CR4 Enteral or Parenteral Therapy Certification

To supply information regarding certification of medical necessity for enteral or parenteral nutrition therapy

Position: CR4-01 · Element: 1073 · Name: Yes/No Condition or Response Code · Type: Identifier (ID) · Requirement: Mandatory · Min: 1 · Max: 1 · Repeat: -

Code indicating a Yes or No condition or response.

CR401 is enteral or parenteral indicator. A ``Y'' value indicates enteral. An ``N'' value indicates parenteral.

Position: CR4-02 · Element: 1322 · Name: Certification Type Code · Type: Identifier (ID) · Requirement: Optional · Min: 1 · Max: 1 · Repeat: -

Code indicating the type of certification

Position: CR4-03 · Element: 355 · Name: Unit or Basis for Measurement Code · Type: Identifier (ID) · Requirement: Optional · Min: 2 · Max: 2 · Repeat: -

Code specifying the units in which a value is being expressed, or manner in which a measurement has been taken

Position: CR4-04 · Element: 380 · Name: Quantity · Type: Decimal number (R) · Requirement: Optional · Min: 1 · Max: 15 · Repeat: -

Numeric value of quantity.

CR404 is estimated duration of therapy.

Position: CR4-05 · Element: 355 · Name: Unit or Basis for Measurement Code · Type: Identifier (ID) · Requirement: Optional · Min: 2 · Max: 2 · Repeat: -

Code specifying the units in which a value is being expressed, or manner in which a measurement has been taken

Position: CR4-06 · Element: 380 · Name: Quantity · Type: Decimal number (R) · Requirement: Optional · Min: 1 · Max: 15 · Repeat: -

Numeric value of quantity.

CR406 is number of months covered by this certification.

Position: CR4-07 · Element: 1344 · Name: Non-Visit Code · Type: Identifier (ID) · Requirement: Optional · Min: 1 · Max: 1 · Repeat: -

Code indicating on what a medical evaluation is based, when not based on a physician's visit

Position: CR4-08 · Element: 355 · Name: Unit or Basis for Measurement Code · Type: Identifier (ID) · Requirement: Conditional · Min: 2 · Max: 2 · Repeat: -

Code specifying the units in which a value is being expressed, or manner in which a measurement has been taken

P0809: If either CR4-08 or CR4-09 is present, then the other is required

Position: CR4-09 · Element: 380 · Name: Quantity · Type: Decimal number (R) · Requirement: Conditional · Min: 1 · Max: 15 · Repeat: -

Numeric value of quantity.

CR409 is age of patient.

Position: CR4-10 · Element: 355 · Name: Unit or Basis for Measurement Code · Type: Identifier (ID) · Requirement: Conditional · Min: 2 · Max: 2 · Repeat: -

Code specifying the units in which a value is being expressed, or manner in which a measurement has been taken

P1011: If either CR4-10 or CR4-11 is present, then the other is required

Position: CR4-11 · Element: 65 · Name: Height · Type: Decimal number (R) · Requirement: Conditional · Min: 1 · Max: 8 · Repeat: -

Vertical dimension of an object measured when the object is in the upright position.

CR411 is height of patient.

Position: CR4-12 · Element: 355 · Name: Unit or Basis for Measurement Code · Type: Identifier (ID) · Requirement: Conditional · Min: 2 · Max: 2 · Repeat: -

Code specifying the units in which a value is being expressed, or manner in which a measurement has been taken

P1213: If either CR4-12 or CR4-13 is present, then the other is required

Position: CR4-13 · Element: 81 · Name: Weight · Type: Decimal number (R) · Requirement: Optional · Min: 1 · Max: 10 · Repeat: -

Numeric value of weight.

CR413 is weight of patient.

Position: CR4-14 · Element: 380 · Name: Quantity · Type: Decimal number (R) · Requirement: Optional · Min: 1 · Max: 15 · Repeat: -

Numeric value of quantity.

CR414 is number of times per day that the patient was fed.

Position: CR4-15 · Element: 352 · Name: Description · Type: String (AN) · Requirement: Optional · Min: 1 · Max: 80 · Repeat: -

A free-form description to clarify the related data elements and their content.

CR415 is the product name.

Position: CR4-16 · Element: 1346 · Name: Nutrient Administration Method Code · Type: Identifier (ID) · Requirement: Optional · Min: 1 · Max: 1 · Repeat: -

Code indicating the method used to administer nutrient to a patient

Position: CR4-17 · Element: 1347 · Name: Nutrient Administration Technique Code · Type: Identifier (ID) · Requirement: Optional · Min: 1 · Max: 1 · Repeat: -

Code indicating the technique used to administer nutrient to a patient

Position: CR4-18 · Element: 380 · Name: Quantity · Type: Decimal number (R) · Requirement: Optional · Min: 1 · Max: 15 · Repeat: -

Numeric value of quantity.

CR418 is total number of calories per day of all nutrients prescribed.

Position: CR4-19 · Element: 380 · Name: Quantity · Type: Decimal number (R) · Requirement: Optional · Min: 1 · Max: 15 · Repeat: -

Numeric value of quantity.

CR419 is total number of calories per day prescribed for this product.

Position: CR4-20 · Element: 352 · Name: Description · Type: String (AN) · Requirement: Optional · Min: 1 · Max: 80 · Repeat: -

A free-form description to clarify the related data elements and their content.

CR420 is the amino acid name.

Position: CR4-21 · Element: 380 · Name: Quantity · Type: Decimal number (R) · Requirement: Optional · Min: 1 · Max: 15 · Repeat: -

Numeric value of quantity.

CR421 is number of milliliters of amino acid solution used in the prescription.

Position: CR4-22 · Element: 954 · Name: Percent · Type: Decimal number (R) · Requirement: Optional · Min: 1 · Max: 10 · Repeat: -

Percentage expressed as a decimal

CR422 is percentage of concentration of amino acid used in the prescription.

Position: CR4-23 · Element: 380 · Name: Quantity · Type: Decimal number (R) · Requirement: Optional · Min: 1 · Max: 15 · Repeat: -

Numeric value of quantity.

CR423 is number of grams of amino acid used per day.

Position: CR4-24 · Element: 380 · Name: Quantity · Type: Decimal number (R) · Requirement: Optional · Min: 1 · Max: 15 · Repeat: -

Numeric value of quantity.

CR424 is number of milliliters of dextrose solution used in the prescription per day.

Position: CR4-25 · Element: 954 · Name: Percent · Type: Decimal number (R) · Requirement: Optional · Min: 1 · Max: 10 · Repeat: -

Percentage expressed as a decimal

CR425 is percentage of concentration of dextrose used in the prescription.

Position: CR4-26 · Element: 380 · Name: Quantity · Type: Decimal number (R) · Requirement: Optional · Min: 1 · Max: 15 · Repeat: -

Numeric value of quantity.

CR426 is number of milliliters of lipids used in the prescription.

Position: CR4-27 · Element: 954 · Name: Percent · Type: Decimal number (R) · Requirement: Optional · Min: 1 · Max: 10 · Repeat: -

Percentage expressed as a decimal

CR427 is percentage of concentration of lipids used in the prescription.

Position: CR4-28 · Element: 380 · Name: Quantity · Type: Decimal number (R) · Requirement: Optional · Min: 1 · Max: 15 · Repeat: -

Numeric value of quantity.

CR428 is number of times per day lipids are used in the prescription.

Position: CR4-29 · Element: 352 · Name: Description · Type: String (AN) · Requirement: Optional · Min: 1 · Max: 80 · Repeat: -

A free-form description to clarify the related data elements and their content.

CR429 is special circumstances or medical justification.