CR2

Spinal Manipulation Service Information

Pos: 130	Max: 1
Detail - Optional
Loop: 2000F	Elements: 7

Ref

Id

Element Name

Req

Type

Min/Max

Usage

CR201

609

Count
Description: Occurrence counter
Industry: Treatment Series Number
Required if certification is for a specific treatment number in a treatment series.

C

N0

1/9

Situational

CR202

380

Quantity
Description: Numeric value of quantity
Industry: Treatment Count
Required if CR201 is present.

C

R

1/15

Situational

CR203

1367

Subluxation Level Code
Description: Code identifying the specific level of subluxation
Use only if certification is for treatment involving subluxation.
All valid standard codes are used.

C

ID

2/3

Situational

CR204

1367

Subluxation Level Code
Description: Code identifying the specific level of subluxation
Use only if certification is for treatment involving subluxation to express the ending level of subluxation.
All valid standard codes are used.

O

ID

2/3

Situational

CR205

355

Unit or Basis for Measurement Code
Description: Code specifying the units in which a value is being expressed, or manner in which a measurement has been taken
Required if certification is for a spinal manipulation treatment series to indicate the treatment time period.

C

ID

2/2

Situational

Code

Name

DA

Days

MO

Months

WK

Week

YR

Years

CR206

380

Quantity
Description: Numeric value of quantity
Industry: Treatment Period Count
Required if certification is for a spinal manipulation treatment series.

C

R

1/15

Situational

CR207

380

Quantity
Description: Numeric value of quantity
Industry: Monthly Treatment Count
Required if CR205 = “MO” to indicate the number of treatments included in a month of service.

O

R

1/15

Situational

1.

P0102 - If either CR201,CR202 is present, then all are required

2.

C0403 - If CR204 is present, then all of CR203 are required

3.

P0506 - If either CR205,CR206 is present, then all are required

1.

CR201 is the number this treatment is in the series.

2.

CR202 is the total number of treatments in the series.

3.

CR206 is the time period involved in the treatment series.

4.

CR207 is the number of treatments rendered in the month of service.

5.

CR209 is complication indicator. A "Y" value indicates a complicated condition; an "N" value indicates an uncomplicated condition.

6.

CR210 is a description of the patient's condition.

7.

CR211 is an additional description of the patient's condition.

8.

CR212 is X-rays availability indicator. A "Y" value indicates X-rays are maintained and available for carrier review; an "N" value indicates X-rays are not maintained and available for carrier review.

1.

When both CR203 and CR204 are present, CR203 is the beginning level of subluxation and CR204 is the ending level of subluxation.

Notes:

1. Use this segment for certifications involving spinal manipulation services.
2. Required if the UMO is authorizing spinal manipulation services that have a specific pattern of delivery or usage.

Example:

CR2*1*5~