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CLAIM STATUS SEARCH:

 
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You searched for : Claim Status :

Code : 0
Description : Cannot provide further status electronically.
Dates : Start: 01/01/1995
Code : 1
Description : For more detailed information, see remittance advice.
Dates : Start: 01/01/1995
Code : 2
Description : More detailed information in letter.
Dates : Start: 01/01/1995
Code : 3
Description : Claim has been adjudicated and is awaiting payment cycle.
Dates : Start: 01/01/1995
Code : 4
Description : This is a subsequent request for information from the original request.
Dates : Start: 01/01/1995 | Last Modified: 01/27/2008 | Stop: 07/01/2008
Code : 5
Description : This is a final request for information.
Dates : Start: 01/01/1995 | Last Modified: 01/27/2008 | Stop: 07/01/2008
Code : 6
Description : Balance due from the subscriber.
Dates : Start: 01/01/1995
Code : 7
Description : Claim may be reconsidered at a future date.
Dates : Start: 01/01/1995 | Last Modified: 01/27/2008 | Stop: 07/01/2008
Code : 8
Description : No payment due to contract/plan provisions.
Dates : Start: 01/01/1995 | Last Modified: 07/09/2007 | Stop: 01/01/2008
Code : 9
Description : No payment will be made for this claim.
Dates : Start: 01/01/1995 | Last Modified: 01/27/2008 | Stop: 07/01/2008
Code : 10
Description : All originally submitted procedure codes have been combined.
Dates : Start: 01/01/1995 | Last Modified: 07/09/2007 | Stop: 01/01/2008
Code : 11
Description : Some originally submitted procedure codes have been combined.
Dates : Start: 01/01/1995 | Last Modified: 07/09/2007 | Stop: 01/01/2008
Code : 12
Description : One or more originally submitted procedure codes have been combined.
Dates : Start: 01/01/1995 | Last Modified: 06/30/2001
Code : 13
Description : All originally submitted procedure codes have been modified.
Dates : Start: 01/01/1995 | Last Modified: 07/09/2007 | Stop: 01/01/2008
Code : 14
Description : Some all originally submitted procedure codes have been modified.
Dates : Start: 01/01/1995 | Last Modified: 07/09/2007 | Stop: 01/01/2008
Code : 15
Description : One or more originally submitted procedure code have been modified.
Dates : Start: 01/01/1995 | Last Modified: 06/30/2001
Code : 16
Description : Claim/encounter has been forwarded to entity. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 17
Description : Claim/encounter has been forwarded by third party entity to entity. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 18
Description : Entity received claim/encounter, but returned invalid status. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 19
Description : Entity acknowledges receipt of claim/encounter. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 20
Description : Accepted for processing.
Dates : Start: 01/01/1995 | Last Modified: 06/30/2001
Code : 21
Description : Missing or invalid information. Note: At least one other status code is required to identify the missing or invalid information.
Dates : Start: 01/01/1995 | Last Modified: 07/09/2007
Code : 22
Description : ... before entering the adjudication system.
Dates : Start: 01/01/1995 | Last Modified: 07/09/2007 | Stop: 01/01/2008
Code : 23
Description : Returned to Entity. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 24
Description : Entity not approved as an electronic submitter. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 25
Description : Entity not approved. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 26
Description : Entity not found. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 27
Description : Policy canceled.
Dates : Start: 01/01/1995 | Last Modified: 06/30/2001
Code : 28
Description : Claim submitted to wrong payer.
Dates : Start: 01/01/1995 | Last Modified: 07/09/2007 | Stop: 01/01/2008
Code : 29
Description : Subscriber and policy number/contract number mismatched.
Dates : Start: 01/01/1995
Code : 30
Description : Subscriber and subscriber id mismatched.
Dates : Start: 01/01/1995
Code : 31
Description : Subscriber and policyholder name mismatched.
Dates : Start: 01/01/1995
Code : 32
Description : Subscriber and policy number/contract number not found.
Dates : Start: 01/01/1995
Code : 33
Description : Subscriber and subscriber id not found.
Dates : Start: 01/01/1995
Code : 34
Description : Subscriber and policyholder name not found.
Dates : Start: 01/01/1995
Code : 35
Description : Claim/encounter not found.
Dates : Start: 01/01/1995
Code : 37
Description : Predetermination is on file, awaiting completion of services.
Dates : Start: 01/01/1995
Code : 38
Description : Awaiting next periodic adjudication cycle.
Dates : Start: 01/01/1995
Code : 39
Description : Charges for pregnancy deferred until delivery.
Dates : Start: 01/01/1995
Code : 40
Description : Waiting for final approval.
Dates : Start: 01/01/1995
Code : 41
Description : Special handling required at payer site.
Dates : Start: 01/01/1995
Code : 42
Description : Awaiting related charges.
Dates : Start: 01/01/1995
Code : 44
Description : Charges pending provider audit.
Dates : Start: 01/01/1995
Code : 45
Description : Awaiting benefit determination.
Dates : Start: 01/01/1995
Code : 46
Description : Internal review/audit.
Dates : Start: 01/01/1995
Code : 47
Description : Internal review/audit - partial payment made.
Dates : Start: 01/01/1995
Code : 48
Description : Referral/authorization.
Dates : Start: 01/01/1995 | Last Modified: 02/28/2001 | Stop: 01/01/2012
Notes: Refer to codes 252 and 761.
Code : 49
Description : Pending provider accreditation review.
Dates : Start: 01/01/1995
Code : 50
Description : Claim waiting for internal provider verification.
Dates : Start: 01/01/1995
Code : 51
Description : Investigating occupational illness/accident.
Dates : Start: 01/01/1995
Code : 52
Description : Investigating existence of other insurance coverage.
Dates : Start: 01/01/1995
Code : 53
Description : Claim being researched for Insured ID/Group Policy Number error.
Dates : Start: 01/01/1995
Code : 54
Description : Duplicate of a previously processed claim/line.
Dates : Start: 01/01/1995
Code : 55
Description : Claim assigned to an approver/analyst.
Dates : Start: 01/01/1995
Code : 56
Description : Awaiting eligibility determination.
Dates : Start: 01/01/1995
Code : 57
Description : Pending COBRA information requested.
Dates : Start: 01/01/1995
Code : 59
Description : Information was requested by a non-electronic method. Note: At least one other status code is required to identify the requested information.
Dates : Start: 01/01/1995 | Last Modified: 10/17/2010
Code : 60
Description : Information was requested by an electronic method. Note: At least one other status code is required to identify the requested information.
Dates : Start: 01/01/1995 | Last Modified: 10/17/2010
Code : 61
Description : Eligibility for extended benefits.
Dates : Start: 01/01/1995
Code : 64
Description : Re-pricing information.
Dates : Start: 01/01/1995
Code : 65
Description : Claim/line has been paid.
Dates : Start: 01/01/1995
Code : 66
Description : Payment reflects usual and customary charges.
Dates : Start: 01/01/1995
Code : 67
Description : Payment made in full.
Dates : Start: 01/01/1995 | Last Modified: 01/27/2008 | Stop: 07/01/2008
Code : 68
Description : Partial payment made for this claim.
Dates : Start: 01/01/1995 | Last Modified: 01/27/2008 | Stop: 07/01/2008
Code : 69
Description : Payment reflects plan provisions.
Dates : Start: 01/01/1995 | Last Modified: 07/09/2007 | Stop: 01/01/2008
Code : 70
Description : Payment reflects contract provisions.
Dates : Start: 01/01/1995 | Last Modified: 07/09/2007 | Stop: 01/01/2008
Code : 71
Description : Periodic installment released.
Dates : Start: 01/01/1995 | Last Modified: 01/27/2008 | Stop: 07/01/2008
Code : 72
Description : Claim contains split payment.
Dates : Start: 01/01/1995
Code : 73
Description : Payment made to entity, assignment of benefits not on file. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 78
Description : Duplicate of an existing claim/line, awaiting processing.
Dates : Start: 01/01/1995
Code : 81
Description : Contract/plan does not cover pre-existing conditions.
Dates : Start: 01/01/1995
Code : 83
Description : No coverage for newborns.
Dates : Start: 01/01/1995
Code : 84
Description : Service not authorized.
Dates : Start: 01/01/1995
Code : 85
Description : Entity not primary. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 86
Description : Diagnosis and patient gender mismatch.
Dates : Start: 01/01/1995 | Last Modified: 02/28/2000
Code : 87
Description : Denied: Entity not found. (Use code 26 with appropriate Claim Status category Code)
Dates : Start: 01/01/1995 | Last Modified: 07/09/2007 | Stop: 01/01/2008
Code : 88
Description : Entity not eligible for benefits for submitted dates of service. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 89
Description : Entity not eligible for dental benefits for submitted dates of service. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 90
Description : Entity not eligible for medical benefits for submitted dates of service. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 91
Description : Entity not eligible/not approved for dates of service. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 92
Description : Entity does not meet dependent or student qualification. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 93
Description : Entity is not selected primary care provider. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 94
Description : Entity not referred by selected primary care provider. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 95
Description : Requested additional information not received.
Dates : Start: 01/01/1995 | Last Modified: 07/09/2007
Notes: If known, the payer must report a second claim status code identifying the requested information.
Code : 96
Description : No agreement with entity. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 97
Description : Patient eligibility not found with entity. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 98
Description : Charges applied to deductible.
Dates : Start: 01/01/1995
Code : 99
Description : Pre-treatment review.
Dates : Start: 01/01/1995
Code : 100
Description : Pre-certification penalty taken.
Dates : Start: 01/01/1995
Code : 101
Description : Claim was processed as adjustment to previous claim.
Dates : Start: 01/01/1995
Code : 102
Description : Newborn's charges processed on mother's claim.
Dates : Start: 01/01/1995
Code : 103
Description : Claim combined with other claim(s).
Dates : Start: 01/01/1995
Code : 104
Description : Processed according to plan provisions (Plan refers to provisions that exist between the Health Plan and the Consumer or Patient)
Dates : Start: 01/01/1995 | Last Modified: 06/01/2008
Code : 105
Description : Claim/line is capitated.
