CR5 Oxygen Therapy Certification

To supply information regarding certification of medical necessity for home oxygen therapy

Position: CR5-01 · Element: 1322 · Name: Certification Type Code · Type: Identifier (ID) · Requirement: Optional · Min: 1 · Max: 1 · Repeat: -

Code indicating the type of certification

Position: CR5-02 · Element: 380 · Name: Quantity · Type: Decimal number (R) · Requirement: Optional · Min: 1 · Max: 15 · Repeat: -

Numeric value of quantity.

CR502 is number of months covered by this certification.

Position: CR5-03 · Element: 1348 · Name: Oxygen Equipment Type Code · Type: Identifier (ID) · Requirement: Optional · Min: 1 · Max: 1 · Repeat: -

Code indicating the specific type of equipment being prescribed for the delivery of oxygen

Position: CR5-04 · Element: 1348 · Name: Oxygen Equipment Type Code · Type: Identifier (ID) · Requirement: Optional · Min: 1 · Max: 1 · Repeat: -

Code indicating the specific type of equipment being prescribed for the delivery of oxygen

Position: CR5-05 · 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.

CR505 is reason for equipment.

Position: CR5-06 · Element: 380 · Name: Quantity · Type: Decimal number (R) · Requirement: Optional · Min: 1 · Max: 15 · Repeat: -

Numeric value of quantity.

CR506 is oxygen flow rate in liters per minute.

Position: CR5-07 · Element: 380 · Name: Quantity · Type: Decimal number (R) · Requirement: Optional · Min: 1 · Max: 15 · Repeat: -

Numeric value of quantity.

CR507 is number of times per day patient must use oxygen.

Position: CR5-08 · Element: 380 · Name: Quantity · Type: Decimal number (R) · Requirement: Optional · Min: 1 · Max: 15 · Repeat: -

Numeric value of quantity.

CR508 is number of hours per day of oxygen use.

Position: CR5-09 · 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.

CR509 is special orders for respiratory therapist.

Position: CR5-10 · Element: 380 · Name: Quantity · Type: Decimal number (R) · Requirement: Optional · Min: 1 · Max: 15 · Repeat: -

Numeric value of quantity.

CR510 is arterial blood gas.

Position: CR5-11 · Element: 380 · Name: Quantity · Type: Decimal number (R) · Requirement: Optional · Min: 1 · Max: 15 · Repeat: -

Numeric value of quantity.

CR511 is oxygen saturation.

Position: CR5-12 · Element: 1349 · Name: Oxygen Test Condition Code · Type: Identifier (ID) · Requirement: Optional · Min: 1 · Max: 1 · Repeat: -

Code indicating the conditions under which a patient was tested

Position: CR5-13 · Element: 1350 · Name: Oxygen Test Findings Code · Type: Identifier (ID) · Requirement: Optional · Min: 1 · Max: 1 · Repeat: -

Code indicating the findings of oxygen tests performed on a patient

Position: CR5-14 · Element: 1350 · Name: Oxygen Test Findings Code · Type: Identifier (ID) · Requirement: Optional · Min: 1 · Max: 1 · Repeat: -

Code indicating the findings of oxygen tests performed on a patient

Position: CR5-15 · Element: 1350 · Name: Oxygen Test Findings Code · Type: Identifier (ID) · Requirement: Optional · Min: 1 · Max: 1 · Repeat: -

Code indicating the findings of oxygen tests performed on a patient

Position: CR5-16 · Element: 380 · Name: Quantity · Type: Decimal number (R) · Requirement: Optional · Min: 1 · Max: 15 · Repeat: -

Numeric value of quantity.

CR516 is oxygen flow rate for a portable oxygen system in liters per minute.

Position: CR5-17 · Element: 1382 · Name: Oxygen Delivery System Code · Type: Identifier (ID) · Requirement: Optional · Min: 1 · Max: 1 · Repeat: -

Code to indicate if a particular form of delivery was prescribed