DTM

Service Date

Pos: 080

Max: 3

Detail - Optional

Loop: 2110

Elements: 2


User Option (Usage): Situational
To specify pertinent dates and times

Element Summary:

 

Ref

Id

Element Name

Req

Type

Min/Max

Usage

 

DTM01

374

Date/Time Qualifier
Description: Code specifying type of date or time, or both date and time
Industry: Date Time Qualifier

M

ID

3/3

Required

 

Code

Name

 

150

Service Period Start

Use this code only for reporting the beginning of multi-day services.

 

151

Service Period End

Use this code only for reporting the end of multi-day services.

 

472

Service

ADVISED
Use this code to indicate a single day service.

 

DTM02

373

Date
Description: Date expressed as CCYYMMDD
Industry: Service Date

C

DT

8/8

Required


Syntax:

1.

R020305 - At least one of DTM02,DTM03,DTM05 is required

2.

C0403 - If DTM04 is present, then all of DTM03 are required

3.

P0506 - If either DTM05,DTM06 is present, then all are required


Notes:

1. Dates must be provided at the claim level (2-050-DTM), the service line level (2-080-DTM), or both. Dates at the claim level apply to the entire claim, including all service lines. Dates at the service line level apply only to the service line where they appear.
2. When claim dates are not provided, service dates are required for every service line.
3. When claim dates are provided, service dates are not required, but they may be used to “override” the claim dates for individual service lines.
4. For Medicare service, this segment is required (for Part A, use “through date” if no service date is present).

Example:

DTM*472*19961031~



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