Dates : Start: 01/01/1995
Code : 106
Description : This amount is not entity's responsibility. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 107
Description : Processed according to contract provisions (Contract refers to provisions that exist between the Health Plan and a Provider of Health Care Services)
Dates : Start: 01/01/1995 | Last Modified: 06/01/2008
Code : 108
Description : Coverage has been canceled for this entity. (Use code 27)
Dates : Start: 01/01/1995 | Last Modified: 07/09/2007 | Stop: 01/01/2008
Code : 109
Description : Entity not eligible. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 110
Description : Claim requires pricing information.
Dates : Start: 01/01/1995
Code : 111
Description : At the policyholder's request these claims cannot be submitted electronically.
Dates : Start: 01/01/1995
Code : 112
Description : Policyholder processes their own claims.
Dates : Start: 01/01/1995 | Last Modified: 01/27/2008 | Stop: 07/01/2008
Code : 113
Description : Cannot process individual insurance policy claims.
Dates : Start: 01/01/1995 | Last Modified: 01/27/2008 | Stop: 07/01/2008
Code : 114
Description : Claim/service should be processed by entity. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 115
Description : Cannot process HMO claims
Dates : Start: 01/01/1995 | Last Modified: 01/27/2008 | Stop: 07/01/2008
Code : 116
Description : Claim submitted to incorrect payer.
Dates : Start: 01/01/1995
Code : 117
Description : Claim requires signature-on-file indicator.
Dates : Start: 01/01/1995
Code : 118
Description : TPO rejected claim/line because payer name is missing. (Use status code 21 and status code 125 with entity code IN)
Dates : Start: 01/01/1995 | Last Modified: 07/09/2007 | Stop: 01/01/2008
Code : 119
Description : TPO rejected claim/line because certification information is missing. (Use status code 21 and status code 252)
Dates : Start: 01/01/1995 | Last Modified: 07/09/2007 | Stop: 01/01/2008
Code : 120
Description : TPO rejected claim/line because claim does not contain enough information. (Use status code 21)
Dates : Start: 01/01/1995 | Last Modified: 07/09/2007 | Stop: 01/01/2008
Code : 121
Description : Service line number greater than maximum allowable for payer.
Dates : Start: 01/01/1995
Code : 122
Description : Missing/invalid data prevents payer from processing claim. (Use CSC Code 21)
Dates : Start: 01/01/1995 | Last Modified: 07/09/2007 | Stop: 01/01/2008
Code : 123
Description : Additional information requested from entity. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 124
Description : Entity's name, address, phone and id number. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 125
Description : Entity's name. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 126
Description : Entity's address. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 127
Description : Entity's Communication Number. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 06/06/2010
Code : 128
Description : Entity's tax id. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 129
Description : Entity's Blue Cross provider id. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 130
Description : Entity's Blue Shield provider id. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 131
Description : Entity's Medicare provider id. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 132
Description : Entity's Medicaid provider id. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 133
Description : Entity's UPIN. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 134
Description : Entity's CHAMPUS provider id. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 135
Description : Entity's commercial provider id. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 136
Description : Entity's health industry id number. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 137
Description : Entity's plan network id. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 138
Description : Entity's site id . Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 139
Description : Entity's health maintenance provider id (HMO). Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 140
Description : Entity's preferred provider organization id (PPO). Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 141
Description : Entity's administrative services organization id (ASO). Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 142
Description : Entity's license/certification number. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 143
Description : Entity's state license number. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 144
Description : Entity's specialty license number. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 145
Description : Entity's specialty/taxonomy code. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 146
Description : Entity's anesthesia license number. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 147
Description : Entity's qualification degree/designation (e.g. RN,PhD,MD). Note: This code requires use of an Entity Code.
Dates : Start: 02/28/1997 | Last Modified: 02/11/2010
Code : 148
Description : Entity's social security number. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 149
Description : Entity's employer id. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 150
Description : Entity's drug enforcement agency (DEA) number. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 152
Description : Pharmacy processor number.
Dates : Start: 01/01/1995
Code : 153
Description : Entity's id number. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 154
Description : Relationship of surgeon & assistant surgeon.
Dates : Start: 01/01/1995
Code : 155
Description : Entity's relationship to patient. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 156
Description : Patient relationship to subscriber
Dates : Start: 01/01/1995
Code : 157
Description : Entity's Gender. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 158
Description : Entity's date of birth. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 159
Description : Entity's date of death. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 160
Description : Entity's marital status. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 161
Description : Entity's employment status. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 162
Description : Entity's health insurance claim number (HICN). Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 163
Description : Entity's policy number. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 164
Description : Entity's contract/member number. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 165
Description : Entity's employer name, address and phone. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 166
Description : Entity's employer name. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 167
Description : Entity's employer address. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 168
Description : Entity's employer phone number. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 169
Description : Entity's employer id.
Dates : Start: 01/01/1995 | Last Modified: 07/09/2007 | Stop: 01/01/2008
Code : 170
Description : Entity's employee id. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 171
Description : Other insurance coverage information (health, liability, auto, etc.).
Dates : Start: 01/01/1995
Code : 172
Description : Other employer name, address and telephone number.
Dates : Start: 01/01/1995
Code : 173
Description : Entity's name, address, phone, gender, DOB, marital status, employment status and relation to subscriber. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 174
Description : Entity's student status. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 175
Description : Entity's school name. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 176
Description : Entity's school address. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 177
Description : Transplant recipient's name, date of birth, gender, relationship to insured.
Dates : Start: 01/01/1995 | Last Modified: 02/28/2000
Code : 178
Description : Submitted charges.
Dates : Start: 01/01/1995
Code : 179
Description : Outside lab charges.
Dates : Start: 01/01/1995
Code : 180
Description : Hospital s semi-private room rate.
Dates : Start: 01/01/1995
Code : 181
Description : Hospital s room rate.
Dates : Start: 01/01/1995
Code : 182
Description : Allowable/paid from other entities coverage NOTE: This code requires the use of an entity code.
Dates : Start: 01/01/1995 | Last Modified: 01/24/2010
Code : 183
Description : Amount entity has paid. Note: This code requires use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 02/11/2010
Code : 184
Description : Purchase price for the rented durable medical equipment.
Dates : Start: 01/01/1995
Code : 185
Description : Rental price for durable medical equipment.
Dates : Start: 01/01/1995
Code : 186
Description : Purchase and rental price of durable medical equipment.
Dates : Start: 01/01/1995
Code : 187
Description : Date(s) of service.
Dates : Start: 01/01/1995
Code : 188
Description : Statement from-through dates.
Dates : Start: 01/01/1995
Code : 189
Description : Facility admission date
Dates : Start: 01/01/1995 | Last Modified: 10/31/2006
Code : 190
Description : Facility discharge date
Dates : Start: 01/01/1995 | Last Modified: 10/31/2006
Code : 191
Description : Date of Last Menstrual Period (LMP)
Dates : Start: 02/28/1997
Code : 192
Description : Date of first service for current series/symptom/illness.
Dates : Start: 01/01/1995
Code : 193
Description : First consultation/evaluation date.
Dates : Start: 02/28/1997
Code : 194
Description : Confinement dates.
Dates : Start: 01/01/1995
Code : 195
Description : Unable to work dates/Disability Dates.
Dates : Start: 01/01/1995 | Last Modified: 09/20/2009
Code : 196
Description : Return to work dates.
Dates : Start: 01/01/1995
Code : 197
Description : Effective coverage date(s).
Dates : Start: 01/01/1995
Code : 198
Description : Medicare effective date.
Dates : Start: 01/01/1995
Code : 199
Description : Date of conception and expected date of delivery.
Dates : Start: 01/01/1995
Code : 200
Description : Date of equipment return.
Dates : Start: 01/01/1995
Code : 201
Description : Date of dental appliance prior placement.
Dates : Start: 01/01/1995
Code : 202
Description : Date of dental prior replacement/reason for replacement.
Dates : Start: 01/01/1995
Code : 203
Description : Date of dental appliance placed.
Dates : Start: 01/01/1995
Code : 204
Description : Date dental canal(s) opened and date service completed.
Dates : Start: 01/01/1995
Code : 205
Description : Date(s) dental root canal therapy previously performed.
Dates : Start: 01/01/1995
Code : 206
Description : Most recent date of curettage, root planing, or periodontal surgery.
Dates : Start: 01/01/1995
Code : 207
Description : Dental impression and seating date.
Dates : Start: 01/01/1995
Code : 208
Description : Most recent date pacemaker was implanted.
Dates : Start: 01/01/1995
Code : 209
Description : Most recent pacemaker battery change date.
Dates : Start: 01/01/1995
Code : 210
Description : Date of the last x-ray.
Dates : Start: 01/01/1995
Code : 211
Description : Date(s) of dialysis training provided to patient.
Dates : Start: 01/01/1995
Code : 212
Description : Date of last routine dialysis.
Dates : Start: 01/01/1995
Code : 213
Description : Date of first routine dialysis.
Dates : Start: 01/01/1995
Code : 214
Description : Original date of prescription/orders/referral.
Dates : Start: 02/28/1997
Code : 215
Description : Date of tooth extraction/evolution.
Dates : Start: 01/01/1995
Code : 216
Description : Drug information.
Dates : Start: 01/01/1995
Code : 217
Description : Drug name, strength and dosage form.
Dates : Start: 01/01/1995
Code : 218
Description : NDC number.
Dates : Start: 01/01/1995
Code : 219
Description : Prescription number.
Dates : Start: 01/01/1995
Code : 220
Description : Drug product id number. (Use code 218)
Dates : Start: 01/01/1995 | Last Modified: 10/17/2010 | Stop: 07/01/2011
Code : 221
Description : Drug days supply and dosage.
Dates : Start: 01/01/1995 | Last Modified: 01/24/2010 | Stop: 01/01/2012
Code : 222
Description : Drug dispensing units and average wholesale price (AWP).
