FX4 Equipment Information

To provide details about equipment

Position: FX4-01 · Element: 1073 · Name: Yes/No Condition or Response Code · Type: Identifier (ID) · Requirement: Mandatory · Min: 1 · Max: 1 · Repeat: 1

Code indicating a Yes or No condition or response

FX401 indicates if equipment is included or excluded from the program. A 'Y' indicates that the equipment is included in the program. An 'N' indicates that the equipment is not included in the program.

Position: FX4-02 · Element: 1230 · Name: Type of Product Service Code · Type: Identifier (ID) · Requirement: Optional · Min: 2 · Max: 4 · Repeat: 1

Code specifying the type of product service contract or the basis of the product service claim

Position: FX4-03 · Element: 235 · Name: Product/Service ID Qualifier · Type: Identifier (ID) · Requirement: Conditional · Min: 2 · Max: 2 · Repeat: 1

Code identifying the type/source of the descriptive number used in Product/Service ID (234)

P0304: If either FX4-03 or FX4-04 is present, then the other is required

R0307: At least one of FX4-03 or FX4-07 is required

Position: FX4-04 · Element: 234 · Name: Product/Service ID · Type: String (AN) · Requirement: Conditional · Min: 1 · Max: 80 · Repeat: 1

Identifying number for a product or service

Position: FX4-05 · Element: 235 · Name: Product/Service ID Qualifier · Type: Identifier (ID) · Requirement: Conditional · Min: 2 · Max: 2 · Repeat: 1

Code identifying the type/source of the descriptive number used in Product/Service ID (234)

P0506: If either FX4-05 or FX4-06 is present, then the other is required

Position: FX4-06 · Element: 234 · Name: Product/Service ID · Type: String (AN) · Requirement: Conditional · Min: 1 · Max: 80 · Repeat: 1

Identifying number for a product or service

Position: FX4-07 · Element: 352 · Name: Description · Type: String (AN) · Requirement: Conditional · Min: 1 · Max: 80 · Repeat: 1

A free-form description to clarify the related data elements and their content

FX407 allows for a description of the equipment.