01 | Pre-existing Conditions Disease that existed prior to a person's effective date of coverage |
02 | Diagnosis Cause of the patient complaint |
03 | Condition Diagnosis for which the patient will be confined in a health care facility |
04 | Occurrence Episode defining a significant event |
05 | Occurrence Span Several episodes over a period of time |
06 | Value |
07 | Ambulance Certification |
08 | Chiropractic Certification Reasons why chiropractic care is just and appropriate treatment |
09 | Durable Medical Equipment Certification Prescription describing the need for durable medical equipment; usually included are the diagnosis and estimated duration of need |
10 | Enteral or Parenteral Therapy Certification |
11 | Oxygen Therapy Certification |
12 | Admitting Diagnosis Condition for which the patient will be confined in a health care facility |
13 | Principal Diagnosis Condition established after study to be chiefly responsible for the patient's complaint |
14 | Pre-Existing Physical Condition Any physical condition that exists prior to the effective date of coverage under a contract |
15 | Pre-Existing Mental Condition Any mental condition that exists prior to the effective date of coverage under a contract |
16 | Routine Foot Care Class Finding |
17 | Systemic Condition for Routine Foot Care |
18 | Co-op Advertising |
19 | Commercial Advertising |
20 | Specimen Kit Type Code |
21 | Laboratory Test Condition Code |
22 | Automobile Loss |
23 | Laboratory Results Identification Code |
24 | Line of Business Code |
25 | United States Department of Vital Statistics E-Code A code used to identify conditions related to this bill that may affect payor processing |
26 | Employment Status Information |
27 | Income |
28 | Loan Information |
29 | Injury or Illness |
30 | Benefit Adjustment |
31 | Claimant |
32 | Contractholder Branch |
33 | Contractholder |
34 | Secondary Claim Administrator |
35 | Primary Claim Administrator |
36 | Reporting Agency |
37 | Process |
38 | Hazardous Material |
39 | Activity |
40 | Accident |
41 | Initial Treatment |
42 | Cause of Injury |
43 | Part of Body |
44 | Nature of Injury |
45 | Source of Injury |