Dates : Start: 01/01/1995
Code : 223
Description : Route of drug/myelogram administration.
Dates : Start: 01/01/1995
Code : 224
Description : Anatomical location for joint injection.
Dates : Start: 01/01/1995
Code : 225
Description : Anatomical location.
Dates : Start: 01/01/1995
Code : 226
Description : Joint injection site.
Dates : Start: 01/01/1995
Code : 227
Description : Hospital information.
Dates : Start: 01/01/1995
Code : 228
Description : Type of bill for UB claim
Dates : Start: 01/01/1995 | Last Modified: 10/31/2006
Code : 229
Description : Hospital admission source.
Dates : Start: 01/01/1995
Code : 230
Description : Hospital admission hour.
Dates : Start: 01/01/1995
Code : 231
Description : Hospital admission type.
Dates : Start: 01/01/1995
Code : 232
Description : Admitting diagnosis.
Dates : Start: 01/01/1995
Code : 233
Description : Hospital discharge hour.
Dates : Start: 01/01/1995
Code : 234
Description : Patient discharge status.
Dates : Start: 01/01/1995
Code : 235
Description : Units of blood furnished.
Dates : Start: 01/01/1995
Code : 236
Description : Units of blood replaced.
Dates : Start: 01/01/1995
Code : 237
Description : Units of deductible blood.
Dates : Start: 01/01/1995
Code : 238
Description : Separate claim for mother/baby charges.
Dates : Start: 01/01/1995
Code : 239
Description : Dental information.
Dates : Start: 01/01/1995
Code : 240
Description : Tooth surface(s) involved.
Dates : Start: 01/01/1995
Code : 241
Description : List of all missing teeth (upper and lower).
Dates : Start: 01/01/1995
Code : 242
Description : Tooth numbers, surfaces, and/or quadrants involved.
Dates : Start: 01/01/1995
Code : 243
Description : Months of dental treatment remaining.
Dates : Start: 01/01/1995
Code : 244
Description : Tooth number or letter.
Dates : Start: 01/01/1995
Code : 245
Description : Dental quadrant/arch.
Dates : Start: 01/01/1995
Code : 246
Description : Total orthodontic service fee, initial appliance fee, monthly fee, length of service.
Dates : Start: 01/01/1995
Code : 247
Description : Line information.
Dates : Start: 01/01/1995
Code : 248
Description : Accident date, state, description and cause.
Dates : Start: 01/01/1995 | Last Modified: 01/24/2010 | Stop: 01/01/2012
Code : 249
Description : Place of service.
Dates : Start: 01/01/1995
Code : 250
Description : Type of service.
Dates : Start: 01/01/1995
Code : 251
Description : Total anesthesia minutes.
Dates : Start: 01/01/1995
Code : 252
Description : Entity's authorization/certification number. Note: This code requires the use of an Entity Code.
Dates : Start: 01/01/1995 | Last Modified: 01/30/2011
Code : 253
Description : Procedure/revenue code for service(s) rendered. Use codes 454 or 455.
Dates : Start: 01/01/1995 | Last Modified: 07/09/2007 | Stop: 02/28/1997
Code : 254
Description : Principal diagnosis code.
Dates : Start: 01/01/1995 | Last Modified: 01/30/2011
Code : 255
Description : Diagnosis code.
Dates : Start: 01/01/1995
Code : 256
Description : DRG code(s).
Dates : Start: 01/01/1995
Code : 257
Description : ADSM-III-R code for services rendered.
Dates : Start: 01/01/1995
Code : 258
Description : Days/units for procedure/revenue code.
Dates : Start: 01/01/1995
Code : 259
Description : Frequency of service.
Dates : Start: 01/01/1995
Code : 260
Description : Length of medical necessity, including begin date.
Dates : Start: 02/28/1997
Code : 261
Description : Obesity measurements.
Dates : Start: 01/01/1995
Code : 262
Description : Type of surgery/service for which anesthesia was administered.
Dates : Start: 01/01/1995
Code : 263
Description : Length of time for services rendered.
Dates : Start: 01/01/1995
Code : 264
Description : Number of liters/minute & total hours/day for respiratory support.
Dates : Start: 01/01/1995
Code : 265
Description : Number of lesions excised.
Dates : Start: 01/01/1995
Code : 266
Description : Facility point of origin and destination - ambulance.
Dates : Start: 01/01/1995
Code : 267
Description : Number of miles patient was transported.
Dates : Start: 01/01/1995
Code : 268
Description : Location of durable medical equipment use.
Dates : Start: 01/01/1995
Code : 269
Description : Length/size of laceration/tumor.
Dates : Start: 01/01/1995
Code : 270
Description : Subluxation location.
Dates : Start: 01/01/1995
Code : 271
Description : Number of spine segments.
Dates : Start: 01/01/1995
Code : 272
Description : Oxygen contents for oxygen system rental.
Dates : Start: 01/01/1995
Code : 273
Description : Weight.
Dates : Start: 01/01/1995
Code : 274
Description : Height.
Dates : Start: 01/01/1995
Code : 275
Description : Claim.
Dates : Start: 01/01/1995
Code : 276
Description : UB04/HCFA-1450/1500 claim form
Dates : Start: 01/01/1995 | Last Modified: 10/31/2006
Code : 277
Description : Paper claim.
Dates : Start: 01/01/1995
Code : 278
Description : Signed claim form.
Dates : Start: 01/01/1995 | Stop: 11/01/2011
Code : 279
Description : Claim/service must be itemized
Dates : Start: 01/01/1995 | Last Modified: 10/17/2010
Code : 280
Description : Itemized claim by provider.
Dates : Start: 01/01/1995 | Stop: 11/01/2011
Notes: Refer to code 279
Code : 281
Description : Related confinement claim.
Dates : Start: 01/01/1995
Code : 282
Description : Copy of prescription.
Dates : Start: 01/01/1995
Code : 283
Description : Medicare entitlement information is required to determine primary coverage
Dates : Start: 01/01/1995 | Last Modified: 01/27/2008
Code : 284
Description : Copy of Medicare ID card.
Dates : Start: 01/01/1995
Code : 285
Description : Vouchers/explanation of benefits (EOB).
Dates : Start: 01/01/1995 | Stop: 11/01/2011
Notes: Refer to code 286
Code : 286
Description : Other payer's Explanation of Benefits/payment information.
Dates : Start: 01/01/1995
Code : 287
Description : Medical necessity for service.
Dates : Start: 01/01/1995
Code : 288
Description : Hospital late charges
Dates : Start: 01/01/1995 | Last Modified: 10/17/2010
Code : 289
Description : Reason for late discharge.
Dates : Start: 01/01/1995 | Stop: 11/01/2011
Code : 290
Description : Pre-existing information.
Dates : Start: 01/01/1995
Code : 291
Description : Reason for termination of pregnancy.
Dates : Start: 01/01/1995
Code : 292
Description : Purpose of family conference/therapy.
Dates : Start: 01/01/1995
Code : 293
Description : Reason for physical therapy.
Dates : Start: 01/01/1995
Code : 294
Description : Supporting documentation. Note: At least one other status code is required to identify the supporting documentation.
Dates : Start: 01/01/1995 | Last Modified: 10/17/2010
Code : 295
Description : Attending physician report.
Dates : Start: 01/01/1995
Code : 296
Description : Nurse's notes.
Dates : Start: 01/01/1995
Code : 297
Description : Medical notes/report.
Dates : Start: 02/28/1997
Code : 298
Description : Operative report.
Dates : Start: 01/01/1995
Code : 299
Description : Emergency room notes/report.
Dates : Start: 01/01/1995
Code : 300
Description : Lab/test report/notes/results.
Dates : Start: 02/28/1997
Code : 301
Description : MRI report.
Dates : Start: 01/01/1995
Code : 302
Description : Refer to codes 300 for lab notes and 311 for pathology notes
Dates : Start: 01/01/1995 | Stop: 01/31/1997
Code : 303
Description : Physical therapy notes. Use code 297:6O (6 'OH' - not zero)
Dates : Start: 01/01/1995 | Last Modified: 07/09/2007 | Stop: 02/28/1997
Code : 304
Description : Reports for service.
Dates : Start: 01/01/1995 | Stop: 11/01/2011
Notes: Refer to codes 297, 298, 299, 300
Code : 305
Description : Radiology/x-ray reports and/or interpretation
Dates : Start: 01/01/1995 | Last Modified: 01/30/2011
Code : 306
Description : Detailed description of service.
Dates : Start: 01/01/1995
Code : 307
Description : Narrative with pocket depth chart.
Dates : Start: 01/01/1995
Code : 308
Description : Discharge summary.
Dates : Start: 01/01/1995
Code : 309
Description : Code was duplicate of code 299
Dates : Start: 01/01/1995 | Stop: 01/31/1997
Code : 310
Description : Progress notes for the six months prior to statement date.
Dates : Start: 01/01/1995
Code : 311
Description : Pathology notes/report.
Dates : Start: 01/01/1995
Code : 312
Description : Dental charting.
Dates : Start: 01/01/1995
Code : 313
Description : Bridgework information.
Dates : Start: 01/01/1995
Code : 314
Description : Dental records for this service.
Dates : Start: 01/01/1995
Code : 315
Description : Past perio treatment history.
Dates : Start: 01/01/1995
Code : 316
Description : Complete medical history.
Dates : Start: 01/01/1995
Code : 317
Description : Patient's medical records.
Dates : Start: 01/01/1995 | Stop: 11/01/2011
Notes: Refer to code 297 or other specific report type codes
Code : 318
Description : X-rays/radiology films
Dates : Start: 01/01/1995 | Last Modified: 10/17/2010
Code : 319
Description : Pre/post-operative x-rays/photographs.
Dates : Start: 02/28/1997
Code : 320
Description : Study models.
Dates : Start: 01/01/1995
Code : 321
Description : Radiographs or models. (Use codes 318 and/or 320)
Dates : Start: 01/01/1995 | Last Modified: 10/17/2010 | Stop: 07/01/2011
Code : 322
Description : Recent Full Mouth X-rays
Dates : Start: 01/01/1995 | Last Modified: 10/17/2010
Code : 323
Description : Study models, x-rays, and/or narrative.
