HI

Health Care Diagnosis Code

Pos: 231

Max: 1

Detail - Optional

Loop: 2300

Elements: 8


User Option (Usage): Situational
To supply information related to the delivery of health care

Element Summary:

 

Ref

Id

Element Name

Req

Type

Min/Max

Usage

 

HI01

C022

Health Care Code Information
Description: To send health care codes and their associated dates, amounts and quantities
Alias: Principal Diagnosis
With a few exceptions, it is not recommended to put E codes in HI01. E codes may be put in any other HI element using BF as the qualifier.
The diagnosis listed in this element is assumed to be the principal diagnosis.

M

Comp

 

Required

 

 

1270

Code List Qualifier Code
Description: Code identifying a specific industry code list
Industry: Diagnosis Type Code

M

ID

1/3

Required

 

Code

Name

 

BK

Principal Diagnosis

ICD-9 Codes

CODE SOURCE:

131: International Classification of Diseases Clinical Mod (ICD-9-CM) Procedure

 

 

1271

Industry Code
Description: Code indicating a code from a specific industry code list
Industry: Diagnosis Code
NSF Reference: EA0-32.0, GX0-31.0, GU0-12.0

M

AN

1/30

Required

 

ExternalCodeList

 

Name: 131

 

Description: International Classification of Diseases Clinical Mod (ICD-9-CM) Procedure

 

HI02

C022

Health Care Code Information
Description: To send health care codes and their associated dates, amounts and quantities
Alias: Diagnosis
Refer to HI01-1(C022-01) and HI01-3(C022-03) for C022-01 and C022-03.
Required if needed to report an additional diagnoses and if the preceeding HI data elements have been used to report other diagnoses.

O

Comp

 

Situational

 

 

1270

Code List Qualifier Code
Description: Code identifying a specific industry code list
Industry: Diagnosis Type Code

M

ID

1/3

Required

 

Code

Name

 

BF

Diagnosis

ICD-9 Codes

CODE SOURCE:

131: International Classification of Diseases Clinical Mod (ICD-9-CM) Procedure

 

 

1271

Industry Code
Description: Code indicating a code from a specific industry code list
Industry: Diagnosis Code
NSF Reference: EA0-33.0, GX0-32.0, GU0-13.0

M

AN

1/30

Required

 

ExternalCodeList

 

Name: 131

 

Description: International Classification of Diseases Clinical Mod (ICD-9-CM) Procedure

 

HI03

C022

Health Care Code Information
Description: To send health care codes and their associated dates, amounts and quantities
Alias: Diagnosis
Refer to HI01-1(C022-01) and HI01-3(C022-03) for C022-01 and C022-03.
Required if needed to report an additional diagnoses and if the preceeding HI data elements have been used to report other diagnoses.

O

Comp

 

Situational

 

 

1270

Code List Qualifier Code
Description: Code identifying a specific industry code list
Industry: Diagnosis Type Code

M

ID

1/3

Required

 

Code

Name

 

BF

Diagnosis

ICD-9 Codes

CODE SOURCE:

131: International Classification of Diseases Clinical Mod (ICD-9-CM) Procedure

 

 

1271

Industry Code
Description: Code indicating a code from a specific industry code list
Industry: Diagnosis Code
NSF Reference: EA0-34.0, GX0-33.0, GU0-14.0

M

AN

1/30

Required

 

ExternalCodeList

 

Name: 131

 

Description: International Classification of Diseases Clinical Mod (ICD-9-CM) Procedure

 

HI04

C022

Health Care Code Information
Description: To send health care codes and their associated dates, amounts and quantities
Alias: Diagnosis
Refer to HI01-1(C022-01) and HI01-3(C022-03) for C022-01 and C022-03.
Required if needed to report an additional diagnoses and if the preceeding HI data elements have been used to report other diagnoses.

O

Comp

 

Situational

 

 

1270

Code List Qualifier Code
Description: Code identifying a specific industry code list
Industry: Diagnosis Type Code

M

ID

1/3

Required

 

Code

Name

 

BF

Diagnosis

ICD-9 Codes

CODE SOURCE:

131: International Classification of Diseases Clinical Mod (ICD-9-CM) Procedure

 

 

1271

Industry Code
Description: Code indicating a code from a specific industry code list
Industry: Diagnosis Code
NSF Reference: EA0-35.0, GX0-34.0, GU0-15.0

M

AN

1/30

Required

 

ExternalCodeList

 

Name: 131

 

Description: International Classification of Diseases Clinical Mod (ICD-9-CM) Procedure

 

HI05

C022

Health Care Code Information
Description: To send health care codes and their associated dates, amounts and quantities
Alias: Diagnosis
Refer to HI01-1(C022-01) and HI01-3(C022-03) for C022-01 and C022-03.
Required if needed to report an additional diagnoses and if the preceeding HI data elements have been used to report other diagnoses.

