Clinical Segment

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