Dates : Start: 01/01/1995
Code : 324
Description : Recent x-ray of treatment area and/or narrative.
Dates : Start: 01/01/1995
Code : 325
Description : Recent fm x-rays and/or narrative.
Dates : Start: 01/01/1995
Code : 326
Description : Copy of transplant acquisition invoice.
Dates : Start: 01/01/1995
Code : 327
Description : Periodontal case type diagnosis and recent pocket depth chart with narrative.
Dates : Start: 01/01/1995
Code : 328
Description : Speech therapy notes. Use code 297:6R
Dates : Start: 01/01/1995 | Last Modified: 07/09/2007 | Stop: 02/28/1997
Code : 329
Description : Exercise notes.
Dates : Start: 01/01/1995
Code : 330
Description : Occupational notes.
Dates : Start: 01/01/1995
Code : 331
Description : History and physical.
Dates : Start: 01/01/1995 | Last Modified: 08/01/2007
Code : 332
Description : Authorization/certification (include period covered). (Use code 252)
Dates : Start: 02/28/1997 | Last Modified: 07/09/2007 | Stop: 01/01/2008
Code : 333
Description : Patient release of information authorization.
Dates : Start: 01/01/1995
Code : 334
Description : Oxygen certification.
Dates : Start: 01/01/1995
Code : 335
Description : Durable medical equipment certification.
Dates : Start: 01/01/1995
Code : 336
Description : Chiropractic certification.
Dates : Start: 01/01/1995
Code : 337
Description : Ambulance certification/documentation.
Dates : Start: 01/01/1995
Code : 338
Description : Home health certification. Use code 332:4Y
Dates : Start: 01/01/1995 | Last Modified: 07/09/2007 | Stop: 02/28/1997
Code : 339
Description : Enteral/parenteral certification.
Dates : Start: 01/01/1995
Code : 340
Description : Pacemaker certification.
Dates : Start: 01/01/1995
Code : 341
Description : Private duty nursing certification.
Dates : Start: 01/01/1995
Code : 342
Description : Podiatric certification.
Dates : Start: 01/01/1995
Code : 343
Description : Documentation that facility is state licensed and Medicare approved as a surgical facility.
Dates : Start: 01/01/1995
Code : 344
Description : Documentation that provider of physical therapy is Medicare Part B approved.
Dates : Start: 01/01/1995
Code : 345
Description : Treatment plan for service/diagnosis
Dates : Start: 01/01/1995
Code : 346
Description : Proposed treatment plan for next 6 months.
Dates : Start: 01/01/1995
Code : 347
Description : Refer to code 345 for treatment plan and code 282 for prescription
Dates : Start: 01/01/1995 | Stop: 01/31/1997
Code : 348
Description : Chiropractic treatment plan. (Use 345:QL)
Dates : Start: 01/01/1995 | Last Modified: 07/09/2007 | Stop: 01/01/2008
Code : 349
Description : Psychiatric treatment plan. Use codes 345:5I, 5J, 5K, 5L, 5M, 5N, 5O (5 'OH' - not zero), 5P
Dates : Start: 01/01/1995 | Last Modified: 07/09/2007 | Stop: 02/28/1997
Code : 350
Description : Speech pathology treatment plan. Use code 345:6R
Dates : Start: 01/01/1995 | Last Modified: 07/09/2007 | Stop: 02/28/1997
Code : 351
Description : Physical/occupational therapy treatment plan. Use codes 345:6O (6 'OH' - not zero), 6N
Dates : Start: 01/01/1995 | Last Modified: 07/09/2007 | Stop: 02/28/1997
Code : 352
Description : Duration of treatment plan.
Dates : Start: 01/01/1995
Code : 353
Description : Orthodontics treatment plan.
Dates : Start: 01/01/1995
Code : 354
Description : Treatment plan for replacement of remaining missing teeth.
Dates : Start: 01/01/1995
Code : 355
Description : Has claim been paid?
Dates : Start: 01/01/1995 | Stop: 11/01/2011
Code : 356
Description : Was blood furnished?
Dates : Start: 01/01/1995 | Stop: 11/01/2011
Notes: Refer to code 235
Code : 357
Description : Has or will blood be replaced?
Dates : Start: 01/01/1995 | Stop: 11/01/2011
Notes: Refer to code 236
Code : 358
Description : Does provider accept assignment of benefits? (Use code 589)
Dates : Start: 01/01/1995 | Last Modified: 10/17/2010 | Stop: 07/01/2011
Code : 359
Description : Is there a release of information signature on file? (Use code 333)
Dates : Start: 01/01/1995 | Last Modified: 10/17/2010 | Stop: 07/01/2011
Code : 360
Description : Benefits Assignment Certification Indicator
Dates : Start: 01/01/1995 | Last Modified: 10/17/2010
Code : 361
Description : Is there other insurance?
Dates : Start: 01/01/1995 | Stop: 11/01/2011
Notes: Refer to codes 171 and 550
Code : 362
Description : Is the dental patient covered by medical insurance?
Dates : Start: 01/01/1995 | Stop: 11/01/2011
Notes: Refer to code 171
Code : 363
Description : Possible Workers' Compensation
Dates : Start: 01/01/1995 | Last Modified: 10/17/2010
Code : 364
Description : Is accident/illness/condition employment related?
Dates : Start: 01/01/1995
Code : 365
Description : Is service the result of an accident?
Dates : Start: 01/01/1995
Code : 366
Description : Is injury due to auto accident?
Dates : Start: 01/01/1995
Code : 367
Description : Is service performed for a recurring condition or new condition?
Dates : Start: 01/01/1995 | Stop: 11/01/2011
Notes: Refer to code 397
Code : 368
Description : Is medical doctor (MD) or doctor of osteopath (DO) on staff of this facility?
Dates : Start: 01/01/1995 | Stop: 11/01/2011
Notes: Refer to code 676
Code : 369
Description : Does patient condition preclude use of ordinary bed?
Dates : Start: 01/01/1995 | Stop: 11/01/2011
Notes: Refer to codes 287, 335
Code : 370
Description : Can patient operate controls of bed?
Dates : Start: 01/01/1995 | Stop: 11/01/2011
Notes: Refer to codes 287, 335
Code : 371
Description : Is patient confined to room?
Dates : Start: 01/01/1995 | Stop: 11/01/2011
Notes: Refer to codes 287, 335, 527
Code : 372
Description : Is patient confined to bed?
Dates : Start: 01/01/1995 | Stop: 11/01/2011
Notes: Refer to codes 287, 335, 527
Code : 373
Description : Is patient an insulin diabetic?
Dates : Start: 01/01/1995 | Stop: 11/01/2011
Code : 374
Description : Is prescribed lenses a result of cataract surgery?
Dates : Start: 01/01/1995
Code : 375
Description : Was refraction performed?
Dates : Start: 01/01/1995
Code : 376
Description : Was charge for ambulance for a round-trip?
Dates : Start: 01/01/1995 | Stop: 11/01/2011
Notes: Refer to code 453
Code : 377
Description : Was durable medical equipment purchased new or used?
Dates : Start: 01/01/1995 | Stop: 11/01/2011
Notes: Refer to codes 184, 185, 186, 335
Code : 378
Description : Is pacemaker temporary or permanent?
Dates : Start: 01/01/1995 | Stop: 11/01/2011
Notes: Refer to code 340
Code : 379
Description : Were services performed supervised by a physician?
Dates : Start: 01/01/1995 | Stop: 11/01/2011
Notes: Refer to codes 453, 454, 666 & procedure code
Code : 380
Description : CRNA supervision/medical direction.
Dates : Start: 01/01/1995 | Last Modified: 10/17/2010
Code : 381
Description : Is drug generic?
Dates : Start: 01/01/1995 | Stop: 11/01/2011
Notes: Refer to code 216
Code : 382
Description : Did provider authorize generic or brand name dispensing?
Dates : Start: 01/01/1995
Code : 383
Description : Nerve block use (surgery vs. pain management)
Dates : Start: 01/01/1995 | Last Modified: 10/17/2010
Code : 384
Description : Is prosthesis/crown/inlay placement an initial placement or a replacement?
Dates : Start: 01/01/1995
Code : 385
Description : Is appliance upper or lower arch & is appliance fixed or removable?
Dates : Start: 01/01/1995
Code : 386
Description : Orthodontic Treatment/Purpose Indicator
Dates : Start: 01/01/1995 | Last Modified: 10/17/2010
Code : 387
Description : Date patient last examined by entity. Note: This code requires use of an Entity Code.
Dates : Start: 02/28/1997 | Last Modified: 02/11/2010
Code : 388
Description : Date post-operative care assumed
Dates : Start: 02/28/1997
Code : 389
Description : Date post-operative care relinquished
Dates : Start: 02/28/1997
Code : 390
Description : Date of most recent medical event necessitating service(s)
Dates : Start: 02/28/1997
Code : 391
Description : Date(s) dialysis conducted
Dates : Start: 02/28/1997
Code : 392
Description : Date(s) of blood transfusion(s)
Dates : Start: 02/28/1997 | Stop: 11/01/2011
Code : 393
Description : Date of previous pacemaker check
Dates : Start: 02/28/1997 | Stop: 11/01/2011
Code : 394
Description : Date(s) of most recent hospitalization related to service
Dates : Start: 02/28/1997
Code : 395
Description : Date entity signed certification/recertification Note: This code requires use of an Entity Code.
Dates : Start: 02/28/1997 | Last Modified: 02/11/2010
Code : 396
Description : Date home dialysis began
Dates : Start: 02/28/1997
Code : 397
Description : Date of onset/exacerbation of illness/condition
Dates : Start: 02/28/1997
Code : 398
Description : Visual field test results
Dates : Start: 02/28/1997
Code : 399
Description : Report of prior testing related to this service, including dates
Dates : Start: 02/28/1997 | Stop: 11/01/2011
Notes: Refer to code 417
Code : 400
Description : Claim is out of balance
Dates : Start: 02/28/1997
Code : 401
Description : Source of payment is not valid
Dates : Start: 02/28/1997
Code : 402
Description : Amount must be greater than zero. Note: At least one other status code is required to identify which amount element is in error.
