SV2 Institutional Service
To specify the service line item 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)
C003-01 qualifies C003-02 and C003-08.
Identifying number for a product or service
If C003-08 is used, then C003-02 represents the beginning value in the range in which the code occurs.
This identifies special circumstances related to the performance of the service, as defined by trading partners
C003-03 modifies the value in C003-02 and C003-08.
This identifies special circumstances related to the performance of the service, as defined by trading partners
C003-04 modifies the value in C003-02 and C003-08.
This identifies special circumstances related to the performance of the service, as defined by trading partners
C003-05 modifies the value in C003-02 and C003-08.
This identifies special circumstances related to the performance of the service, as defined by trading partners
C003-06 modifies the value in C003-02 and C003-08.
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.
Identifying number for a product or service
C003-08 represents the ending value in the range in which the code occurs.
This identifies special circumstances related to the performance of the service, as defined by trading partners
C003-09 modifies the value in C003-02 and C003-08.
This identifies special circumstances related to the performance of the service, as defined by trading partners
C003-10 modifies the value in C003-02 and C003-08.
This identifies special circumstances related to the performance of the service, as defined by trading partners
C003-11 modifies the value in C003-02 and C003-08.
This identifies special circumstances related to the performance of the service, as defined by trading partners
C003-12 modifies the value in C003-02 and C003-08.
Monetary amount
SV203 is the submitted service line item 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 non-covered service 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