candidhealth 1.11.0 → 1.12.1
This diff represents the content of publicly available package versions that have been released to one of the supported registries. The information contained in this diff is provided for informational purposes only and reflects changes between package versions as they appear in their respective public registries.
- package/BaseClient.d.ts +25 -0
- package/BaseClient.js +3 -0
- package/Client.d.ts +8 -26
- package/Client.js +77 -79
- package/README.md +7 -4
- package/api/resources/auth/client/Client.d.ts +3 -11
- package/api/resources/auth/client/Client.js +1 -3
- package/api/resources/auth/index.d.ts +1 -1
- package/api/resources/auth/index.js +1 -1
- package/api/resources/auth/resources/default/client/Client.d.ts +3 -21
- package/api/resources/auth/resources/default/client/Client.js +8 -10
- package/api/resources/auth/resources/default/client/getToken.d.ts +1 -4
- package/api/resources/auth/resources/default/client/getToken.js +1 -3
- package/api/resources/auth/resources/default/client/requests/AuthGetTokenRequest.d.ts +0 -3
- package/api/resources/auth/resources/default/client/requests/AuthGetTokenRequest.js +1 -3
- package/api/resources/auth/resources/default/client/requests/index.d.ts +1 -1
- package/api/resources/auth/resources/default/index.d.ts +1 -1
- package/api/resources/auth/resources/default/index.js +1 -1
- package/api/resources/auth/resources/default/types/AuthGetTokenResponse.d.ts +0 -3
- package/api/resources/auth/resources/default/types/AuthGetTokenResponse.js +1 -3
- package/api/resources/auth/resources/default/types/InvalidContentTypeErrorType.d.ts +0 -3
- package/api/resources/auth/resources/default/types/InvalidContentTypeErrorType.js +1 -3
- package/api/resources/auth/resources/default/types/TooManyRequestsErrorType.d.ts +0 -3
- package/api/resources/auth/resources/default/types/TooManyRequestsErrorType.js +1 -3
- package/api/resources/auth/resources/default/types/index.d.ts +1 -1
- package/api/resources/auth/resources/default/types/index.js +1 -1
- package/api/resources/billingNotes/client/Client.d.ts +3 -11
- package/api/resources/billingNotes/client/Client.js +1 -3
- package/api/resources/billingNotes/index.d.ts +1 -1
- package/api/resources/billingNotes/index.js +1 -1
- package/api/resources/billingNotes/resources/v2/client/Client.d.ts +3 -21
- package/api/resources/billingNotes/resources/v2/client/Client.js +19 -21
- package/api/resources/billingNotes/resources/v2/client/create.d.ts +1 -4
- package/api/resources/billingNotes/resources/v2/client/create.js +1 -3
- package/api/resources/billingNotes/resources/v2/client/delete.d.ts +1 -4
- package/api/resources/billingNotes/resources/v2/client/delete.js +1 -3
- package/api/resources/billingNotes/resources/v2/client/index.d.ts +1 -1
- package/api/resources/billingNotes/resources/v2/client/index.js +1 -1
- package/api/resources/billingNotes/resources/v2/client/requests/BillingNoteUpdate.d.ts +0 -3
- package/api/resources/billingNotes/resources/v2/client/requests/BillingNoteUpdate.js +1 -3
- package/api/resources/billingNotes/resources/v2/client/requests/StandaloneBillingNoteCreate.d.ts +1 -4
- package/api/resources/billingNotes/resources/v2/client/requests/StandaloneBillingNoteCreate.js +1 -3
- package/api/resources/billingNotes/resources/v2/client/requests/index.d.ts +2 -2
- package/api/resources/billingNotes/resources/v2/client/update.d.ts +1 -4
- package/api/resources/billingNotes/resources/v2/client/update.js +1 -3
- package/api/resources/billingNotes/resources/v2/index.d.ts +1 -1
- package/api/resources/billingNotes/resources/v2/index.js +1 -1