Dates : Start: 02/28/1997 | Last Modified: 09/20/2009
Code : 403
Description : Entity referral notes/orders/prescription
Dates : Start: 02/28/1997
Code : 404
Description : Specific findings, complaints, or symptoms necessitating service
Dates : Start: 02/28/1997 | Stop: 11/01/2011
Notes: Refer to codes 287, 488
Code : 405
Description : Summary of services
Dates : Start: 02/28/1997 | Stop: 11/01/2011
Notes: Refer to code 306
Code : 406
Description : Brief medical history as related to service(s)
Dates : Start: 02/28/1997
Code : 407
Description : Complications/mitigating circumstances
Dates : Start: 02/28/1997
Code : 408
Description : Initial certification
Dates : Start: 02/28/1997
Code : 409
Description : Medication logs/records (including medication therapy)
Dates : Start: 02/28/1997
Code : 410
Description : Explain differences between treatment plan and patient's condition
Dates : Start: 02/28/1997 | Stop: 11/01/2011
Notes: Refer to code 297 or other specific report type codes
Code : 411
Description : Medical necessity for non-routine service(s)
Dates : Start: 02/28/1997 | Stop: 11/01/2011
Notes: Refer to code 287
Code : 412
Description : Medical records to substantiate decision of non-coverage
Dates : Start: 02/28/1997 | Stop: 11/01/2011
Notes: Refer to code 297 or other specific report type codes
Code : 413
Description : Explain/justify differences between treatment plan and services rendered.
Dates : Start: 02/28/1997 | Stop: 11/01/2011
Notes: Refer to code 297 or other specific report type codes
Code : 414
Description : Necessity for concurrent care (more than one physician treating the patient)
Dates : Start: 02/28/1997 | Last Modified: 10/17/2010
Code : 415
Description : Justify services outside composite rate
Dates : Start: 02/28/1997 | Stop: 11/01/2011
Notes: Refer to code 287
Code : 416
Description : Verification of patient's ability to retain and use information
Dates : Start: 02/28/1997 | Stop: 11/01/2011
Notes: Refer to code 297 or other specific report type codes
Code : 417
Description : Prior testing, including result(s) and date(s) as related to service(s)
Dates : Start: 02/28/1997
Code : 418
Description : Indicating why medications cannot be taken orally
Dates : Start: 02/28/1997 | Stop: 11/01/2011
Notes: Refer to code 297 or other specific report type codes
Code : 419
Description : Individual test(s) comprising the panel and the charges for each test
Dates : Start: 02/28/1997
Code : 420
Description : Name, dosage and medical justification of contrast material used for radiology procedure
Dates : Start: 02/28/1997
Code : 421
Description : Medical review attachment/information for service(s)
Dates : Start: 02/28/1997 | Stop: 11/01/2011
Notes: Refer to code 297 or other specific report type codes
Code : 422
Description : Homebound status
Dates : Start: 02/28/1997 | Stop: 11/01/2011
Notes: Refer to code 575
Code : 423
Description : Prognosis
Dates : Start: 02/28/1997 | Last Modified: 07/09/2007 | Stop: 01/01/2008
Code : 424
Description : Statement of non-coverage including itemized bill
Dates : Start: 02/28/1997 | Stop: 11/01/2011
Notes: Refer to code 279 & 286
Code : 425
Description : Itemize non-covered services
Dates : Start: 02/28/1997 | Stop: 11/01/2011
Notes: Refer to code 279 & 286
Code : 426
Description : All current diagnoses
Dates : Start: 02/28/1997 | Stop: 11/01/2011
Notes: Refer to code 255, 232 & 488
Code : 427
Description : Emergency care provided during transport
Dates : Start: 02/28/1997 | Stop: 11/01/2011
Code : 428
Description : Reason for transport by ambulance
Dates : Start: 02/28/1997
Code : 429
Description : Loaded miles and charges for transport to nearest facility with appropriate services
Dates : Start: 02/28/1997 | Stop: 11/01/2011
Notes: Refer to codes 267, 178, 430
Code : 430
Description : Nearest appropriate facility
Dates : Start: 02/28/1997
Code : 431
Description : Patient's condition/functional status at time of service.
Dates : Start: 02/28/1997 | Last Modified: 10/17/2010
Code : 432
Description : Date benefits exhausted
Dates : Start: 02/28/1997
Code : 433
Description : Copy of patient revocation of hospice benefits
Dates : Start: 02/28/1997
Code : 434
Description : Reasons for more than one transfer per entitlement period
Dates : Start: 02/28/1997
Code : 435
Description : Notice of Admission
Dates : Start: 02/28/1997
Code : 436
Description : Short term goals
Dates : Start: 02/28/1997 | Stop: 11/01/2011
Notes: Refer to code 345
Code : 437
Description : Long term goals
Dates : Start: 02/28/1997 | Stop: 11/01/2011
Notes: Refer to code 345
Code : 438
Description : Number of patients attending session
Dates : Start: 02/28/1997 | Stop: 11/01/2011
Code : 439
Description : Size, depth, amount, and type of drainage wounds
Dates : Start: 02/28/1997 | Stop: 11/01/2011
Notes: Refer to code 297 or other specific report type codes
Code : 440
Description : why non-skilled caregiver has not been taught procedure
Dates : Start: 02/28/1997 | Stop: 11/01/2011
Code : 441
Description : Entity professional qualification for service(s)
Dates : Start: 02/28/1997
Code : 442
Description : Modalities of service
Dates : Start: 02/28/1997
Code : 443
Description : Initial evaluation report
Dates : Start: 02/28/1997
Code : 444
Description : Method used to obtain test sample
Dates : Start: 02/28/1997 | Stop: 11/01/2011
Code : 445
Description : Explain why hearing loss not correctable by hearing aid
Dates : Start: 02/28/1997 | Stop: 11/01/2011
Notes: Refer to code 287
Code : 446
Description : Documentation from prior claim(s) related to service(s)
Dates : Start: 02/28/1997 | Stop: 11/01/2011
Code : 447
Description : Plan of teaching
Dates : Start: 02/28/1997 | Stop: 11/01/2011
Code : 448
Description : Invalid billing combination. See STC12 for details. This code should only be used to indicate an inconsistency between two or more data elements on the claim. A detailed explanation is required in STC12 when this code is used.
Dates : Start: 02/28/1997 | Last Modified: 01/24/2010 | Stop: 01/01/2012
Code : 449
Description : Projected date to discontinue service(s)
Dates : Start: 02/28/1997
Code : 450
Description : Awaiting spend down determination
Dates : Start: 02/28/1997
Code : 451
Description : Preoperative and post-operative diagnosis
Dates : Start: 02/28/1997
Code : 452
Description : Total visits in total number of hours/day and total number of hours/week
Dates : Start: 02/28/1997
Code : 453
Description : Procedure Code Modifier(s) for Service(s) Rendered
Dates : Start: 02/28/1997
Code : 454
Description : Procedure code for services rendered.
Dates : Start: 02/28/1997
Code : 455
Description : Revenue code for services rendered.
Dates : Start: 02/28/1997
Code : 456
Description : Covered Day(s)
Dates : Start: 02/28/1997
Code : 457
Description : Non-Covered Day(s)
Dates : Start: 02/28/1997
Code : 458
Description : Coinsurance Day(s)
Dates : Start: 02/28/1997
Code : 459
Description : Lifetime Reserve Day(s)
Dates : Start: 02/28/1997
Code : 460
Description : NUBC Condition Code(s)
Dates : Start: 02/28/1997
Code : 461
Description : NUBC Occurrence Code(s) and Date(s)
Dates : Start: 02/28/1997 | Last Modified: 01/24/2010 | Stop: 01/01/2012
Code : 462
Description : NUBC Occurrence Span Code(s) and Date(s)
Dates : Start: 02/28/1997 | Last Modified: 01/24/2010 | Stop: 01/01/2012
Code : 463
Description : NUBC Value Code(s) and/or Amount(s)
Dates : Start: 02/28/1997 | Last Modified: 01/24/2010 | Stop: 01/01/2012
Code : 464
Description : Payer Assigned Claim Control Number
Dates : Start: 02/28/1997 | Last Modified: 10/31/2004
Code : 465
Description : Principal Procedure Code for Service(s) Rendered
Dates : Start: 02/28/1997
Code : 466
Description : Entity's Original Signature. Note: This code requires use of an Entity Code.
Dates : Start: 02/28/1997 | Last Modified: 01/30/2011
Code : 467
Description : Entity Signature Date. Note: This code requires use of an Entity Code.
Dates : Start: 02/28/1997 | Last Modified: 02/11/2010
Code : 468
Description : Patient Signature Source
Dates : Start: 02/28/1997
Code : 469
Description : Purchase Service Charge
Dates : Start: 02/28/1997
Code : 470
Description : Was service purchased from another entity? Note: This code requires use of an Entity Code.
Dates : Start: 02/28/1997 | Last Modified: 02/11/2010
Code : 471
Description : Were services related to an emergency?
Dates : Start: 02/28/1997
Code : 472
Description : Ambulance Run Sheet
Dates : Start: 02/28/1997
Code : 473
Description : Missing or invalid lab indicator
Dates : Start: 06/30/1998
Code : 474
Description : Procedure code and patient gender mismatch
Dates : Start: 06/30/1998 | Last Modified: 02/29/2000
Code : 475
Description : Procedure code not valid for patient age
Dates : Start: 06/30/1998 | Last Modified: 02/29/2000
Code : 476
Description : Missing or invalid units of service
Dates : Start: 06/30/1998
Code : 477
Description : Diagnosis code pointer is missing or invalid
Dates : Start: 06/30/1998
Code : 478
Description : Claim submitter's identifier
Dates : Start: 06/30/1998 | Last Modified: 01/24/2010
Code : 479
Description : Other Carrier payer ID is missing or invalid
Dates : Start: 06/30/1998
Code : 480
Description : Entity's claim filing indicator. Note: This code requires use of an Entity Code.
