SV6 Anesthesia Service
To specify the claim service detail for anesthesia
Position
Element
Name
Type
Requirement
Min
Max
Repeat
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.
Code identifying the type of facility referenced
P0203: If either SV6-02 or SV6-03 is present, then the other is required
Code identifying the type of facility where services were performed; the first and second positions of the Uniform Bill Type code or the Place of Service code from the Electronic Media Claims National Standard Format
Monetary amount
SV604 is the submitted charge.
A pointer to the claim diagnosis code in the order of importance to this service
C004-01 identifies the primary diagnosis code for this service line.
A pointer to the claim diagnosis code in the order of importance to this service
C004-02 identifies the second diagnosis code for this service line.
A pointer to the claim diagnosis code in the order of importance to this service
C004-03 identifies the third diagnosis code for this service line.
A pointer to the claim diagnosis code in the order of importance to this service
C004-04 identifies the fourth diagnosis code for this service line.
Numeric value of quantity
SV606 is the number of anesthesia minutes.
Code indicating a Yes or No condition or response
SV607 is the Certified Registered Nurse Anesthetist (CRNA) supervision indicator. A "Y" value indicates that services were performed personally by a CRNA who was medically directed by a physician other than the operating surgeon, assistant surgeon, or attending physician; an "N" value indicates that the services were performed personally by a CRNA who was medically directed by the operating surgeon, assistant surgeon, or attending physician.