- package/api/resources/billingNotes/resources/v2/types/BillingNote.d.ts +1 -4
- package/api/resources/billingNotes/resources/v2/types/BillingNote.js +1 -3
- package/api/resources/billingNotes/resources/v2/types/BillingNoteBase.d.ts +0 -3
- package/api/resources/billingNotes/resources/v2/types/BillingNoteBase.js +1 -3
- package/api/resources/billingNotes/resources/v2/types/BillingNoteBaseOptional.d.ts +0 -3
- package/api/resources/billingNotes/resources/v2/types/BillingNoteBaseOptional.js +1 -3
- package/api/resources/billingNotes/resources/v2/types/BillingNoteId.d.ts +1 -4
- package/api/resources/billingNotes/resources/v2/types/BillingNoteId.js +1 -3
- package/api/resources/billingNotes/resources/v2/types/index.d.ts +3 -3
- package/api/resources/billingNotes/resources/v2/types/index.js +3 -3
- package/api/resources/chargeCapture/client/Client.d.ts +3 -11
- package/api/resources/chargeCapture/client/Client.js +1 -3
- package/api/resources/chargeCapture/index.d.ts +1 -1
- package/api/resources/chargeCapture/index.js +1 -1
- package/api/resources/chargeCapture/resources/v1/client/Client.d.ts +3 -21
- package/api/resources/chargeCapture/resources/v1/client/Client.js +102 -104
- package/api/resources/chargeCapture/resources/v1/client/create.d.ts +1 -4
- package/api/resources/chargeCapture/resources/v1/client/create.js +1 -3
- package/api/resources/chargeCapture/resources/v1/client/createFromPreEncounterPatient.d.ts +1 -4
- package/api/resources/chargeCapture/resources/v1/client/createFromPreEncounterPatient.js +1 -3
- package/api/resources/chargeCapture/resources/v1/client/get.d.ts +1 -4
- package/api/resources/chargeCapture/resources/v1/client/get.js +1 -3
- package/api/resources/chargeCapture/resources/v1/client/getAll.d.ts +1 -4
- package/api/resources/chargeCapture/resources/v1/client/getAll.js +1 -3
- package/api/resources/chargeCapture/resources/v1/client/index.d.ts +2 -2
- package/api/resources/chargeCapture/resources/v1/client/index.js +3 -3
- package/api/resources/chargeCapture/resources/v1/client/requests/ChargeCapturePostBilledChangeUpdate.d.ts +1 -4
- package/api/resources/chargeCapture/resources/v1/client/requests/ChargeCapturePostBilledChangeUpdate.js +1 -3
- package/api/resources/chargeCapture/resources/v1/client/requests/ChargeCaptureUpdate.d.ts +1 -4
- package/api/resources/chargeCapture/resources/v1/client/requests/ChargeCaptureUpdate.js +1 -3
- package/api/resources/chargeCapture/resources/v1/client/requests/CreateChargeCaptureFromPreEncounterRequest.d.ts +1 -4
- package/api/resources/chargeCapture/resources/v1/client/requests/CreateChargeCaptureFromPreEncounterRequest.js +1 -3
- package/api/resources/chargeCapture/resources/v1/client/requests/CreateChargeCaptureRequest.d.ts +1 -4
- package/api/resources/chargeCapture/resources/v1/client/requests/CreateChargeCaptureRequest.js +1 -3
- package/api/resources/chargeCapture/resources/v1/client/requests/GetAllChargeCapturesRequest.d.ts +1 -4
- package/api/resources/chargeCapture/resources/v1/client/requests/GetAllChargeCapturesRequest.js +1 -3
- package/api/resources/chargeCapture/resources/v1/client/requests/index.d.ts +5 -5
- package/api/resources/chargeCapture/resources/v1/client/update.d.ts +1 -4
- package/api/resources/chargeCapture/resources/v1/client/update.js +1 -3
- package/api/resources/chargeCapture/resources/v1/client/updatePostBilledChanges.d.ts +1 -4
- package/api/resources/chargeCapture/resources/v1/client/updatePostBilledChanges.js +1 -3
- package/api/resources/chargeCapture/resources/v1/index.d.ts +1 -1
- package/api/resources/chargeCapture/resources/v1/index.js +1 -1
