SV5 Durable Medical Equipment Service

To specify the claim service detail for durable medical equipment

Position: SV5-01 · Element: 235 · Name: Product/Service ID Qualifier · Type: Identifier (ID) · Requirement: Mandatory · Min: 2 · Max: 2 · Repeat: -

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

Position: SV5-02 · Element: 234 · Name: Product/Service ID · Type: String (AN) · Requirement: Mandatory · Min: 1 · Max: 30 · Repeat: -

Identifying number for a product or service.

Position: SV5-03 · Element: 355 · Name: Unit or Basis for Measurement Code · Type: Identifier (ID) · Requirement: Mandatory · 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: SV5-04 · Element: 380 · Name: Quantity · Type: Decimal number (R) · Requirement: Mandatory · Min: 1 · Max: 15 · Repeat: -

Numeric value of quantity.

SV504 is length of medical treatment required.

Position: SV5-05 · Element: 782 · Name: Monetary Amount · Type: Decimal number (R) · Requirement: Conditional · Min: 1 · Max: 15 · Repeat: -

Monetary amount.

R0506: At least one of SV5-05 or SV5-06 is required

SV505 is rental price.

Position: SV5-06 · Element: 782 · Name: Monetary Amount · Type: Decimal number (R) · Requirement: Conditional · Min: 1 · Max: 15 · Repeat: -

Monetary amount.

SV506 is purchase price.