HCR Health Care Services Review

To specify the outcome of a health care services review

Position: HCR-01 · Element: 306 · Name: Action Code · Type: Identifier (ID) · Requirement: Mandatory · Min: 1 · Max: 2 · Repeat: 1

Code indicating type of action

Position: HCR-02 · Element: 127 · Name: Reference Identification · Type: String (AN) · Requirement: Optional · Min: 1 · Max: 50 · Repeat: 1

Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier

HCR02 is the number assigned by the information source to this review outcome.

Position: HCR-03 · Element: 1271 · Name: Industry Code · Type: String (AN) · Requirement: Optional · Min: 1 · Max: 30 · Repeat: 5

Code indicating a code from a specific industry code list

HCR03 is the code assigned by the information source to identify the reason for the health care service review outcome indicated in HCR01. See Code Source 886

Position: HCR-04 · Element: 1073 · Name: Yes/No Condition or Response Code · Type: Identifier (ID) · Requirement: Optional · Min: 1 · Max: 1 · Repeat: 1

Code indicating a Yes or No condition or response

HCR04 is the second surgical opinion indicator. A "Y" value indicates a second surgical opinion is required; an "N" value indicates a second surgical opinion is not required for this request.