- package/api/resources/chargeCapture/resources/v1/types/ChargeCapture.d.ts +1 -4
- package/api/resources/chargeCapture/resources/v1/types/ChargeCapture.js +1 -3
- package/api/resources/chargeCapture/resources/v1/types/ChargeCaptureData.d.ts +1 -4
- package/api/resources/chargeCapture/resources/v1/types/ChargeCaptureData.js +1 -3
- package/api/resources/chargeCapture/resources/v1/types/ChargeCaptureError.d.ts +1 -4
- package/api/resources/chargeCapture/resources/v1/types/ChargeCaptureError.js +1 -3
- package/api/resources/chargeCapture/resources/v1/types/ChargeCapturePage.d.ts +1 -4
- package/api/resources/chargeCapture/resources/v1/types/ChargeCapturePage.js +1 -3
- package/api/resources/chargeCapture/resources/v1/types/ChargeCapturePostBilledChange.d.ts +1 -4
- package/api/resources/chargeCapture/resources/v1/types/ChargeCapturePostBilledChange.js +1 -3
- package/api/resources/chargeCapture/resources/v1/types/ChargeCaptureSortField.d.ts +1 -4
- package/api/resources/chargeCapture/resources/v1/types/ChargeCaptureSortField.js +1 -3
- package/api/resources/chargeCapture/resources/v1/types/ChargeCaptureStatus.d.ts +1 -4
- package/api/resources/chargeCapture/resources/v1/types/ChargeCaptureStatus.js +1 -3
- package/api/resources/chargeCapture/resources/v1/types/ChargeExternalIdConflictErrorMessage.d.ts +0 -3
- package/api/resources/chargeCapture/resources/v1/types/ChargeExternalIdConflictErrorMessage.js +1 -3
- package/api/resources/chargeCapture/resources/v1/types/index.d.ts +3 -3
- package/api/resources/chargeCapture/resources/v1/types/index.js +3 -3
- package/api/resources/chargeCaptureBundles/client/Client.d.ts +3 -11
- package/api/resources/chargeCaptureBundles/client/Client.js +1 -3
- package/api/resources/chargeCaptureBundles/index.d.ts +1 -1
- package/api/resources/chargeCaptureBundles/index.js +1 -1
- package/api/resources/chargeCaptureBundles/resources/v1/client/Client.d.ts +3 -21
- package/api/resources/chargeCaptureBundles/resources/v1/client/Client.js +59 -61
- package/api/resources/chargeCaptureBundles/resources/v1/client/get.d.ts +1 -4
- package/api/resources/chargeCaptureBundles/resources/v1/client/get.js +1 -3
- package/api/resources/chargeCaptureBundles/resources/v1/client/getAll.d.ts +1 -4
- package/api/resources/chargeCaptureBundles/resources/v1/client/getAll.js +1 -3
- package/api/resources/chargeCaptureBundles/resources/v1/client/getSummary.d.ts +1 -4
- package/api/resources/chargeCaptureBundles/resources/v1/client/getSummary.js +1 -3
- package/api/resources/chargeCaptureBundles/resources/v1/client/index.d.ts +2 -2
- package/api/resources/chargeCaptureBundles/resources/v1/client/index.js +3 -3
- package/api/resources/chargeCaptureBundles/resources/v1/client/requests/ChargeCaptureBundleErrorResolution.d.ts +0 -3
- package/api/resources/chargeCaptureBundles/resources/v1/client/requests/ChargeCaptureBundleErrorResolution.js +1 -3
- package/api/resources/chargeCaptureBundles/resources/v1/client/requests/GetAllChargeCaptureClaimCreationsRequest.d.ts +1 -4
- package/api/resources/chargeCaptureBundles/resources/v1/client/requests/GetAllChargeCaptureClaimCreationsRequest.js +1 -3
- package/api/resources/chargeCaptureBundles/resources/v1/client/requests/index.d.ts +2 -2
- package/api/resources/chargeCaptureBundles/resources/v1/client/resolveChargeCreationError.d.ts +1 -4
- package/api/resources/chargeCaptureBundles/resources/v1/client/resolveChargeCreationError.js +1 -3
- package/api/resources/chargeCaptureBundles/resources/v1/index.d.ts +1 -1
- package/api/resources/chargeCaptureBundles/resources/v1/index.js +1 -1
