This code set is not allowed for use under HIPAA at the time of this writing. The qualifier can only be used:

If a new rule names the ICD-10-PCS as an allowable code set under HIPAA, OR

The Secretary grants an exception to use the code set as a pilot project as allowed under the law,

OR

For claims which are not covered under HIPAA.

CODE SOURCE:

896: International Classification of Diseases, 10th Revision, Procedure Coding System

HI09-02 1271 Industry Code M AN 1/30 Required 1

ExternalCodeList

Name: 896

Description: International Classification of Diseases, 10th Revision, Procedure Coding System

ExternalCodeList

Name: 131P

Description: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)

HI09-03 1250 Date Time Period Format Qualifier X ID 2/3 Required 1

Code Name

D8 Date Expressed in Format CCYYMMDD

HI09-04 1251 Date Time Period X AN 1/35 Required 1

HI10 C022 Health Care Code Information O Comp Situational 1 Situational Rule: Required when it is necessary to report an additional procedure and the preceding HI

data elements have been used to report other procedures. If not required by this implementation guide, do not send.

BQ International Classification of Diseases Clinical Modification (ICD-9-CM) Other Procedure Codes

CODE SOURCE:

131: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)

BBQ International Classification of Diseases Clinical Modification (ICD-10-PCS) Other Procedure Codes

This code set is not allowed for use under HIPAA at the time of this writing. The qualifier can only be used:

If a new rule names the ICD-10-PCS as an allowable code set under HIPAA, OR

The Secretary grants an exception to use the code set as a pilot project as allowed under the law,

OR

For claims which are not covered under HIPAA.

CODE SOURCE:

896: International Classification of Diseases, 10th Revision, Procedure Coding System

HI10-02 1271 Industry Code M AN 1/30 Required 1

ExternalCodeList

Description: International Classification of Diseases, 10th Revision, Procedure Coding System

ExternalCodeList

Name: 131P

Description: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)

HI10-03 1250 Date Time Period Format Qualifier X ID 2/3 Required 1

Code Name

D8 Date Expressed in Format CCYYMMDD

HI10-04 1251 Date Time Period X AN 1/35 Required 1

HI11 C022 Health Care Code Information O Comp Situational 1 Situational Rule: Required when it is necessary to report an additional procedure and the preceding HI

data elements have been used to report other procedures. If not required by this implementation guide, do not send.

BQ International Classification of Diseases Clinical Modification (ICD-9-CM) Other Procedure Codes

CODE SOURCE:

131: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)

BBQ International Classification of Diseases Clinical Modification (ICD-10-PCS) Other Procedure Codes

This code set is not allowed for use under HIPAA at the time of this writing. The qualifier can only be used:

If a new rule names the ICD-10-PCS as an allowable code set under HIPAA, OR

The Secretary grants an exception to use the code set as a pilot project as allowed under the law,

OR

For claims which are not covered under HIPAA.

CODE SOURCE:

896: International Classification of Diseases, 10th Revision, Procedure Coding System

HI11-02 1271 Industry Code M AN 1/30 Required 1

ExternalCodeList

Name: 896

Description: International Classification of Diseases, 10th Revision, Procedure Coding System

ExternalCodeList

Name: 131P

Description: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)

HI11-03 1250 Date Time Period Format Qualifier X ID 2/3 Required 1

Code Name

D8 Date Expressed in Format CCYYMMDD

HI11-04 1251 Date Time Period X AN 1/35 Required 1

HI12 C022 Health Care Code Information O Comp Situational 1

Situational Rule: Required when it is necessary to report an additional procedure and the preceding HI data elements have been used to report other procedures. If not required by this implementation guide, do not send.

5010X837IA2.ecs 95 For internal use only

BQ International Classification of Diseases Clinical Modification (ICD-9-CM) Other Procedure Codes

CODE SOURCE:

131: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)

BBQ International Classification of Diseases Clinical Modification (ICD-10-PCS) Other Procedure Codes

This code set is not allowed for use under HIPAA at the time of this writing. The qualifier can only be used:

If a new rule names the ICD-10-PCS as an allowable code set under HIPAA, OR

The Secretary grants an exception to use the code set as a pilot project as allowed under the law,

OR

For claims which are not covered under HIPAA.

CODE SOURCE:

896: International Classification of Diseases, 10th Revision, Procedure Coding System

HI12-02 1271 Industry Code M AN 1/30 Required 1

ExternalCodeList

Name: 896

Description: International Classification of Diseases, 10th Revision, Procedure Coding System

ExternalCodeList

Name: 131P

Description: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)

HI12-03 1250 Date Time Period Format Qualifier X ID 2/3 Required 1

Code Name

D8 Date Expressed in Format CCYYMMDD

HI12-04 1251 Date Time Period X AN 1/35 Required 1

Situational Rule:

Required on inpatient claims or encounters when additional procedures must be reported. If not required by this implementation guide, do not send.

TR3 Notes:

1. Do not transmit the decimal point for ICD codes. The decimal point is implied.

TR3 Example:

HI*BQ:3614:D8:20051117*BQ:3723:D8:20051119~

HI*BBQ:02139Y3:D8:20050321*BBQ:4A025N8:D8:20050310~

HI Occurrence Span Information

Pos: 2310 Detail - Optional Max: 2

In document 837 Health Care Claim : Institutional (Page 91-100)