C022 Health Care Code Information

To send health care codes and their associated dates, amounts and quantities

Position
Element
Name
Type
Requirement
Min
Max
Repeat
C022-01
Code List Qualifier Code
Identifier (ID)
Mandatory
1
3
-
Code identifying a specific industry code list
C022-01 qualifies C022-02, C022-04, C022-05 and C022-06.
C022-02
Industry Code
String (AN)
Mandatory
1
30
-
Code indicating a code from a specific industry code list
C022-03
Date Time Period Format Qualifier
Identifier (ID)
Conditional
2
3
-
Code indicating the date format, time format, or date and time format
P0304: If either C022-03 or C022-04 is present, then the other is required
C022-03 is the date format that will appear in C022-04.
C022-04
Date Time Period
String (AN)
Conditional
1
35
-
Expression of a date, a time, or range of dates, times or dates and times
C022-05
Monetary Amount
Decimal number (R)
Optional
1
18
-
Monetary amount
C022-06
Quantity
Decimal number (R)
Optional
1
15
-
Numeric value of quantity
C022-07
Version Identifier
String (AN)
Optional
1
30
-
Revision level of a particular format, program, technique or algorithm
C022-07 qualifies C022-01.

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