- package/api/resources/chargeCaptureBundles/resources/v1/types/ChargeCaptureClaimCreation.d.ts +1 -4
- package/api/resources/chargeCaptureBundles/resources/v1/types/ChargeCaptureClaimCreation.js +1 -3
- package/api/resources/chargeCaptureBundles/resources/v1/types/ChargeCaptureClaimCreationPage.d.ts +1 -4
- package/api/resources/chargeCaptureBundles/resources/v1/types/ChargeCaptureClaimCreationPage.js +1 -3
- package/api/resources/chargeCaptureBundles/resources/v1/types/ChargeCaptureClaimCreationSortField.d.ts +1 -4
- package/api/resources/chargeCaptureBundles/resources/v1/types/ChargeCaptureClaimCreationSortField.js +1 -3
- package/api/resources/chargeCaptureBundles/resources/v1/types/ChargeCaptureClaimCreationStatus.d.ts +3 -7
- package/api/resources/chargeCaptureBundles/resources/v1/types/ChargeCaptureClaimCreationStatus.js +3 -3
- package/api/resources/chargeCaptureBundles/resources/v1/types/ChargeCaptureClaimCreationSummary.d.ts +0 -3
- package/api/resources/chargeCaptureBundles/resources/v1/types/ChargeCaptureClaimCreationSummary.js +1 -3
- package/api/resources/chargeCaptureBundles/resources/v1/types/index.d.ts +3 -3
- package/api/resources/chargeCaptureBundles/resources/v1/types/index.js +3 -3
- package/api/resources/claimSubmission/resources/v1/types/ClaimSubmissionRecordCreate.d.ts +1 -4
- package/api/resources/claimSubmission/resources/v1/types/ClaimSubmissionRecordCreate.js +1 -3
- package/api/resources/claimSubmission/resources/v1/types/ClaimSubmissionRecordCreateOptional.d.ts +1 -4
- package/api/resources/claimSubmission/resources/v1/types/ClaimSubmissionRecordCreateOptional.js +1 -3
- package/api/resources/claimSubmission/resources/v1/types/ExternalClaimSubmissionCreate.d.ts +1 -4
- package/api/resources/claimSubmission/resources/v1/types/ExternalClaimSubmissionCreate.js +1 -3
- package/api/resources/claimSubmission/resources/v1/types/ExternalClaimSubmissionCreateOptional.d.ts +1 -4
- package/api/resources/claimSubmission/resources/v1/types/ExternalClaimSubmissionCreateOptional.js +1 -3
- package/api/resources/claimSubmission/resources/v1/types/index.d.ts +2 -2
- package/api/resources/claimSubmission/resources/v1/types/index.js +2 -2
- package/api/resources/claims/types/Claim.d.ts +1 -4
- package/api/resources/claims/types/Claim.js +1 -3
- package/api/resources/claims/types/ClaimStatus.d.ts +1 -4
- package/api/resources/claims/types/ClaimStatus.js +1 -3
- package/api/resources/clinicalTrials/resources/v1/types/ClinicalTrial.d.ts +1 -4
- package/api/resources/clinicalTrials/resources/v1/types/ClinicalTrial.js +1 -3
- package/api/resources/clinicalTrials/resources/v1/types/ClinicalTrialPhase.d.ts +1 -4
- package/api/resources/clinicalTrials/resources/v1/types/ClinicalTrialPhase.js +1 -3
- package/api/resources/clinicalTrials/resources/v1/types/MutableClinicalTrial.d.ts +1 -4
- package/api/resources/clinicalTrials/resources/v1/types/MutableClinicalTrial.js +1 -3
- package/api/resources/clinicalTrials/resources/v1/types/index.d.ts +1 -1
- package/api/resources/clinicalTrials/resources/v1/types/index.js +1 -1
- package/api/resources/commons/types/AdjustmentId.d.ts +1 -4
- package/api/resources/commons/types/AdjustmentId.js +1 -3
- package/api/resources/commons/types/AppointmentId.d.ts +1 -4
- package/api/resources/commons/types/AppointmentId.js +1 -3
- package/api/resources/commons/types/BillingProviderCommercialLicenseType.d.ts +1 -4
- package/api/resources/commons/types/BillingProviderCommercialLicenseType.js +1 -3
- package/api/resources/commons/types/ChargeCaptureClaimCreationId.d.ts +1 -4
- package/api/resources/commons/types/ChargeCaptureClaimCreationId.js +1 -3
