HI

Condition Information

Pos: 231

Max: 2

Detail - Optional

Loop: 2300

Elements: 12


User Option (Usage): Situational
To supply information related to the delivery of health care

Element Summary:

 

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

 

BG

Condition

CODE SOURCE:

132: National Uniform Billing Committee (NUBC) Codes

 

 

1271

Industry Code
Description: Code indicating a code from a specific industry code list
Industry: Condition Code
UB-92 Ref. [UB-Name]: 24 [Condition Codes]
25 [Condition Codes]
26 [Condition Codes]
27 [Condition Codes]
28 [Condition Codes]
29 [Condition Codes]
30 [Condition Codes]

EMC v.6.0 Reference: Record Type 41 Field No. 4, 5, 6, 7, 8, 9, 10, 11, 12, 13

M

AN

1/30

Required

 

ExternalCodeList

 

Name: 132

 

Description: National Uniform Billing Committee (NUBC) Codes

 

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

 

BG

Condition

CODE SOURCE:

132: National Uniform Billing Committee (NUBC) Codes

 

 

1271

Industry Code
Description: Code indicating a code from a specific industry code list
Industry: Condition Code
UB-92 Ref. [UB-Name]: 24 [Condition Codes]
25 [Condition Codes]
26 [Condition Codes]
27 [Condition Codes]
28 [Condition Codes]
29 [Condition Codes]
30 [Condition Codes]

EMC v.6.0 Reference: Record Type 41 Field No. 4, 5, 6, 7, 8, 9, 10, 11, 12, 13

M

AN

1/30

Required

 

ExternalCodeList

 

Name: 132

 

Description: National Uniform Billing Committee (NUBC) Codes

 

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

 

BG

Condition

CODE SOURCE:

132: National Uniform Billing Committee (NUBC) Codes

 

 

1271

Industry Code
Description: Code indicating a code from a specific industry code list
Industry: Condition Code
UB-92 Ref. [UB-Name]: 24 [Condition Codes]
25 [Condition Codes]
26 [Condition Codes]
27 [Condition Codes]
28 [Condition Codes]
29 [Condition Codes]
30 [Condition Codes]

EMC v.6.0 Reference: Record Type 41 Field No. 4, 5, 6, 7, 8, 9, 10, 11, 12, 13

M

AN

1/30

Required

 

ExternalCodeList

 

Name: 132

 

Description: National Uniform Billing Committee (NUBC) Codes

 

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

 

BG

Condition

CODE SOURCE:

132: National Uniform Billing Committee (NUBC) Codes

 

 

1271

Industry Code
Description: Code indicating a code from a specific industry code list
Industry: Condition Code
UB-92 Ref. [UB-Name]: 24 [Condition Codes]
25 [Condition Codes]
26 [Condition Codes]
27 [Condition Codes]
28 [Condition Codes]
29 [Condition Codes]
30 [Condition Codes]

EMC v.6.0 Reference: Record Type 41 Field No. 4, 5, 6, 7, 8, 9, 10, 11, 12, 13

M

AN

1/30

Required

 

ExternalCodeList

 

Name: 132

 

Description: National Uniform Billing Committee (NUBC) Codes

 

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

 

BG

Condition

CODE SOURCE:

132: National Uniform Billing Committee (NUBC) Codes

 

 

1271

Industry Code
Description: Code indicating a code from a specific industry code list
Industry: Condition Code
UB-92 Ref. [UB-Name]: 24 [Condition Codes]
25 [Condition Codes]
26 [Condition Codes]
27 [Condition Codes]
28 [Condition Codes]
29 [Condition Codes]
30 [Condition Codes]

EMC v.6.0 Reference: Record Type 41 Field No. 4, 5, 6, 7, 8, 9, 10, 11, 12, 13

M

AN

1/30

Required

 

ExternalCodeList

 

Name: 132

 

Description: National Uniform Billing Committee (NUBC) Codes

 

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

 

BG

Condition

CODE SOURCE:

132: National Uniform Billing Committee (NUBC) Codes

 

 

1271

Industry Code
Description: Code indicating a code from a specific industry code list
Industry: Condition Code
UB-92 Ref. [UB-Name]: 24 [Condition Codes]
25 [Condition Codes]
26 [Condition Codes]
27 [Condition Codes]
28 [Condition Codes]
29 [Condition Codes]
30 [Condition Codes]

EMC v.6.0 Reference: Record Type 41 Field No. 4, 5, 6, 7, 8, 9, 10, 11, 12, 13

M

AN

1/30

Required

 

ExternalCodeList

 

Name: 132

 

