Other Diagnosis Information

Pos: 231

Max: 2

Detail - Optional

Loop: 2300

Elements: 12

Ref	Id	Element Name	Req	Type	Min/Max	Usage
HI01	C022	Health Care Code Information Description: To send health care codes and their associated dates, amounts and quantities	M	Comp		Required
	1270	Code List Qualifier Code Description: Code identifying a specific industry code list	M	ID	1/3	Required

Code

Name

Diagnosis

CODE SOURCE:

131: International Classification of Diseases Clinical Mod (ICD-9-CM) Procedure

1271

Industry Code
Description: Code indicating a code from a specific industry code list
Industry: Other Diagnosis
UB-92 Ref. [UB-Name]: 68 [Other Diagnoses Codes]
69 [Other Diagnoses Codes]
70 [Other Diagnoses Codes]
71 [Other Diagnoses Codes]
72 [Other Diagnoses Codes]
73 [Other Diagnoses Codes]
74 [Other Diagnoses Codes]
75 [Other Diagnoses Codes]
EMC v.6.0 Reference: Record Type 70 Field No. 5, 6, 7, 8, 9, 10, 11, 12

1/30

Required

	ExternalCodeList
	Name: 131
	Description: International Classification of Diseases Clinical Mod (ICD-9-CM) Procedure

	HI02	C022	Health Care Code Information Description: To send health care codes and their associated dates, amounts and quantities Used when necessary to report multiple additional co-existing conditions.	O	Comp		Situational
		1270	Code List Qualifier Code Description: Code identifying a specific industry code list	M	ID	1/3	Required

Code

Name

Diagnosis

CODE SOURCE:

131: International Classification of Diseases Clinical Mod (ICD-9-CM) Procedure

1271

1/30

Required

	ExternalCodeList
	Name: 131
	Description: International Classification of Diseases Clinical Mod (ICD-9-CM) Procedure

	HI03	C022	Health Care Code Information Description: To send health care codes and their associated dates, amounts and quantities Used when necessary to report multiple additional co-existing conditions.	O	Comp		Situational
		1270	Code List Qualifier Code Description: Code identifying a specific industry code list	M	ID	1/3	Required

Code

Name

Diagnosis

CODE SOURCE:

131: International Classification of Diseases Clinical Mod (ICD-9-CM) Procedure

1271

1/30

Required

	ExternalCodeList
	Name: 131
	Description: International Classification of Diseases Clinical Mod (ICD-9-CM) Procedure

	HI04	C022	Health Care Code Information Description: To send health care codes and their associated dates, amounts and quantities Used when necessary to report multiple additional co-existing conditions.	O	Comp		Situational
		1270	Code List Qualifier Code Description: Code identifying a specific industry code list	M	ID	1/3	Required

Code

Name

Diagnosis

CODE SOURCE:

131: International Classification of Diseases Clinical Mod (ICD-9-CM) Procedure

1271

1/30

Required

	ExternalCodeList
	Name: 131
	Description: International Classification of Diseases Clinical Mod (ICD-9-CM) Procedure

	HI05	C022	Health Care Code Information Description: To send health care codes and their associated dates, amounts and quantities Used when necessary to report multiple additional co-existing conditions.	O	Comp		Situational
		1270	Code List Qualifier Code Description: Code identifying a specific industry code list	M	ID	1/3	Required

Code

Name

Diagnosis

CODE SOURCE:

131: International Classification of Diseases Clinical Mod (ICD-9-CM) Procedure

1271

1/30

Required

	ExternalCodeList
	Name: 131
	Description: International Classification of Diseases Clinical Mod (ICD-9-CM) Procedure

	HI06	C022	Health Care Code Information Description: To send health care codes and their associated dates, amounts and quantities Used when necessary to report multiple additional co-existing conditions.	O	Comp		Situational
		1270	Code List Qualifier Code Description: Code identifying a specific industry code list	M	ID	1/3	Required

Code

Name

Diagnosis

CODE SOURCE:

131: International Classification of Diseases Clinical Mod (ICD-9-CM) Procedure

1271

1/30

Required

	ExternalCodeList
	Name: 131
	Description: International Classification of Diseases Clinical Mod (ICD-9-CM) Procedure

