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| Info |
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For fields with the number one (1) appended, the segment will display additional fields for sequential fields (ingredient 2, 3, etc). |
Field # | Field Name | Possible Value or Explanation of Field |
491-VE | Diagnosis Code Count | Automatically calculates how many diagnosis codes are being used in the claim by adding the entries from the Diagnosis Code field and the "More" button next to it; located on the main processing screen. |
492-WE | Diagnosis Code Qualifier 1 | 01- International Classification of Diseases (ICD9), 02- International Classification of Diseases10, 03- National Criteria Care Institute (NCCI), 04- The Systematized Nomenclature of Medicine Clinical Terms (SNOMED), 05- Common Dental Terminology (CDT), 07- American Psychiatric Association Diagnostic Statistical Manual of Mental Disorders (DSM IV); nested under the "More" button next to Diagnosis Code field located on the main processing screen. |
424-DO | Diagnosis Codes 1 | Indicates the diagnosis code itself entered from the Diagnosis Code field and the "More" button next to it; located on the main processing screen. |
493-XE | Clinical Information Counter | Automatically adds all the clinical measurements entered into the "More" button then "Clinical Info" button located on the main processing screen |
494-ZE | Measurement Date 1 | Measurement date entered into the "More" button then "Clinical Info" button located on the main processing screen |
495-H1 | Measurement Time 1 | Measurement time entered into the "More" button then "Clinical Info" button located on the main processing screen |
496-H2 | Measurement Dimension 1 | Measurement dimension entered into the "More" button then "Clinical Info" button located on the main processing screen |
497-H3 | Measurement Unit 1 | Measurement unit entered into the "More" button then "Clinical Info" button located on the main processing screen |
499-H4 | Measurement Value 1 | Measurement value entered into the "More" button then "Clinical Info" button located on the main processing screen |