Description: National Uniform Billing Committee (NUBC) Codes

 

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

 

BG

Condition

CODE SOURCE:

132: National Uniform Billing Committee (NUBC) Codes

 

 

1271

Industry Code
Description: Code indicating a code from a specific industry code list
Industry: Condition Code
UB-92 Ref. [UB-Name]: 24 [Condition Codes]
25 [Condition Codes]
26 [Condition Codes]
27 [Condition Codes]
28 [Condition Codes]
29 [Condition Codes]
30 [Condition Codes]

EMC v.6.0 Reference: Record Type 41 Field No. 4, 5, 6, 7, 8, 9, 10, 11, 12, 13

M

AN

1/30

Required

 

ExternalCodeList

 

Name: 132

 

Description: National Uniform Billing Committee (NUBC) Codes

 

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

 

BG

Condition

CODE SOURCE:

132: National Uniform Billing Committee (NUBC) Codes

 

 

1271

Industry Code
Description: Code indicating a code from a specific industry code list
Industry: Condition Code
UB-92 Ref. [UB-Name]: 24 [Condition Codes]
25 [Condition Codes]
26 [Condition Codes]
27 [Condition Codes]
28 [Condition Codes]
29 [Condition Codes]
30 [Condition Codes]

EMC v.6.0 Reference: Record Type 41 Field No. 4, 5, 6, 7, 8, 9, 10, 11, 12, 13

M

AN

1/30

Required

 

ExternalCodeList

 

Name: 132

 

Description: National Uniform Billing Committee (NUBC) Codes

 

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

 

BG

Condition

CODE SOURCE:

132: National Uniform Billing Committee (NUBC) Codes

 

 

1271

Industry Code
Description: Code indicating a code from a specific industry code list
Industry: Condition Code
UB-92 Ref. [UB-Name]: 24 [Condition Codes]
25 [Condition Codes]
26 [Condition Codes]
27 [Condition Codes]
28 [Condition Codes]
29 [Condition Codes]
30 [Condition Codes]

EMC v.6.0 Reference: Record Type 41 Field No. 4, 5, 6, 7, 8, 9, 10, 11, 12, 13

M

AN

1/30

Required

 

ExternalCodeList

 

Name: 132

 

Description: National Uniform Billing Committee (NUBC) Codes

 

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

 

BG

Condition

CODE SOURCE:

132: National Uniform Billing Committee (NUBC) Codes

 

 

1271

Industry Code
Description: Code indicating a code from a specific industry code list
Industry: Condition Code
UB-92 Ref. [UB-Name]: 24 [Condition Codes]
25 [Condition Codes]
26 [Condition Codes]
27 [Condition Codes]
28 [Condition Codes]
29 [Condition Codes]
30 [Condition Codes]

EMC v.6.0 Reference: Record Type 41 Field No. 4, 5, 6, 7, 8, 9, 10, 11, 12, 13

M

AN

1/30

Required

 

ExternalCodeList

 

Name: 132

 

Description: National Uniform Billing Committee (NUBC) Codes

 

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

 

BG

Condition

CODE SOURCE:

132: National Uniform Billing Committee (NUBC) Codes

 

 

1271

Industry Code
Description: Code indicating a code from a specific industry code list
Industry: Condition Code
UB-92 Ref. [UB-Name]: 24 [Condition Codes]
25 [Condition Codes]
26 [Condition Codes]
27 [Condition Codes]
28 [Condition Codes]
29 [Condition Codes]
30 [Condition Codes]

EMC v.6.0 Reference: Record Type 41 Field No. 4, 5, 6, 7, 8, 9, 10, 11, 12, 13

M

AN

1/30

Required

 

ExternalCodeList

 

Name: 132

 

Description: National Uniform Billing Committee (NUBC) Codes

 

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

 

BG

Condition

CODE SOURCE:

132: National Uniform Billing Committee (NUBC) Codes

 

 

1271

Industry Code
Description: Code indicating a code from a specific industry code list
Industry: Condition Code
UB-92 Ref. [UB-Name]: 24 [Condition Codes]
25 [Condition Codes]
26 [Condition Codes]
27 [Condition Codes]
28 [Condition Codes]
29 [Condition Codes]
30 [Condition Codes]

EMC v.6.0 Reference: Record Type 41 Field No. 4, 5, 6, 7, 8, 9, 10, 11, 12, 13

M

AN

1/30

Required

 

ExternalCodeList

 

Name: 132

 

Description: National Uniform Billing Committee (NUBC) Codes


Notes:

1. Required when condition information applies to the claim or encounter.

Example:

HI*BG:67~



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