NM1

Assistant Surgeon Name

Pos: 250	Max: 1
Detail - Optional
Loop: 2310D	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

DD

Assistant Surgeon

NM102

1065

Entity Type Qualifier
Description: Code qualifying the type of entity

M

ID

1/1

Required

Code

Name

1

Person

2

Non-Person Entity

NM103

1035

Name Last or Organization Name
Description: Individual last name or organizational name
Industry: Assistant Last or Organization Name
Alias: Assistant Surgeon Last Name

O

AN

1/35

Required

NM104

1036

Name First
Description: Individual first name
Industry: Assistant Surgeon First Name
Required if NM102 = 1 (person).

O

AN

1/25

Situational

NM105

1037

Name Middle
Description: Individual middle name or initial
Industry: Assistant Surgeon Middle Name
Required when middle name/initial of person is known.

O

AN

1/25

Situational

NM107

1039

Name Suffix
Description: Suffix to individual name
Industry: Assistant Surgeon 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

NM109

67

Identification Code
Description: Code identifying a party or other code
Industry: Assistant Surgeon Identifier
Alias: Assistant Surgeon’s Primary Identification Number

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 the Loop ID-2310 applies to the entire claim unless overridden on a service line by the presence of loop ID-2420 with the same value in the NM101.
2. Because the usage of this segment is “situational” this is not a syntactically required loop. If the loop is used, then it is a “required” segment. See Appendix A for further details on ASC X12 nomenclature and X12 syntax rules.
3. Required when the Assistant Surgeon information is needed to facilitate reimbursement of the claim.
4. The Assistant Surgeon information must not be used when the Rendering Provider loop (Loop ID-2310B) is also present for the claim.

Example:

NM1*DD*1*SMITH*JOHN*S***34*123456789~