SV2 Institutional Service
To specify the claim service detail for a Health Care institution
Position
Element
Name
Type
Requirement
Min
Max
Repeat
Identifying number for a product or service
R0102: At least one of SV2-01 or SV2-02 is required
SV201 is the revenue code.
Code identifying the type/source of the descriptive number used in Product/Service ID (234)
Identifying number for a product or service
This identifies special circumstances related to the performance of the service, as defined by trading partners
C003-03 modifies the value in C003-02.
This identifies special circumstances related to the performance of the service, as defined by trading partners
C003-04 modifies the value in C003-02.
This identifies special circumstances related to the performance of the service, as defined by trading partners
C003-05 modifies the value in C003-02.
This identifies special circumstances related to the performance of the service, as defined by trading partners
C003-06 modifies the value in C003-02.
A free-form description to clarify the related data elements and their content
C003-07 is the description of the procedure identified in C003-02.
Monetary amount
SV203 is a submitted charge amount.
Code specifying the units in which a value is being expressed, or manner in which a measurement has been taken
P0405: If either SV2-04 or SV2-05 is present, then the other is required
Numeric value of quantity
The rate per unit of associate revenue for hospital accommodation
Monetary amount
SV207 is a noncovered charge amount.
Code indicating a Yes or No condition or response
SV208 is the detail service line indicator. A "Y" value indicates a detail service line; an "N" value indicates a summary service line.
Code specifying the status of a nursing home resident at the time of service
Code specifying the level of care provided by a nursing home facility