SV2 Institutional Service

To specify the claim service detail for a Health Care institution

Position: SV2-01 · Element: 234 · Name: Product/Service ID · Type: String (AN) · Requirement: Conditional · Min: 1 · Max: 30 · Repeat: -

Identifying number for a product or service.

R0103: At least one of SV2-01 or SV2-03 is required

SV201 is revenue code.

Position: SV2-02 · Element: 235 · Name: Product/Service ID Qualifier · Type: Identifier (ID) · Requirement: Conditional · Min: 2 · Max: 2 · Repeat: -

Code identifying the type/source of the descriptive number used in Product/Service ID (234).

P0203: If either SV2-02 or SV2-03 is present, then the other is required

Position: SV2-03 · Element: 234 · Name: Product/Service ID · Type: String (AN) · Requirement: Conditional · Min: 1 · Max: 30 · Repeat: -

Identifying number for a product or service.

Position: SV2-04 · Element: 782 · Name: Monetary Amount · Type: Decimal number (R) · Requirement: Optional · Min: 1 · Max: 15 · Repeat: -

Monetary amount.

SV204 is submitted charge amount.

Position: SV2-05 · 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

P0506: If either SV2-05 or SV2-06 is present, then the other is required

Position: SV2-06 · Element: 380 · Name: Quantity · Type: Decimal number (R) · Requirement: Conditional · Min: 1 · Max: 15 · Repeat: -

Numeric value of quantity.

Position: SV2-07 · Element: 1339 · Name: Procedure Modifier · Type: String (AN) · Requirement: Optional · Min: 2 · Max: 2 · Repeat: -

This identifies special circumstances related to the performance of the service, as defined by trading partners

Position: SV2-08 · Element: 1339 · Name: Procedure Modifier · Type: String (AN) · Requirement: Optional · Min: 2 · Max: 2 · Repeat: -

This identifies special circumstances related to the performance of the service, as defined by trading partners

Position: SV2-09 · Element: 1339 · Name: Procedure Modifier · Type: String (AN) · Requirement: Optional · Min: 2 · Max: 2 · Repeat: -

This identifies special circumstances related to the performance of the service, as defined by trading partners

Position: SV2-10 · Element: 1371 · Name: Unit Rate · Type: Decimal number (R) · Requirement: Optional · Min: 1 · Max: 10 · Repeat: -

The rate per unit of associate revenue for hospital accommodation

Position: SV2-11 · 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.

SV211 is procedure description.

Position: SV2-12 · Element: 782 · Name: Monetary Amount · Type: Decimal number (R) · Requirement: Optional · Min: 1 · Max: 15 · Repeat: -

Monetary amount.

SV212 is non-covered charge amount.

Position: SV2-13 · Element: 1073 · Name: Yes/No Condition or Response Code · Type: Identifier (ID) · Requirement: Optional · Min: 1 · Max: 1 · Repeat: -

Code indicating a Yes or No condition or response.

SV213 is detail service line indicator. A ``Y'' value indicates a detail service line. An ``N'' value indicates a summary service line.

Position: SV2-14 · Element: 1345 · Name: Nursing Home Residential Status Code · Type: Identifier (ID) · Requirement: Optional · Min: 1 · Max: 1 · Repeat: -

Code specifying the status of a nursing home resident at the time of service

Position: SV2-15 · Element: 1337 · Name: Level of Care Code · Type: Identifier (ID) · Requirement: Optional · Min: 1 · Max: 1 · Repeat: -

Code specifying the level of care provided by a nursing home facility