SV6 Anesthesia Service

To specify the claim service detail for anesthesia

Position: SV6-01 · 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: SV6-02 · Element: 234 · Name: Product/Service ID · Type: String (AN) · Requirement: Mandatory · Min: 1 · Max: 30 · Repeat: -

Identifying number for a product or service.

Position: SV6-03 · Element: 1332 · Name: Facility Code Qualifier · Type: Identifier (ID) · Requirement: Conditional · Min: 1 · Max: 2 · Repeat: -

Code identifying the type of facility referenced

P0304: If either SV6-03 or SV6-04 is present, then the other is required

Position: SV6-04 · Element: 1331 · Name: Facility Code · Type: Identifier (ID) · Requirement: Conditional · Min: 1 · Max: 2 · Repeat: -

Code identifying the type of facility where services were performed; the first position of the uniform bill type or place of service from health care financing administration claim form or place of treatment from the dental claim form

Position: SV6-05 · Element: 782 · Name: Monetary Amount · Type: Decimal number (R) · Requirement: Optional · Min: 1 · Max: 15 · Repeat: -

Monetary amount.

SV605 is submitted charge amount.

Position: SV6-06 · Element: 1328 · Name: Diagnosis Code Pointer · Type: Numeric (N0) · Requirement: Optional · Min: 1 · Max: 2 · Repeat: -

A pointer to the claim diagnosis code in the order of importance to this service

Position: SV6-07 · Element: 380 · Name: Quantity · Type: Decimal number (R) · Requirement: Optional · Min: 1 · Max: 15 · Repeat: -

Numeric value of quantity.

SV607 is the number of anesthesia minutes.

Position: SV6-08 · 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: SV6-09 · Element: 1328 · Name: Diagnosis Code Pointer · Type: Numeric (N0) · Requirement: Optional · Min: 1 · Max: 2 · Repeat: -

A pointer to the claim diagnosis code in the order of importance to this service

Position: SV6-10 · 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: SV6-11 · 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: SV6-12 · 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.

SV612 is anesthesiologist employee indicator. A ``Y'' value indicates the Certified Registered Nurse Anesthetist (CRNA) is an employee of the anesthesiologist. An ``N'' value indicates the Certified Registered Nurse Anesthetist (CRNA) is not an employee of the anesthesiologist.