CL1

Institutional Claim Code

Pos: 140

Max: 1

Detail - Optional

Loop: 2300

Elements: 3

User Option (Usage): Situational

To supply information specific to hospital claims

Element Summary:

	Ref	Id	Element Name	Req	Type	Min/Max	Usage
	CL101	1315	Admission Type Code Description: Code indicating the priority of this admission UB-92 Ref. [UB-Name]: 19 [Type of Admission] EMC v.6.0 Reference: Record Type 20 Field No. 10 Required when patient is being admitted to the hospital for inpatient services.	O	ID	1/1	Situational

	ExternalCodeList
	Name: 231
	Description: Admission Type Code

CL102

1314

Admission Source Code
Description: Code indicating the source of this admission
UB-92 Ref. [UB-Name]: 20 [Source of Admission]
EMC v.6.0 Reference: Record Type 20 Field No. 11
Required for all inpatient admissions. Required on Medicare outpatient registrations for diagnostic testing services.

1/1

Situational

	ExternalCodeList
	Name: 230
	Description: Admission Source Code

CL103

1352

Patient Status Code
Description: Code indicating patient status as of the "statement covers through date"
UB-92 Ref. [UB-Name]: 22 [Patient Status]
EMC v.6.0 Reference: Record Type 20 Field No. 21
This element is required for inpatient claims/encounters.

1/2

Situational

	ExternalCodeList
	Name: 239
	Description: Patient Status Code

Notes:

1. This segment is required when reporting hospital based admission and Medicare outpatient registrations on claims/encounters. It may be used when provider wishes to communicate this information on non-Medicare outpatient claims/encounters.

Example:

CL1*1*7*30~

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