CRC

Patient Condition Information: Vision

Pos: 220	Max: 3
Detail - Optional
Loop: 2300	Elements: 7

Ref

Id

Element Name

Req

Type

Min/Max

Usage

CRC01

1136

Code Category
Description: Specifies the situation or category to which the code applies

M

ID

2/2

Required

Code

Name

E1

Spectacle Lenses

E2

Contact Lenses

E3

Spectacle Frames

CRC02

1073

Yes/No Condition or Response Code
Description: Code indicating a Yes or No condition or response
Industry: Certification Condition Indicator
Alias: Certification Condition Code Applies Indicator

M

ID

1/1

Required

Code

Name

N

No

Y

Yes

CRC03

1321

Condition Indicator
Description: Code indicating a condition
Industry: Condition Code
Alias: Condition Indicator

M

ID

2/2

Required

Code

Name

L1

General Standard of 20 Degree or .5 Diopter Sphere or Cylinder Change Met

L2

Replacement Due to Loss or Theft

L3

Replacement Due to Breakage or Damage

L4

Replacement Due to Patient Preference

L5

Replacement Due to Medical Reason

CRC04

1321

Condition Indicator
Description: Code indicating a condition
Industry: Condition Code
Use codes listed in CRC03.
Required if additional condition codes are needed.

O

ID

2/2

Situational

Code

Name

L1

General Standard of 20 Degree or .5 Diopter Sphere or Cylinder Change Met

L2

Replacement Due to Loss or Theft

L3

Replacement Due to Breakage or Damage

L4

Replacement Due to Patient Preference

L5

Replacement Due to Medical Reason

CRC05

1321

Condition Indicator
Description: Code indicating a condition
Industry: Condition Code
Use codes listed in CRC03.
Required if additional condition codes are needed.

O

ID

2/2

Situational

Code

Name

L1

General Standard of 20 Degree or .5 Diopter Sphere or Cylinder Change Met

L2

Replacement Due to Loss or Theft

L3

Replacement Due to Breakage or Damage

L4

Replacement Due to Patient Preference

L5

Replacement Due to Medical Reason

CRC06

1321

Condition Indicator
Description: Code indicating a condition
Industry: Condition Code
Use codes listed in CRC03.
Required if additional condition codes are needed.

O

ID

2/2

Situational

Code

Name

L1

General Standard of 20 Degree or .5 Diopter Sphere or Cylinder Change Met

L2

Replacement Due to Loss or Theft

L3

Replacement Due to Breakage or Damage

L4

Replacement Due to Patient Preference

L5

Replacement Due to Medical Reason

CRC07

1321

Condition Indicator
Description: Code indicating a condition
Industry: Condition Code
Use codes listed in CRC03.
Required if additional condition codes are needed.

O

ID

2/2

Situational

Code

Name

L1

General Standard of 20 Degree or .5 Diopter Sphere or Cylinder Change Met

L2

Replacement Due to Loss or Theft

L3

Replacement Due to Breakage or Damage

L4

Replacement Due to Patient Preference

L5

Replacement Due to Medical Reason

1.

CRC01 qualifies CRC03 through CRC07.

2.

CRC02 is a Certification Condition Code applies indicator. A "Y" value indicates the condition codes in CRC03 through CRC07 apply; an "N" value indicates the condition codes in CRC03 through CRC07 do not apply.

Notes:

1. Required on vision claims/encounters involving replacement lenses or frames when this information is known to impact reimbursement.

Example:

CRC*E1*Y*L1~