Dates : Start: 06/30/1998 | Last Modified: 06/06/2010
Code : 481
Description : Claim/submission format is invalid.
Dates : Start: 10/31/1998
Code : 482
Description : Date Error, Century Missing
Dates : Start: 02/28/1999 | Last Modified: 09/20/2009 | Stop: 10/01/2010
Code : 483
Description : Maximum coverage amount met or exceeded for benefit period.
Dates : Start: 06/30/1999
Code : 484
Description : Business Application Currently Not Available
Dates : Start: 02/29/2000
Code : 485
Description : More information available than can be returned in real time mode. Narrow your current search criteria.
Dates : Start: 02/28/2001
Code : 486
Description : Principal Procedure Date
Dates : Start: 10/31/2001 | Last Modified: 07/01/2009
Code : 487
Description : Claim not found, claim should have been submitted to/through 'entity'. Note: This code requires use of an Entity Code.
Dates : Start: 02/28/2002 | Last Modified: 02/11/2010
Code : 488
Description : Diagnosis code(s) for the services rendered.
Dates : Start: 06/30/2002
Code : 489
Description : Attachment Control Number
Dates : Start: 10/31/2002
Code : 490
Description : Other Procedure Code for Service(s) Rendered
Dates : Start: 02/28/2003
Code : 491
Description : Entity not eligible for encounter submission. Note: This code requires use of an Entity Code.
Dates : Start: 02/28/2003 | Last Modified: 02/11/2010
Code : 492
Description : Other Procedure Date
Dates : Start: 02/28/2003
Code : 493
Description : Version/Release/Industry ID code not currently supported by information holder
Dates : Start: 02/28/2003
Code : 494
Description : Real-Time requests not supported by the information holder, resubmit as batch request
Dates : Start: 02/28/2003
Code : 495
Description : Requests for re-adjudication must reference the newly assigned payer claim control number for this previously adjusted claim. Correct the payer claim control number and re-submit.
Dates : Start: 10/31/2003
Code : 496
Description : Submitter not approved for electronic claim submissions on behalf of this entity. Note: This code requires use of an Entity Code.
Dates : Start: 02/29/2004 | Last Modified: 02/11/2010
Code : 497
Description : Sales tax not paid
Dates : Start: 06/30/2004
Code : 498
Description : Maximum leave days exhausted
Dates : Start: 06/30/2004
Code : 499
Description : No rate on file with the payer for this service for this entity Note: This code requires use of an Entity Code.
Dates : Start: 06/30/2004 | Last Modified: 02/11/2010
Code : 500
Description : Entity's Postal/Zip Code. Note: This code requires use of an Entity Code.
Dates : Start: 06/30/2004 | Last Modified: 02/11/2010
Code : 501
Description : Entity's State/Province. Note: This code requires use of an Entity Code.
Dates : Start: 06/30/2004 | Last Modified: 02/11/2010
Code : 502
Description : Entity's City. Note: This code requires use of an Entity Code.
Dates : Start: 06/30/2004 | Last Modified: 02/11/2010
Code : 503
Description : Entity's Street Address. Note: This code requires use of an Entity Code.
Dates : Start: 06/30/2004 | Last Modified: 02/11/2010
Code : 504
Description : Entity's Last Name. Note: This code requires use of an Entity Code.
Dates : Start: 06/30/2004 | Last Modified: 02/11/2010
Code : 505
Description : Entity's First Name. Note: This code requires use of an Entity Code.
Dates : Start: 06/30/2004 | Last Modified: 02/11/2010
Code : 506
Description : Entity is changing processor/clearinghouse. This claim must be submitted to the new processor/clearinghouse. Note: This code requires use of an Entity Code.
Dates : Start: 06/30/2004 | Last Modified: 02/11/2010
Code : 507
Description : HCPCS
Dates : Start: 10/31/2004
Code : 508
Description : ICD9 NOTE: At least one other status code is required to identify the related procedure code or diagnosis code.
Dates : Start: 10/31/2004 | Last Modified: 07/01/2009
Code : 509
Description : External Cause of Injury Code (E-code).
Dates : Start: 10/31/2004 | Last Modified: 01/30/2011
Code : 510
Description : Future date. Note: At least one other status code is required to identify the data element in error.
Dates : Start: 10/31/2004 | Last Modified: 09/20/2009
Code : 511
Description : Invalid character. Note: At least one other status code is required to identify the data element in error.
Dates : Start: 10/31/2004 | Last Modified: 09/20/2009
Code : 512
Description : Length invalid for receiver's application system. Note: At least one other status code is required to identify the data element in error.
Dates : Start: 10/31/2004 | Last Modified: 09/20/2009
Code : 513
Description : HIPPS Rate Code for services Rendered
Dates : Start: 10/31/2004
Code : 514
Description : Entity's Middle Name Note: This code requires use of an Entity Code.
Dates : Start: 10/31/2004 | Last Modified: 01/30/2011
Code : 515
Description : Managed Care review
Dates : Start: 10/31/2004
Code : 516
Description : Other Entity's Adjudication or Payment/Remittance Date. Note: An Entity code is required to identify the Other Payer Entity, i.e. primary, secondary.
Dates : Start: 10/31/2004 | Last Modified: 11/29/2009
Code : 517
Description : Adjusted Repriced Claim Reference Number
Dates : Start: 10/31/2004
Code : 518
Description : Adjusted Repriced Line item Reference Number
Dates : Start: 10/31/2004
Code : 519
Description : Adjustment Amount
Dates : Start: 10/31/2004
Code : 520
Description : Adjustment Quantity
Dates : Start: 10/31/2004
Code : 521
Description : Adjustment Reason Code
Dates : Start: 10/31/2004
Code : 522
Description : Anesthesia Modifying Units
Dates : Start: 10/31/2004
Code : 523
Description : Anesthesia Unit Count
Dates : Start: 10/31/2004
Code : 524
Description : Arterial Blood Gas Quantity
Dates : Start: 10/31/2004
Code : 525
Description : Begin Therapy Date
Dates : Start: 10/31/2004
Code : 526
Description : Bundled or Unbundled Line Number
Dates : Start: 10/31/2004
Code : 527
Description : Certification Condition Indicator
Dates : Start: 10/31/2004
Code : 528
Description : Certification Period Projected Visit Count
Dates : Start: 10/31/2004
Code : 529
Description : Certification Revision Date
Dates : Start: 10/31/2004
Code : 530
Description : Claim Adjustment Indicator
Dates : Start: 10/31/2004
Code : 531
Description : Claim Disproportinate Share Amount
Dates : Start: 10/31/2004
Code : 532
Description : Claim DRG Amount
Dates : Start: 10/31/2004
Code : 533
Description : Claim DRG Outlier Amount
Dates : Start: 10/31/2004
Code : 534
Description : Claim ESRD Payment Amount
Dates : Start: 10/31/2004
Code : 535
Description : Claim Frequency Code
Dates : Start: 10/31/2004
Code : 536
Description : Claim Indirect Teaching Amount
Dates : Start: 10/31/2004
Code : 537
Description : Claim MSP Pass-through Amount
Dates : Start: 10/31/2004
Code : 538
Description : Claim or Encounter Identifier
Dates : Start: 10/31/2004
Code : 539
Description : Claim PPS Capital Amount
Dates : Start: 10/31/2004
Code : 540
Description : Claim PPS Capital Outlier Amount
Dates : Start: 10/31/2004
Code : 541
Description : Claim Submission Reason Code
Dates : Start: 10/31/2004
Code : 542
Description : Claim Total Denied Charge Amount
Dates : Start: 10/31/2004
Code : 543
Description : Clearinghouse or Value Added Network Trace
Dates : Start: 10/31/2004
Code : 544
Description : Clinical Laboratory Improvement Amendment
Dates : Start: 10/31/2004
Code : 545
Description : Contract Amount
Dates : Start: 10/31/2004
Code : 546
Description : Contract Code
Dates : Start: 10/31/2004
Code : 547
Description : Contract Percentage
Dates : Start: 10/31/2004
Code : 548
Description : Contract Type Code
Dates : Start: 10/31/2004
Code : 549
Description : Contract Version Identifier
Dates : Start: 10/31/2004
Code : 550
Description : Coordination of Benefits Code
Dates : Start: 10/31/2004
Code : 551
Description : Coordination of Benefits Total Submitted Charge
Dates : Start: 10/31/2004
Code : 552
Description : Cost Report Day Count
Dates : Start: 10/31/2004
Code : 553
Description : Covered Amount
Dates : Start: 10/31/2004
Code : 554
Description : Date Claim Paid
Dates : Start: 10/31/2004
Code : 555
Description : Delay Reason Code
Dates : Start: 10/31/2004
Code : 556
Description : Demonstration Project Identifier
Dates : Start: 10/31/2004
Code : 557
Description : Diagnosis Date
Dates : Start: 10/31/2004
Code : 558
Description : Discount Amount
Dates : Start: 10/31/2004
Code : 559
Description : Document Control Identifier
Dates : Start: 10/31/2004
Code : 560
Description : Entity's Additional/Secondary Identifier. Note: This code requires use of an Entity Code.
Dates : Start: 10/31/2004 | Last Modified: 02/11/2010
Code : 561
Description : Entity's Contact Name. Note: This code requires use of an Entity Code.
Dates : Start: 10/31/2004 | Last Modified: 02/11/2010
Code : 562
Description : Entity's National Provider Identifier (NPI). Note: This code requires use of an Entity Code.
Dates : Start: 10/31/2004 | Last Modified: 02/11/2010
Code : 563
Description : Entity's Tax Amount. Note: This code requires use of an Entity Code.