- package/api/resources/commons/types/ChargeCaptureId.d.ts +1 -4
- package/api/resources/commons/types/ChargeCaptureId.js +1 -3
- package/api/resources/commons/types/ChargeCapturePostBilledChangeId.d.ts +1 -4
- package/api/resources/commons/types/ChargeCapturePostBilledChangeId.js +1 -3
- package/api/resources/commons/types/ClaimAdjustmentGroupCodes.d.ts +1 -4
- package/api/resources/commons/types/ClaimAdjustmentGroupCodes.js +1 -3
- package/api/resources/commons/types/ClaimId.d.ts +1 -4
- package/api/resources/commons/types/ClaimId.js +1 -3
- package/api/resources/commons/types/ClaimSubmissionPayerResponsibilityType.d.ts +1 -4
- package/api/resources/commons/types/ClaimSubmissionPayerResponsibilityType.js +1 -3
- package/api/resources/commons/types/Clearinghouse.d.ts +1 -4
- package/api/resources/commons/types/Clearinghouse.js +1 -3
- package/api/resources/commons/types/ClinicalTrialId.d.ts +1 -4
- package/api/resources/commons/types/ClinicalTrialId.js +1 -3
- package/api/resources/commons/types/DateRangeOptionalEnd.d.ts +1 -4
- package/api/resources/commons/types/DateRangeOptionalEnd.js +1 -3
- package/api/resources/commons/types/Date_.d.ts +1 -4
- package/api/resources/commons/types/Date_.js +1 -3
- package/api/resources/commons/types/Decimal.d.ts +1 -4
- package/api/resources/commons/types/Decimal.js +1 -3
- package/api/resources/commons/types/DelayReasonCode.d.ts +30 -49
- package/api/resources/commons/types/DelayReasonCode.js +30 -3
- package/api/resources/commons/types/Email.d.ts +1 -4
- package/api/resources/commons/types/Email.js +1 -3
- package/api/resources/commons/types/EmrPayerCrosswalk.d.ts +1 -4
- package/api/resources/commons/types/EmrPayerCrosswalk.js +1 -3
- package/api/resources/commons/types/EncounterExternalId.d.ts +1 -4
- package/api/resources/commons/types/EncounterExternalId.js +1 -3
- package/api/resources/commons/types/EncounterId.d.ts +1 -4
- package/api/resources/commons/types/EncounterId.js +1 -3
- package/api/resources/commons/types/EntityConflictErrorMessage.d.ts +0 -3
- package/api/resources/commons/types/EntityConflictErrorMessage.js +1 -3
- package/api/resources/commons/types/EntityNotFoundErrorMessage.d.ts +0 -3
- package/api/resources/commons/types/EntityNotFoundErrorMessage.js +1 -3
- package/api/resources/commons/types/EpsdtReferralConditionIndicatorCode.d.ts +1 -4
- package/api/resources/commons/types/EpsdtReferralConditionIndicatorCode.js +1 -3
- package/api/resources/commons/types/ErrorMessage.d.ts +1 -4
- package/api/resources/commons/types/ErrorMessage.js +1 -3
- package/api/resources/commons/types/FacilityTypeCode.d.ts +101 -154
- package/api/resources/commons/types/FacilityTypeCode.js +106 -3
- package/api/resources/commons/types/HttpServiceUnavailableErrorMessage.d.ts +0 -3
- package/api/resources/commons/types/HttpServiceUnavailableErrorMessage.js +1 -3
- package/api/resources/commons/types/InsuranceTypeCode.d.ts +142 -217
- package/api/resources/commons/types/InsuranceTypeCode.js +142 -3
- package/api/resources/commons/types/IntendedSubmissionMedium.d.ts +2 -7
- package/api/resources/commons/types/IntendedSubmissionMedium.js +2 -3
- package/api/resources/commons/types/InvoiceId.d.ts +1 -4
- package/api/resources/commons/types/InvoiceId.js +1 -3
- package/api/resources/commons/types/LinkUrl.d.ts +1 -4
- package/api/resources/commons/types/LinkUrl.js +1 -3
- package/api/resources/commons/types/NetworkType.d.ts +43 -67
- package/api/resources/commons/types/NetworkType.js +43 -3
- package/api/resources/commons/types/NextResponsibleParty.d.ts +1 -4
