CR7

Home Health Care Plan Information

Pos: 242	Max: 1
Detail - Optional
Loop: 2305	Elements: 3

Ref

Id

Element Name

Req

Type

Min/Max

Usage

CR701

921

Discipline Type Code
Description: Code indicating disciplines ordered by a physician
Alias: Disipline Type Code
EMC v.6.0 Reference: Record Type 72 Field No. 4

M

ID

2/2

Required

Code

Name

AI

Home Health Aide

MS

Medical Social Worker

OT

Occupational Therapy

PT

Physical Therapy

SN

Skilled Nursing

ST

Speech Therapy

CR702

1470

Number
Description: A generic number
Industry: Visits Prior to Recertification Date Count
Alias: Total Visits Prior to Recertification Date
EMC v.6.0 Reference: Record Type 72 Field No. 5

M

N0

1/9

Required

CR703

1470

Number
Description: A generic number
Industry: Total Visits Projected This Certification Count
Alias: Total Visits Projected During Certification Period
EMC v.6.0 Reference: Record Type 72 Field No. 43

M

N0

1/9

Required

1.

CR702 is the total visits on this bill rendered prior to the recertification "to" date.

2.

CR703 is the total visits projected during this certification period.

Notes:

1. Because the usage of this segment is “Situational” this is not a syntactically required loop. If this loop is used, then this segment is a “Required” segment. See Appendix A for further details on ASC X12 nomenclature.
2. This segment is required to convey Home Health Plan of Treatment information for this claim when applicable.

Example:

CR7*PT*4*12~