PAT

Patient Information

Pos: 007	Max: 1
Detail - Optional
Loop: 2000B	Elements: 5

Ref

Id

Element Name

Req

Type

Min/Max

Usage

PAT05

1250

Date Time Period Format Qualifier
Description: Code indicating the date format, time format, or date and time format
Required if patient is known to be deceased and the date of death is available to the provider billing system.

C

ID

2/3

Situational

Code

Name

D8

Date Expressed in Format CCYYMMDD

PAT06

1251

Date Time Period
Description: Expression of a date, a time, or range of dates, times or dates and times
Industry: Insured Individual Death Date
Alias: Date of Death
NSF Reference: CA0-21.0
Required if patient is known to be deceased and the date of death is available to the provider billing system.

C

AN

1/35

Situational

PAT07

355

Unit or Basis for Measurement Code
Description: Code specifying the units in which a value is being expressed, or manner in which a measurement has been taken
Required when PAT08 is used.

C

ID

2/2

Situational

Code

Name

01

Actual Pounds

PAT08

81

Weight
Description: Numeric value of weight
Industry: Patient Weight
NSF Reference: FA0-44.0, GU0-17.0
Required on:
1) claims/encounters involving EPO (epoetin) for patients on dialysis.
2) Medicare Durable Medical Equipment Regional Carriers certificate of medical necessity (DMERC CMN) 02.03 and 10.02.

C

R

1/10

Situational

PAT09

1073

Yes/No Condition or Response Code
Description: Code indicating a Yes or No condition or response
Industry: Pregnancy Indicator
Required when mandated by law. The determination of pregnancy should be completed in compliance with applicable law. The “Y” code indicates that the patient is pregnant. If PAT09 is not used it means the patient is not pregnant.

O

ID

1/1

Situational

Code

Name

Y

Yes

1.

P0506 - If either PAT05,PAT06 is present, then all are required

2.

P0708 - If either PAT07,PAT08 is present, then all are required

1.

PAT06 is the date of death.

2.

PAT08 is the patient's weight.

3.

PAT09 indicates whether the patient is pregnant or not pregnant. Code "Y" indicates the patient is pregnant; code "N" indicates the patient is not pregnant.

Notes:

1. Required if the subscriber is the same person as the patient (Loop ID-2000B SBR02=18), and information in this PAT segment (date of death, and/or patient weight) is necessary to file the claim/encounter (see PAT05, 06, 07, and 08).

Example:

PAT*****D8*19970314*01*146~