O

Comp

 

Situational

 

 

1270

Code List Qualifier Code
Description: Code identifying a specific industry code list
Industry: Diagnosis Type Code

M

ID

1/3

Required

 

Code

Name

 

BF

Diagnosis

ICD-9 Codes

CODE SOURCE:

131: International Classification of Diseases Clinical Mod (ICD-9-CM) Procedure

 

 

1271

Industry Code
Description: Code indicating a code from a specific industry code list
Industry: Diagnosis Code

M

AN

1/30

Required

 

ExternalCodeList

 

Name: 131

 

Description: International Classification of Diseases Clinical Mod (ICD-9-CM) Procedure

 

HI06

C022

Health Care Code Information
Description: To send health care codes and their associated dates, amounts and quantities
Alias: Diagnosis
Refer to HI01-1(C022-01) and HI01-3(C022-03) for C022-01 and C022-03.
Required if needed to report an additional diagnoses and if the preceeding HI data elements have been used to report other diagnoses.

O

Comp

 

Situational

 

 

1270

Code List Qualifier Code
Description: Code identifying a specific industry code list
Industry: Diagnosis Type Code

M

ID

1/3

Required

 

Code

Name

 

BF

Diagnosis

ICD-9 Codes

CODE SOURCE:

131: International Classification of Diseases Clinical Mod (ICD-9-CM) Procedure

 

 

1271

Industry Code
Description: Code indicating a code from a specific industry code list
Industry: Diagnosis Code

M

AN

1/30

Required

 

ExternalCodeList

 

Name: 131

 

Description: International Classification of Diseases Clinical Mod (ICD-9-CM) Procedure

 

HI07

C022

Health Care Code Information
Description: To send health care codes and their associated dates, amounts and quantities
Alias: Diagnosis
Refer to HI01-1(C022-01) and HI01-3(C022-03) for C022-01 and C022-03.
Required if needed to report an additional diagnoses and if the preceeding HI data elements have been used to report other diagnoses.

O

Comp

 

Situational

 

 

1270

Code List Qualifier Code
Description: Code identifying a specific industry code list
Industry: Diagnosis Type Code

M

ID

1/3

Required

 

Code

Name

 

BF

Diagnosis

ICD-9 Codes

CODE SOURCE:

131: International Classification of Diseases Clinical Mod (ICD-9-CM) Procedure

 

 

1271

Industry Code
Description: Code indicating a code from a specific industry code list
Industry: Diagnosis Code

M

AN

1/30

Required

 

ExternalCodeList

 

Name: 131

 

Description: International Classification of Diseases Clinical Mod (ICD-9-CM) Procedure

 

HI08

C022

Health Care Code Information
Description: To send health care codes and their associated dates, amounts and quantities
Alias: Diagnosis
Refer to HI01-1(C022-01) and HI01-3(C022-03) for C022-01 and C022-03.
Required if needed to report an additional diagnoses and if the preceeding HI data elements have been used to report other diagnoses.

O

Comp

 

Situational

 

 

1270

Code List Qualifier Code
Description: Code identifying a specific industry code list
Industry: Diagnosis Type Code

M

ID

1/3

Required

 

Code

Name

 

BF

Diagnosis

ICD-9 Codes

CODE SOURCE:

131: International Classification of Diseases Clinical Mod (ICD-9-CM) Procedure

 

 

1271

Industry Code
Description: Code indicating a code from a specific industry code list
Industry: Diagnosis Code

M

AN

1/30

Required

 

ExternalCodeList

 

Name: 131

 

Description: International Classification of Diseases Clinical Mod (ICD-9-CM) Procedure


Notes:

1. Required on all claims/encounters except claims for which there are no diagnoses (e.g., taxi claims).
2. Do not transmit the decimal points in the diagnosis codes. The decimal point is assumed.

Example:

HI*BK:8901*BF:87200*BF:5559~



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