CRC

Home Health Mental Status

Pos: 220

Max: 2

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
Industry: Certification Condition Indicator

M

ID

2/2

Required

 

Code

Name

 

77

Mental Status

 

CRC02

1073

Yes/No Condition or Response Code
Description: Code indicating a Yes or No condition or response
Industry: Functional Limitation Code

M

ID

1/1

Required

 

Code

Name

 

N

No

 

Y

Yes

 

CRC03

1321

Condition Indicator
Description: Code indicating a condition
Industry: Mental Status Code
EMC v.6.0 Reference: Record Type 71 Field No. 17
The codes for CRC03 also can be used for CRC04 through CRC07.

M

ID

2/2

Required

 

Code

Name

 

AG

Agitated

EMC v.6.0 Reference:

Record Type 71 Field No. 17 Code 7

 

CM

Comatose

EMC v.6.0 Reference:

Record Type 71 Field No. 17 Code 2

 

DI

Disoriented

EMC v.6.0 Reference:

Record Type 71 Field No. 17 Code 5

 

DP

Depressed

EMC v.6.0 Reference:

Record Type 71 Field No. 17 Code 4

 

FO

Forgetful

EMC v.6.0 Reference:

Record Type 71 Field No. 17 Code 3

 

LE

Lethargic

EMC v.6.0 Reference:

Record Type 71 Field No. 17 Code 6

 

MC

Other Mental Condition

EMC v.6.0 Reference:

Record Type 71 Field No. 17 Code 8

 

OT

Oriented

EMC v.6.0 Reference:

Record Type 71 Field No. 17 Code 1

 

CRC04

1321

Condition Indicator
Description: Code indicating a condition

O

ID

2/2

Situational

 

Code

Name

 

AG

Agitated

EMC v.6.0 Reference:

Record Type 71 Field No. 17 Code 7

 

CM

Comatose

EMC v.6.0 Reference:

Record Type 71 Field No. 17 Code 2

 

DI

Disoriented

EMC v.6.0 Reference:

Record Type 71 Field No. 17 Code 5

 

DP

Depressed

EMC v.6.0 Reference:

Record Type 71 Field No. 17 Code 4

 

FO

Forgetful

EMC v.6.0 Reference:

Record Type 71 Field No. 17 Code 3

 

LE

Lethargic

EMC v.6.0 Reference:

Record Type 71 Field No. 17 Code 6

 

MC

Other Mental Condition

EMC v.6.0 Reference:

Record Type 71 Field No. 17 Code 8

 

OT

Oriented

EMC v.6.0 Reference:

Record Type 71 Field No. 17 Code 1

 

CRC05

1321

Condition Indicator
Description: Code indicating a condition

O

ID

2/2

Situational

 

Code

Name

 

AG

Agitated

EMC v.6.0 Reference:

Record Type 71 Field No. 17 Code 7

 

CM

Comatose

EMC v.6.0 Reference:

Record Type 71 Field No. 17 Code 2

 

DI

Disoriented

EMC v.6.0 Reference:

Record Type 71 Field No. 17 Code 5

 

DP

Depressed

EMC v.6.0 Reference:

Record Type 71 Field No. 17 Code 4

 

FO

Forgetful

EMC v.6.0 Reference:

Record Type 71 Field No. 17 Code 3

 

LE

Lethargic

EMC v.6.0 Reference:

Record Type 71 Field No. 17 Code 6

 

MC

Other Mental Condition

EMC v.6.0 Reference:

Record Type 71 Field No. 17 Code 8

 

OT

Oriented

EMC v.6.0 Reference:

Record Type 71 Field No. 17 Code 1

 

CRC06

1321

Condition Indicator
Description: Code indicating a condition

O

ID

2/2

Situational

 

Code

Name

 

AG

Agitated

EMC v.6.0 Reference:

Record Type 71 Field No. 17 Code 7

 

CM

Comatose

EMC v.6.0 Reference:

Record Type 71 Field No. 17 Code 2

 

DI

Disoriented

EMC v.6.0 Reference:

Record Type 71 Field No. 17 Code 5

 

DP

Depressed

EMC v.6.0 Reference:

Record Type 71 Field No. 17 Code 4

 

FO

Forgetful

EMC v.6.0 Reference:

Record Type 71 Field No. 17 Code 3

 

LE

Lethargic

EMC v.6.0 Reference:

Record Type 71 Field No. 17 Code 6

 

MC

Other Mental Condition

EMC v.6.0 Reference:

Record Type 71 Field No. 17 Code 8

 

OT

Oriented

EMC v.6.0 Reference:

Record Type 71 Field No. 17 Code 1

 

CRC07

1321

Condition Indicator
Description: Code indicating a condition

O

ID

2/2

Situational

 

Code

Name

 

AG

Agitated

EMC v.6.0 Reference:

Record Type 71 Field No. 17 Code 7

 

CM

Comatose

EMC v.6.0 Reference:

Record Type 71 Field No. 17 Code 2

 

DI

Disoriented

EMC v.6.0 Reference:

Record Type 71 Field No. 17 Code 5

 

DP

Depressed

EMC v.6.0 Reference:

Record Type 71 Field No. 17 Code 4

 

FO

Forgetful

EMC v.6.0 Reference:

Record Type 71 Field No. 17 Code 3

 

LE

Lethargic

EMC v.6.0 Reference:

Record Type 71 Field No. 17 Code 6

 

MC

Other Mental Condition

EMC v.6.0 Reference:

Record Type 71 Field No. 17 Code 8

 

OT

Oriented

EMC v.6.0 Reference:

Record Type 71 Field No. 17 Code 1

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. This segment is required to convey Home Health Plan of Treatment information when applicable.

Example:

CRC*77*Y*DI~


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