	HI07	C022	Health Care Code Information Description: To send health care codes and their associated dates, amounts and quantities Used when necessary to report multiple additional co-existing conditions.	O	Comp		Situational
		1270	Code List Qualifier Code Description: Code identifying a specific industry code list	M	ID	1/3	Required

Code

Name

Diagnosis

CODE SOURCE:

131: International Classification of Diseases Clinical Mod (ICD-9-CM) Procedure

1271

Industry Code
Description: Code indicating a code from a specific industry code list
Industry: Other Diagnosis
EMC v.6.0 Reference: 68 [Other Diagnoses Codes]
69 [Other Diagnoses Codes]
70 [Other Diagnoses Codes]
71 [Other Diagnoses Codes]
72 [Other Diagnoses Codes]
73 [Other Diagnoses Codes]
74 [Other Diagnoses Codes]
75 [Other Diagnoses Codes]
Record Type 70 Field No. 5, 6, 7, 8, 9, 10, 11, 12

1/30

Required

	ExternalCodeList
	Name: 131
	Description: International Classification of Diseases Clinical Mod (ICD-9-CM) Procedure

	HI08	C022	Health Care Code Information Description: To send health care codes and their associated dates, amounts and quantities Used when necessary to report multiple additional co-existing conditions.	O	Comp		Situational
		1270	Code List Qualifier Code Description: Code identifying a specific industry code list	M	ID	1/3	Required

Code

Name

Diagnosis

CODE SOURCE:

131: International Classification of Diseases Clinical Mod (ICD-9-CM) Procedure

1271

1/30

Required

	ExternalCodeList
	Name: 131
	Description: International Classification of Diseases Clinical Mod (ICD-9-CM) Procedure

	HI09	C022	Health Care Code Information Description: To send health care codes and their associated dates, amounts and quantities Used when necessary to report multiple additional co-existing conditions.	O	Comp		Situational
		1270	Code List Qualifier Code Description: Code identifying a specific industry code list	M	ID	1/3	Required

Code

Name

Diagnosis

CODE SOURCE:

131: International Classification of Diseases Clinical Mod (ICD-9-CM) Procedure

1271

1/30

Required

	ExternalCodeList
	Name: 131
	Description: International Classification of Diseases Clinical Mod (ICD-9-CM) Procedure

	HI10	C022	Health Care Code Information Description: To send health care codes and their associated dates, amounts and quantities Used when necessary to report multiple additional co-existing conditions.	O	Comp		Situational
		1270	Code List Qualifier Code Description: Code identifying a specific industry code list	M	ID	1/3	Required

Code

Name

Diagnosis

CODE SOURCE:

131: International Classification of Diseases Clinical Mod (ICD-9-CM) Procedure

1271

1/30

Required

	ExternalCodeList
	Name: 131
	Description: International Classification of Diseases Clinical Mod (ICD-9-CM) Procedure

	HI11	C022	Health Care Code Information Description: To send health care codes and their associated dates, amounts and quantities Used when necessary to report multiple additional co-existing conditions.	O	Comp		Situational
		1270	Code List Qualifier Code Description: Code identifying a specific industry code list	M	ID	1/3	Required

Code

Name

Diagnosis

CODE SOURCE:

131: International Classification of Diseases Clinical Mod (ICD-9-CM) Procedure

1271

1/30

Required

	ExternalCodeList
	Name: 131
	Description: International Classification of Diseases Clinical Mod (ICD-9-CM) Procedure

	HI12	C022	Health Care Code Information Description: To send health care codes and their associated dates, amounts and quantities Used when necessary to report multiple additional co-existing conditions.	O	Comp		Situational
		1270	Code List Qualifier Code Description: Code identifying a specific industry code list	M	ID	1/3	Required

Code

Name

Diagnosis

CODE SOURCE:

131: International Classification of Diseases Clinical Mod (ICD-9-CM) Procedure

1271

1/30

Required

	ExternalCodeList
	Name: 131
	Description: International Classification of Diseases Clinical Mod (ICD-9-CM) Procedure

Notes:

1. Required when other condition(s) co-exists with the principal diagnosis, co-exists at the time of admission or develops subsequently during the patient�s treatment.

Example:

HI*BF:V9782~