CRC

Home Health Functional Limitations

Pos: 220

Max: 3

Detail - Optional

Loop: 2300

Elements: 7


User Option (Usage): Situational
To supply information on conditions

Element Summary:

 

Ref

Id

Element Name

Req

Type

Min/Max

Usage

 

CRC01

1136

Code Category
Description: Specifies the situation or category to which the code applies

M

ID

2/2

Required

 

Code

Name

 

75

Functional Limitations

 

CRC02

1073

Yes/No Condition or Response Code
Description: Code indicating a Yes or No condition or response
Industry: Certification Condition Indicator

M

ID

1/1

Required

 

Code

Name

 

N

No

 

Y

Yes

 

CRC03

1321

Condition Indicator
Description: Code indicating a condition
Industry: Functional Limitation Code
EMC v.6.0 Reference: Record Type 71 Field No. 15
The codes for CRC03 also can be used for CRC04 through CRC07.

M

ID

2/2

Required

 

Code

Name

 

AA

Amputation

EMC v.6.0 Reference:

Record Type 71 Field No. 15 Code 1

 

AL

Ambulation Limitations

EMC v.6.0 Reference:

Record Type 71 Field No. 15 Code 7

 

BL

Bowel Limitations, Bladder Limitations, or both (Incontinence)

EMC v.6.0 Reference:

Record Type 71 Field No. 15 Code 2

 

CO

Contracture

EMC v.6.0 Reference:

Record Type 71 Field No. 15 Code 3

 

DY

Dyspnea with Minimal Exertion

EMC v.6.0 Reference:

Record Type 71 Field No. 15 Code A

 

EL

Endurance Limitations

EMC v.6.0 Reference:

Record Type 71 Field No. 15 Code 6

 

HL

Hearing Limitations

EMC v.6.0 Reference:

Record Type 71 Field No. 15 Code 4

 

LB

Legally Blind

EMC v.6.0 Reference:

Record Type 71 Field No. 15 Code 9

 

OL

Other Limitation

EMC v.6.0 Reference:

Record Type 71 Field No. 15 Code B

 

PA

Paralysis

EMC v.6.0 Reference:

Record Type 71 Field No. 15 Code 5

 

SL

Speech Limitations

EMC v.6.0 Reference:

Record Type 71 Field No. 15 Code 8

 

CRC04

1321

Condition Indicator
Description: Code indicating a condition
Industry: Functional Limitation Code
See CRC03
This data element is required when more than one Functional Limitation Code is applicable to the patient.

O

ID

2/2

Situational

 

Code

Name

 

AA

Amputation

EMC v.6.0 Reference:

Record Type 71 Field No. 15 Code 1

 

AL

Ambulation Limitations

EMC v.6.0 Reference:

Record Type 71 Field No. 15 Code 7

 

BL

Bowel Limitations, Bladder Limitations, or both (Incontinence)

EMC v.6.0 Reference:

Record Type 71 Field No. 15 Code 2

 

CO

Contracture

EMC v.6.0 Reference:

Record Type 71 Field No. 15 Code 3

 

DY

Dyspnea with Minimal Exertion

EMC v.6.0 Reference:

Record Type 71 Field No. 15 Code A

 

EL

Endurance Limitations

EMC v.6.0 Reference:

Record Type 71 Field No. 15 Code 6

 

HL

Hearing Limitations

EMC v.6.0 Reference:

Record Type 71 Field No. 15 Code 4

 

LB

Legally Blind

EMC v.6.0 Reference:

Record Type 71 Field No. 15 Code 9

 

OL

Other Limitation

EMC v.6.0 Reference:

Record Type 71 Field No. 15 Code B

 

PA

Paralysis

EMC v.6.0 Reference:

Record Type 71 Field No. 15 Code 5

 

SL

Speech Limitations

EMC v.6.0 Reference:

Record Type 71 Field No. 15 Code 8

 

CRC05

1321

Condition Indicator
Description: Code indicating a condition
Industry: Functional Limitation Code
See CRC03
This data element is required when more than one Functional Limitation Code is applicable to the patient.

