HI

Treatment Code 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

 

TC

Treatment Codes

CODE SOURCE:

359: Treatment Codes

 

 

1271

Industry Code
Description: Code indicating a code from a specific industry code list
Industry: Treatment Code
EMC v.6.0 Reference: Record Type 72 Field No. 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42

M

AN

1/30

Required

 

ExternalCodeList

 

Name: 359

 

Description: Treatment 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

 

TC

Treatment Codes

CODE SOURCE:

359: Treatment Codes

 

 

1271

Industry Code
Description: Code indicating a code from a specific industry code list
Industry: Treatment Code
EMC v.6.0 Reference: Record Type 72 Field No. 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42

M

AN

1/30

Required

 

ExternalCodeList

 

Name: 359

 

Description: Treatment 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

 

TC

Treatment Codes

CODE SOURCE:

359: Treatment Codes

 

 

1271

Industry Code
Description: Code indicating a code from a specific industry code list
Industry: Treatment Code
EMC v.6.0 Reference: Record Type 72 Field No. 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42

M

AN

1/30

Required

 

ExternalCodeList

 

Name: 359

 

Description: Treatment 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

 

TC

Treatment Codes

CODE SOURCE:

359: Treatment Codes

 

 

1271

Industry Code
Description: Code indicating a code from a specific industry code list
Industry: Treatment Code
EMC v.6.0 Reference: Record Type 72 Field No. 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42

M

AN

1/30

Required

 

ExternalCodeList

 

Name: 359

 

Description: Treatment 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

 

TC

Treatment Codes

CODE SOURCE:

359: Treatment Codes

 

 

1271

Industry Code
Description: Code indicating a code from a specific industry code list
Industry: Treatment Code
EMC v.6.0 Reference: Record Type 72 Field No. 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42

M

AN

1/30

Required

 

ExternalCodeList

 

Name: 359

 

Description: Treatment 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

 

TC

Treatment Codes

CODE SOURCE:

359: Treatment Codes

 

 

1271

Industry Code
Description: Code indicating a code from a specific industry code list
Industry: Treatment Code
EMC v.6.0 Reference: Record Type 72 Field No. 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42

M

AN

1/30

Required

 

ExternalCodeList

 

Name: 359

 

Description: Treatment 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

 

TC

Treatment Codes

CODE SOURCE:

359: Treatment Codes

 

 

1271

Industry Code
Description: Code indicating a code from a specific industry code list
Industry: Treatment Code
EMC v.6.0 Reference: Record Type 72 Field No. 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42

M

AN

1/30

Required

 

ExternalCodeList

 

Name: 359

 

Description: Treatment 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

 

TC

Treatment Codes

CODE SOURCE:

359: Treatment Codes

 

 

1271

Industry Code
Description: Code indicating a code from a specific industry code list
Industry: Treatment Code
EMC v.6.0 Reference: Record Type 72 Field No. 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42

M

AN

1/30

Required

 

ExternalCodeList

 

Name: 359

 

Description: Treatment 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

 

TC

Treatment Codes

CODE SOURCE:

359: Treatment Codes

 

 

1271

Industry Code
Description: Code indicating a code from a specific industry code list
Industry: Treatment Code
EMC v.6.0 Reference: Record Type 72 Field No. 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42

M

AN

1/30

Required

 

ExternalCodeList

 

Name: 359

 

Description: Treatment 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

 

TC

Treatment Codes

CODE SOURCE:

359: Treatment Codes

 

 

1271

Industry Code
Description: Code indicating a code from a specific industry code list
Industry: Treatment Code
EMC v.6.0 Reference: Record Type 72 Field No. 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42

M

AN

1/30

Required

 

ExternalCodeList

 

Name: 359

 

Description: Treatment 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

 

TC

Treatment Codes

CODE SOURCE:

359: Treatment Codes

 

 

1271

Industry Code
Description: Code indicating a code from a specific industry code list
Industry: Treatment Code
EMC v.6.0 Reference: Record Type 72 Field No. 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42

M

AN

1/30

Required

 

ExternalCodeList

 

Name: 359

 

Description: Treatment 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

 

TC

Treatment Codes

CODE SOURCE:

359: Treatment Codes

 

 

1271

Industry Code
Description: Code indicating a code from a specific industry code list
Industry: Treatment Code
EMC v.6.0 Reference: Record Type 72 Field No. 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42

M

AN

1/30

Required

 

ExternalCodeList

 

Name: 359

 

Description: Treatment Codes


Notes:

1. Required when Home Health Agencies need to report Plan of Treatment information under various payer contracts.

Example:

HI*TC:A01~



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