DTM |
Service Date |
|
||||||
|
Ref |
Id |
Element Name |
Req |
Type |
Min/Max |
Usage |
|
DTM01 |
374 |
Date/Time Qualifier
|
M |
ID |
3/3 |
Required |
|
Code |
Name |
|
|
150 |
Service Period Start
|
|
|
151 |
Service Period End
|
|
|
472 |
Service
|
|
DTM02 |
373 |
Date
|
C |
DT |
8/8 |
Required |
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.
|
Example: |
DTM*472*19961031~ |