O

ID

2/2

Situational

 

Code

Name

 

AA

Amputation

EMC v.6.0 Reference:

Record Type 71 Field No. 15 Code 1

 

AL

Ambulation Limitations

EMC v.6.0 Reference:

Record Type 71 Field No. 15 Code 7

 

BL

Bowel Limitations, Bladder Limitations, or both (Incontinence)

EMC v.6.0 Reference:

Record Type 71 Field No. 15 Code 2

 

CO

Contracture

EMC v.6.0 Reference:

Record Type 71 Field No. 15 Code 3

 

DY

Dyspnea with Minimal Exertion

EMC v.6.0 Reference:

Record Type 71 Field No. 15 Code A

 

EL

Endurance Limitations

EMC v.6.0 Reference:

Record Type 71 Field No. 15 Code 6

 

HL

Hearing Limitations

EMC v.6.0 Reference:

Record Type 71 Field No. 15 Code 4

 

LB

Legally Blind

EMC v.6.0 Reference:

Record Type 71 Field No. 15 Code 9

 

OL

Other Limitation

EMC v.6.0 Reference:

Record Type 71 Field No. 15 Code B

 

PA

Paralysis

EMC v.6.0 Reference:

Record Type 71 Field No. 15 Code 5

 

SL

Speech Limitations

EMC v.6.0 Reference:

Record Type 71 Field No. 15 Code 8

 

CRC06

1321

Condition Indicator
Description: Code indicating a condition
Industry: Functional Limitation Code
See CRC03
This data element is required when more than one Functional Limitation Code is applicable to the patient.

O

ID

2/2

Situational

 

Code

Name

 

AA

Amputation

EMC v.6.0 Reference:

Record Type 71 Field No. 15 Code 1

 

AL

Ambulation Limitations

EMC v.6.0 Reference:

Record Type 71 Field No. 15 Code 7

 

BL

Bowel Limitations, Bladder Limitations, or both (Incontinence)

EMC v.6.0 Reference:

Record Type 71 Field No. 15 Code 2

 

CO

Contracture

EMC v.6.0 Reference:

Record Type 71 Field No. 15 Code 3

 

DY

Dyspnea with Minimal Exertion

EMC v.6.0 Reference:

Record Type 71 Field No. 15 Code A

 

EL

Endurance Limitations

EMC v.6.0 Reference:

Record Type 71 Field No. 15 Code 6

 

HL

Hearing Limitations

EMC v.6.0 Reference:

Record Type 71 Field No. 15 Code 4

 

LB

Legally Blind

EMC v.6.0 Reference:

Record Type 71 Field No. 15 Code 9

 

OL

Other Limitation

EMC v.6.0 Reference:

Record Type 71 Field No. 15 Code B

 

PA

Paralysis

EMC v.6.0 Reference:

Record Type 71 Field No. 15 Code 5

 

SL

Speech Limitations

EMC v.6.0 Reference:

Record Type 71 Field No. 15 Code 8

 

CRC07

1321

Condition Indicator
Description: Code indicating a condition
Industry: Functional Limitation Code
See CRC03
This data element is required when more than one Functional Limitation Code is applicable to the patient.

O

ID

2/2

Situational

 

Code

Name

 

AA

Amputation

EMC v.6.0 Reference:

Record Type 71 Field No. 15 Code 1

 

AL

Ambulation Limitations

EMC v.6.0 Reference:

Record Type 71 Field No. 15 Code 7

 

BL

Bowel Limitations, Bladder Limitations, or both (Incontinence)

EMC v.6.0 Reference:

Record Type 71 Field No. 15 Code 2

 

CO

Contracture

EMC v.6.0 Reference:

Record Type 71 Field No. 15 Code 3

 

DY

Dyspnea with Minimal Exertion

EMC v.6.0 Reference:

Record Type 71 Field No. 15 Code A

 

EL

Endurance Limitations

EMC v.6.0 Reference:

Record Type 71 Field No. 15 Code 6

 

HL

Hearing Limitations

EMC v.6.0 Reference:

Record Type 71 Field No. 15 Code 4

 

LB

Legally Blind

EMC v.6.0 Reference:

Record Type 71 Field No. 15 Code 9

 

OL

Other Limitation

EMC v.6.0 Reference:

Record Type 71 Field No. 15 Code B

 

PA

Paralysis

EMC v.6.0 Reference:

Record Type 71 Field No. 15 Code 5

 

SL

Speech Limitations

EMC v.6.0 Reference:

Record Type 71 Field No. 15 Code 8

Semantics:

1.

CRC01 qualifies CRC03 through CRC07.

2.

CRC02 is a Certification Condition Code applies indicator. A "Y" value indicates the condition codes in CRC03 through CRC07 apply; an "N" value indicates the condition codes in CRC03 through CRC07 do not apply.


Notes:

1. The CRC segment in Loop ID-2300 applies to the entire claim unless it is overridden by a CRC segment at the service line level in Loop ID-2400 with the same value in CRC01.
2. This segment is required to convey Home Health Plan of Treatment information when applicable.

Example:

CRC*75*Y*AL~


Prev First Page Next