Dates : Start: 10/31/2004 | Last Modified: 02/11/2010
Code : 564
Description : EPSDT Indicator
Dates : Start: 10/31/2004
Code : 565
Description : Estimated Claim Due Amount
Dates : Start: 10/31/2004
Code : 566
Description : Exception Code
Dates : Start: 10/31/2004
Code : 567
Description : Facility Code Qualifier
Dates : Start: 10/31/2004
Code : 568
Description : Family Planning Indicator
Dates : Start: 10/31/2004
Code : 569
Description : Fixed Format Information
Dates : Start: 10/31/2004
Code : 570
Description : Free Form Message Text
Dates : Start: 10/31/2004 | Stop: 01/01/2013
Code : 571
Description : Frequency Count
Dates : Start: 10/31/2004
Code : 572
Description : Frequency Period
Dates : Start: 10/31/2004
Code : 573
Description : Functional Limitation Code
Dates : Start: 10/31/2004
Code : 574
Description : HCPCS Payable Amount Home Health
Dates : Start: 10/31/2004
Code : 575
Description : Homebound Indicator
Dates : Start: 10/31/2004
Code : 576
Description : Immunization Batch Number
Dates : Start: 10/31/2004
Code : 577
Description : Industry Code
Dates : Start: 10/31/2004
Code : 578
Description : Insurance Type Code
Dates : Start: 10/31/2004
Code : 579
Description : Investigational Device Exemption Identifier
Dates : Start: 10/31/2004
Code : 580
Description : Last Certification Date
Dates : Start: 10/31/2004
Code : 581
Description : Last Worked Date
Dates : Start: 10/31/2004
Code : 582
Description : Lifetime Psychiatric Days Count
Dates : Start: 10/31/2004
Code : 583
Description : Line Item Charge Amount
Dates : Start: 10/31/2004
Code : 584
Description : Line Item Control Number
Dates : Start: 10/31/2004
Code : 585
Description : Denied Charge or Non-covered Charge
Dates : Start: 10/31/2004 | Last Modified: 07/09/2007
Code : 586
Description : Line Note Text
Dates : Start: 10/31/2004
Code : 587
Description : Measurement Reference Identification Code
Dates : Start: 10/31/2004
Code : 588
Description : Medical Record Number
Dates : Start: 10/31/2004
Code : 589
Description : Provider Accept Assignment Code
Dates : Start: 10/31/2004 | Last Modified: 10/17/2010
Code : 590
Description : Medicare Coverage Indicator
Dates : Start: 10/31/2004
Code : 591
Description : Medicare Paid at 100% Amount
Dates : Start: 10/31/2004
Code : 592
Description : Medicare Paid at 80% Amount
Dates : Start: 10/31/2004
Code : 593
Description : Medicare Section 4081 Indicator
Dates : Start: 10/31/2004
Code : 594
Description : Mental Status Code
Dates : Start: 10/31/2004
Code : 595
Description : Monthly Treatment Count
Dates : Start: 10/31/2004
Code : 596
Description : Non-covered Charge Amount
Dates : Start: 10/31/2004
Code : 597
Description : Non-payable Professional Component Amount
Dates : Start: 10/31/2004
Code : 598
Description : Non-payable Professional Component Billed Amount
Dates : Start: 10/31/2004
Code : 599
Description : Note Reference Code
Dates : Start: 10/31/2004
Code : 600
Description : Oxygen Saturation Qty
Dates : Start: 10/31/2004
Code : 601
Description : Oxygen Test Condition Code
Dates : Start: 10/31/2004
Code : 602
Description : Oxygen Test Date
Dates : Start: 10/31/2004
Code : 603
Description : Old Capital Amount
Dates : Start: 10/31/2004
Code : 604
Description : Originator Application Transaction Identifier
Dates : Start: 10/31/2004
Code : 605
Description : Orthodontic Treatment Months Count
Dates : Start: 10/31/2004
Code : 606
Description : Paid From Part A Medicare Trust Fund Amount
Dates : Start: 10/31/2004
Code : 607
Description : Paid From Part B Medicare Trust Fund Amount
Dates : Start: 10/31/2004
Code : 608
Description : Paid Service Unit Count
Dates : Start: 10/31/2004
Code : 609
Description : Participation Agreement
Dates : Start: 10/31/2004
Code : 610
Description : Patient Discharge Facility Type Code
Dates : Start: 10/31/2004
Code : 611
Description : Peer Review Authorization Number
Dates : Start: 10/31/2004
Code : 612
Description : Per Day Limit Amount
Dates : Start: 10/31/2004
Code : 613
Description : Physician Contact Date
Dates : Start: 10/31/2004
Code : 614
Description : Physician Order Date
Dates : Start: 10/31/2004
Code : 615
Description : Policy Compliance Code
Dates : Start: 10/31/2004
Code : 616
Description : Policy Name
Dates : Start: 10/31/2004
Code : 617
Description : Postage Claimed Amount
Dates : Start: 10/31/2004
Code : 618
Description : PPS-Capital DSH DRG Amount
Dates : Start: 10/31/2004
Code : 619
Description : PPS-Capital Exception Amount
Dates : Start: 10/31/2004
Code : 620
Description : PPS-Capital FSP DRG Amount
Dates : Start: 10/31/2004
Code : 621
Description : PPS-Capital HSP DRG Amount
Dates : Start: 10/31/2004
Code : 622
Description : PPS-Capital IME Amount
Dates : Start: 10/31/2004
Code : 623
Description : PPS-Operating Federal Specific DRG Amount
Dates : Start: 10/31/2004
Code : 624
Description : PPS-Operating Hospital Specific DRG Amount
Dates : Start: 10/31/2004
Code : 625
Description : Predetermination of Benefits Identifier
Dates : Start: 10/31/2004
Code : 626
Description : Pregnancy Indicator
Dates : Start: 10/31/2004
Code : 627
Description : Pre-Tax Claim Amount
Dates : Start: 10/31/2004
Code : 628
Description : Pricing Methodology
Dates : Start: 10/31/2004
Code : 629
Description : Property Casualty Claim Number
Dates : Start: 10/31/2004
Code : 630
Description : Referring CLIA Number
Dates : Start: 10/31/2004
Code : 631
Description : Reimbursement Rate
Dates : Start: 10/31/2004
Code : 632
Description : Reject Reason Code
Dates : Start: 10/31/2004
Code : 633
Description : Related Causes Code (Accident, auto accident, employment)
Dates : Start: 10/31/2004 | Last Modified: 10/17/2010
Code : 634
Description : Remark Code
Dates : Start: 10/31/2004
Code : 635
Description : Repriced Ambulatory Patient Group Code
Dates : Start: 10/31/2004
Code : 636
Description : Repriced Line Item Reference Number
Dates : Start: 10/31/2004
Code : 637
Description : Repriced Saving Amount
Dates : Start: 10/31/2004
Code : 638
Description : Repricing Per Diem or Flat Rate Amount
Dates : Start: 10/31/2004
Code : 639
Description : Responsibility Amount
Dates : Start: 10/31/2004
Code : 640
Description : Sales Tax Amount
Dates : Start: 10/31/2004
Code : 641
Description : Service Adjudication or Payment Date. Note: Use code 516.
Dates : Start: 10/31/2004 | Last Modified: 09/20/2009 | Stop: 10/01/2010
Code : 642
Description : Service Authorization Exception Code
Dates : Start: 10/31/2004
Code : 643
Description : Service Line Paid Amount
Dates : Start: 10/31/2004
Code : 644
Description : Service Line Rate
Dates : Start: 10/31/2004
Code : 645
Description : Service Tax Amount
Dates : Start: 10/31/2004
Code : 646
Description : Ship, Delivery or Calendar Pattern Code
Dates : Start: 10/31/2004
Code : 647
Description : Shipped Date
Dates : Start: 10/31/2004
Code : 648
Description : Similar Illness or Symptom Date
Dates : Start: 10/31/2004
Code : 649
Description : Skilled Nursing Facility Indicator
Dates : Start: 10/31/2004
Code : 650
Description : Special Program Indicator
Dates : Start: 10/31/2004
Code : 651
Description : State Industrial Accident Provider Number
Dates : Start: 10/31/2004
Code : 652
Description : Terms Discount Percentage
Dates : Start: 10/31/2004
Code : 653
Description : Test Performed Date
Dates : Start: 10/31/2004
Code : 654
Description : Total Denied Charge Amount
Dates : Start: 10/31/2004
Code : 655
Description : Total Medicare Paid Amount
Dates : Start: 10/31/2004
Code : 656
Description : Total Visits Projected This Certification Count
Dates : Start: 10/31/2004
Code : 657
Description : Total Visits Rendered Count
Dates : Start: 10/31/2004
Code : 658
Description : Treatment Code
Dates : Start: 10/31/2004
Code : 659
Description : Unit or Basis for Measurement Code
Dates : Start: 10/31/2004
Code : 660
Description : Universal Product Number
Dates : Start: 10/31/2004
Code : 661
Description : Visits Prior to Recertification Date Count CR702
Dates : Start: 10/31/2004
Code : 662
Description : X-ray Availability Indicator
Dates : Start: 10/31/2004
Code : 663
Description : Entity's Group Name. Note: This code requires use of an Entity Code.
Dates : Start: 10/31/2004 | Last Modified: 02/11/2010
Code : 664
Description : Orthodontic Banding Date
Dates : Start: 10/31/2004
Code : 665
Description : Surgery Date
Dates : Start: 10/31/2004
Code : 666
Description : Surgical Procedure Code
Dates : Start: 10/31/2004
Code : 667
Description : Real-Time requests not supported by the information holder, do not resubmit
Dates : Start: 02/28/2005
Code : 668
Description : Missing Endodontics treatment history and prognosis
Dates : Start: 06/30/2005
Code : 669
Description : Dental service narrative needed.
