NM1

Operating Physician Name

Pos: 250	Max: 1
Detail - Optional
Loop: 2310B	Elements: 8

Ref

Id

Element Name

Req

Type

Min/Max

Usage

NM101

98

Entity Identifier Code
Description: Code identifying an organizational entity, a physical location, property or an individual
The entity identifier in NM101 applies to all segments in Loop ID-2310.

M

ID

2/3

Required

Code

Name

72

Operating Physician

Description: Doctor who performs a surgical procedure

NM102

1065

Entity Type Qualifier
Description: Code qualifying the type of entity

M

ID

1/1

Required

Code

Name

1

Person

NM103

1035

Name Last or Organization Name
Description: Individual last name or organizational name
Industry: Operating Physician Last Name
UB-92 Ref. [UB-Name]: 83A, Line b [Other Physician ID]
EMC v.6.0 Reference: Record Type 80 Field No. 10, Positions 116-131.

O

AN

1/35

Required

NM104

1036

Name First
Description: Individual first name
Industry: Operating Physician First Name
UB-92 Ref. [UB-Name]: 83A, Line b [Other Physician ID]
EMC v.6.0 Reference: Record Type 80 Field No. 10, Position 132-139

O

AN

1/25

Required

NM105

1037

Name Middle
Description: Individual middle name or initial
Industry: Operating Physican Middle Name
This data element is required when NM102 equals one (1) and the Middle Name or Initial of the person is known by the provider.

O

AN

1/25

Situational

NM107

1039

Name Suffix
Description: Suffix to individual name
Industry: Operating Physician Name Suffix
Required if known.

O

AN

1/10

Situational

NM108

66

Identification Code Qualifier
Description: Code designating the system/method of code structure used for Identification Code (67)

C

ID

1/2

Required

Code

Name

24

Employer's Identification Number

34

Social Security Number

XX

Health Care Financing Administration National Provider Identifier

Description: Required value if the National Provider ID is mandated for use. Otherwise, one of the other listed codes may be used.

NM109

67

Identification Code
Description: Code identifying a party or other code
Industry: Operating Physician Primary Identifier
UB-92 Ref. [UB-Name]: 83A, Line a [Other Physician ID]
EMC v.6.0 Reference: Record Type 80 Field No. 6

C

AN

2/80

Required

ExternalCodeList

Name: 537

Description: Health Care Financing Administration National Provider Identifier

1.

P0809 - If either NM108,NM109 is present, then all are required

2.

C1110 - If NM111 is present, then all of NM110 are required

1.

NM102 qualifies NM103.

1.

NM110 and NM111 further define the type of entity in NM101.

Notes:

1. Information in Loop ID-2310 applies to the entire claim unless it is overridden on a service line by the presence of Loop ID-2410 with the same value in NM101.
2. This segment is required when any surgical procedure code is listed on this claim.
3. 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.

Example:

NM1*72*1*MEYERS*JANE****XX*12345678~