DN1 Orthodontic Information

To supply orthodontic information

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Position
Element
Name
Type
Requirement
Min
Max
Repeat
DN1-01
Quantity
Decimal number (R)
Optional
1
15
1
Numeric value of quantity
DN101 is the estimated number of treatment months.
DN1-02
Quantity
Decimal number (R)
Optional
1
15
1
Numeric value of quantity
DN102 is the number of treatment months remaining.
DN1-03
Yes/No Condition or Response Code
Identifier (ID)
Optional
1
1
1
Code indicating a Yes or No condition or response
DN103 is the orthodontic indicator. A "Y" value indicates that the claim contains services related to treatment for orthodontic purposes. An "N" value indicates that the services for this claim are not for orthodontic purposes.
DN1-04
Description
String (AN)
Optional
1
80
1
A free-form description to clarify the related data elements and their content
DN104 is the appliance description.
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