Dates : Start: 10/31/2005
Code : 670
Description : Funds applied from a consumer spending account such as consumer directed/driven health plan (CDHP), Health savings account (H S A) and or other similar accounts
Dates : Start: 06/30/2006 | Last Modified: 02/28/2007
Code : 671
Description : Funds may be available from a consumer spending account such as consumer directed/driven health plan (CDHP), Health savings account (H S A) and or other similar accounts
Dates : Start: 06/30/2006 | Last Modified: 02/28/2007
Code : 672
Description : Other Payer's payment information is out of balance
Dates : Start: 10/31/2006
Code : 673
Description : Patient Reason for Visit
Dates : Start: 10/31/2006
Code : 674
Description : Authorization exceeded
Dates : Start: 10/31/2006
Code : 675
Description : Facility admission through discharge dates
Dates : Start: 10/31/2006
Code : 676
Description : Entity possibly compensated by facility. Note: This code requires use of an Entity Code.
Dates : Start: 10/31/2006 | Last Modified: 02/11/2010
Code : 677
Description : Entity not affiliated. Note: This code requires use of an Entity Code.
Dates : Start: 10/31/2006 | Last Modified: 02/11/2010
Code : 678
Description : Revenue code and patient gender mismatch
Dates : Start: 10/31/2006
Code : 679
Description : Submit newborn services on mother's claim
Dates : Start: 10/31/2006
Code : 680
Description : Entity's Country. Note: This code requires use of an Entity Code.
Dates : Start: 10/31/2006 | Last Modified: 02/11/2010
Code : 681
Description : Claim currency not supported
Dates : Start: 10/31/2006
Code : 682
Description : Cosmetic procedure
Dates : Start: 02/28/2007
Code : 683
Description : Awaiting Associated Hospital Claims
Dates : Start: 02/28/2007
Code : 684
Description : Rejected. Syntax error noted for this claim/service/inquiry. See Functional or Implementation Acknowledgement for details. (Note: Only for use to reject claims or status requests in transactions that were 'accepted with errors' on a 997 or 999 Acknowledgement.)
Dates : Start: 11/05/2007
Code : 685
Description : Claim could not complete adjudication in real time. Claim will continue processing in a batch mode. Do not resubmit.
Dates : Start: 01/27/2008
Code : 686
Description : The claim/ encounter has completed the adjudication cycle and the entire claim has been voided
Dates : Start: 01/27/2008
Code : 687
Description : Claim estimation can not be completed in real time. Do not resubmit.
Dates : Start: 01/27/2008
Code : 688
Description : Present on Admission Indicator for reported diagnosis code(s).
Dates : Start: 01/27/2008
Code : 689
Description : Entity was unable to respond within the expected time frame. Note: This code requires use of an Entity Code.
Dates : Start: 06/01/2008 | Last Modified: 02/11/2010
Code : 690
Description : Multiple claims or estimate requests cannot be processed in real time.
Dates : Start: 06/01/2008
Code : 691
Description : Multiple claim status requests cannot be processed in real time.
Dates : Start: 06/01/2008
Code : 692
Description : Contracted funding agreement-Subscriber is employed by the provider of services
Dates : Start: 09/21/2008
Code : 693
Description : Amount must be greater than or equal to zero. Note: At least one other status code is required to identify which amount element is in error.
Dates : Start: 01/25/2009
Code : 694
Description : Amount must not be equal to zero. Note: At least one other status code is required to identify which amount element is in error.
Dates : Start: 01/25/2009
Code : 695
Description : Entity's Country Subdivision Code. Note: This code requires use of an Entity Code.
Dates : Start: 01/25/2009 | Last Modified: 02/11/2010
Code : 696
Description : Claim Adjustment Group Code.
Dates : Start: 01/25/2009
Code : 697
Description : Invalid Decimal Precision. Note: At least one other status code is required to identify the data element in error.
Dates : Start: 07/01/2009
Code : 698
Description : Form Type Identification
Dates : Start: 07/01/2009
Code : 699
Description : Question/Response from Supporting Documentation Form
Dates : Start: 07/01/2009
Code : 700
Description : ICD10. Note: At least one other status code is required to identify the related procedure code or diagnosis code.
Dates : Start: 07/01/2009
Code : 701
Description : Initial Treatment Date
Dates : Start: 07/01/2009
Code : 702
Description : Repriced Claim Reference Number
Dates : Start: 11/01/2009
Code : 703
Description : Advanced Billing Concepts (ABC) code
Dates : Start: 01/24/2010
Code : 704
Description : Claim Note Text
Dates : Start: 01/24/2010
Code : 705
Description : Repriced Allowed Amount
Dates : Start: 01/24/2010
Code : 706
Description : Repriced Approved Amount
Dates : Start: 01/24/2010
Code : 707
Description : Repriced Approved Ambulatory Patient Group Amount
Dates : Start: 01/24/2010
Code : 708
Description : Repriced Approved Revenue Code
Dates : Start: 01/24/2010
Code : 709
Description : Repriced Approved Service Unit Count
Dates : Start: 01/24/2010
Code : 710
Description : Line Adjudication Information. Note: At least one other status code is required to identify the data element in error.
Dates : Start: 01/24/2010
Code : 711
Description : Stretcher purpose
Dates : Start: 01/24/2010
Code : 712
Description : Obstetric Additional Units
Dates : Start: 01/24/2010
Code : 713
Description : Patient Condition Description
Dates : Start: 01/24/2010
Code : 714
Description : Care Plan Oversight Number
Dates : Start: 01/24/2010
Code : 715
Description : Acute Manifestation Date
Dates : Start: 01/24/2010
Code : 716
Description : Repriced Approved DRG Code
Dates : Start: 01/24/2010
Code : 717
Description : This claim has been split for processing.
Dates : Start: 01/24/2010
Code : 718
Description : Claim/service not submitted within the required timeframe (timely filing).
Dates : Start: 01/24/2010
Code : 719
Description : NUBC Occurrence Code(s)
Dates : Start: 01/24/2010
Code : 720
Description : NUBC Occurrence Code Date(s)
Dates : Start: 01/24/2010
Code : 721
Description : NUBC Occurrence Span Code(s)
Dates : Start: 01/24/2010
Code : 722
Description : NUBC Occurrence Span Code Date(s)
Dates : Start: 01/24/2010
Code : 723
Description : Drug days supply
Dates : Start: 01/24/2010
Code : 724
Description : Drug dosage
Dates : Start: 01/24/2010
Code : 725
Description : NUBC Value Code(s)
Dates : Start: 01/24/2010
Code : 726
Description : NUBC Value Code Amount(s)
Dates : Start: 01/24/2010
Code : 727
Description : Accident date
Dates : Start: 01/24/2010
Code : 728
Description : Accident state
Dates : Start: 01/24/2010
Code : 729
Description : Accident description
Dates : Start: 01/24/2010
Code : 730
Description : Accident cause
Dates : Start: 01/24/2010
Code : 731
Description : Measurement value/test result
Dates : Start: 01/24/2010
Code : 732
Description : Information submitted inconsistent with billing guidelines. Note: At least one other status code is required to identify the inconsistent information.
Dates : Start: 01/24/2010
Code : 733
Description : Prefix for entity's contract/member number.
Dates : Start: 01/24/2010
Code : 734
Description : Verifying premium payment
Dates : Start: 06/06/2010
Code : 735
Description : This service/claim is included in the allowance for another service or claim.
Dates : Start: 06/06/2010
Code : 736
Description : A related or qualifying service/claim has not been received/adjudicated.
Dates : Start: 06/06/2010
Code : 737
Description : Current Dental Terminology (CDT) Code
Dates : Start: 06/06/2010
Code : 738
Description : Home Infusion EDI Coalition (HEIC) Product/Service Code
Dates : Start: 06/06/2010
Code : 739
Description : Jurisdiction Specific Procedure or Supply Code
Dates : Start: 06/06/2010
Code : 740
Description : Drop-Off Location
Dates : Start: 06/06/2010
Code : 741
Description : Entity must be a person. Note: This code requires use of an Entity Code.
Dates : Start: 06/06/2010
Code : 742
Description : Payer Responsibility Sequence Number Code
Dates : Start: 06/06/2010
Code : 743
Description : Entity's credential/enrollment information. Note: This code requires use of an Entity Code.
Dates : Start: 10/17/2010
Code : 744
Description : Services/charges related to the treatment of a hospital-acquired condition or preventable medical error.
Dates : Start: 10/17/2010
Code : 745
Description : Identifier Qualifier Note: At least one other status code is required to identify the specific identifier qualifier in error.
Dates : Start: 10/17/2010
Code : 746
Description : Duplicate Submission Note: use only at the information receiver level in the Health Care Claim Acknowledgement transaction.
Dates : Start: 10/17/2010
Code : 747
Description : Hospice Employee Indicator
Dates : Start: 10/17/2010
Code : 748
Description : Corrected Data Note: Requires a second status code to identify the corrected data.
Dates : Start: 10/17/2010
Code : 749
Description : Date of Injury/Illness
Dates : Start: 10/17/2010
Code : 750
Description : Auto Accident State or Province Code
Dates : Start: 10/17/2010 | Last Modified: 01/30/2011
Code : 751
Description : Ambulance Pick-up State or Province Code
Dates : Start: 10/17/2010 | Last Modified: 01/30/2011
Code : 752
Description : Ambulance Drop-off State or Province Code
Dates : Start: 10/17/2010 | Last Modified: 01/30/2011
Code : 753
Description : Co-pay status code.
Dates : Start: 01/30/2011
Code : 754
Description : Entity Name Suffix. Note: This code requires the use of an Entity Code.
Dates : Start: 01/30/2011
Code : 755
Description : Entity's primary identifier. Note: This code requires the use of an Entity Code.
Dates : Start: 01/30/2011
Code : 756
Description : Entity's Received Date. Note: This code requires the use of an Entity Code.
Dates : Start: 01/30/2011
Code : 757
Description : Last seen date.
Dates : Start: 01/30/2011
Code : 758
Description : Repriced approved HCPCS code.
Dates : Start: 01/30/2011
Code : 759
Description : Round trip purpose description.
Dates : Start: 01/30/2011
Code : 760
Description : Tooth status code.
Dates : Start: 01/30/2011
Code : 761
Description : Entity's referral number. Note: This code requires the use of an Entity Code.
Dates : Start: 01/30/2011


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