- package/api/resources/commons/types/NextResponsibleParty.js +1 -3
- package/api/resources/commons/types/Npi.d.ts +1 -4
- package/api/resources/commons/types/Npi.js +1 -3
- package/api/resources/commons/types/OrganizationId.d.ts +1 -4
- package/api/resources/commons/types/OrganizationId.js +1 -3
- package/api/resources/commons/types/OrganizationNotAuthorizedErrorMessage.d.ts +0 -3
- package/api/resources/commons/types/OrganizationNotAuthorizedErrorMessage.js +1 -3
- package/api/resources/commons/types/PageToken.d.ts +1 -4
- package/api/resources/commons/types/PageToken.js +1 -3
- package/api/resources/commons/types/PatientExternalId.d.ts +1 -4
- package/api/resources/commons/types/PatientExternalId.js +1 -3
- package/api/resources/commons/types/PatientRelationshipToInsuredCodeAll.d.ts +49 -76
- package/api/resources/commons/types/PatientRelationshipToInsuredCodeAll.js +49 -3
- package/api/resources/commons/types/PayerPlanGroupId.d.ts +1 -4
- package/api/resources/commons/types/PayerPlanGroupId.js +1 -3
- package/api/resources/commons/types/PhoneNumber.d.ts +1 -4
- package/api/resources/commons/types/PhoneNumber.js +1 -3
- package/api/resources/commons/types/PhoneNumberOptional.d.ts +1 -4
- package/api/resources/commons/types/PhoneNumberOptional.js +1 -3
- package/api/resources/commons/types/PhoneNumberType.d.ts +1 -4
- package/api/resources/commons/types/PhoneNumberType.js +1 -3
- package/api/resources/commons/types/PreEncounterAppointmentId.d.ts +1 -4
- package/api/resources/commons/types/PreEncounterAppointmentId.js +1 -3
- package/api/resources/commons/types/PreEncounterPatientId.d.ts +1 -4
- package/api/resources/commons/types/PreEncounterPatientId.js +1 -3
- package/api/resources/commons/types/Primitive.d.ts +1 -4
- package/api/resources/commons/types/Primitive.js +5 -3
- package/api/resources/commons/types/ProcedureModifier.d.ts +799 -1201
- package/api/resources/commons/types/ProcedureModifier.js +799 -3
- package/api/resources/commons/types/ProviderCredentialingSpanId.d.ts +1 -4
- package/api/resources/commons/types/ProviderCredentialingSpanId.js +1 -3
- package/api/resources/commons/types/ProviderId.d.ts +1 -4
- package/api/resources/commons/types/ProviderId.js +1 -3
- package/api/resources/commons/types/QualifierCode.d.ts +1 -4
- package/api/resources/commons/types/QualifierCode.js +5 -3
- package/api/resources/commons/types/RateId.d.ts +1 -4
- package/api/resources/commons/types/RateId.js +1 -3
- package/api/resources/commons/types/RegionNational.d.ts +1 -5
- package/api/resources/commons/types/RegionNational.js +1 -3
- package/api/resources/commons/types/RegionStates.d.ts +1 -4
- package/api/resources/commons/types/RegionStates.js +1 -3
- package/api/resources/commons/types/Regions.d.ts +1 -4
- package/api/resources/commons/types/Regions.js +1 -3
- package/api/resources/commons/types/RemovableDateRangeOptionalEnd.d.ts +1 -4
- package/api/resources/commons/types/RemovableDateRangeOptionalEnd.js +1 -3
- package/api/resources/commons/types/RequestValidationError.d.ts +0 -3
- package/api/resources/commons/types/RequestValidationError.js +1 -3
- package/api/resources/commons/types/ResourcePage.d.ts +1 -4
- package/api/resources/commons/types/ResourcePage.js +1 -3
- package/api/resources/commons/types/SchemaId.d.ts +1 -4
- package/api/resources/commons/types/SchemaId.js +1 -3
- package/api/resources/commons/types/ServiceLineId.d.ts +1 -4
- package/api/resources/commons/types/ServiceLineId.js +1 -3
- package/api/resources/commons/types/ServiceLineUnits.d.ts +1 -4
- package/api/resources/commons/types/ServiceLineUnits.js +1 -3
- package/api/resources/commons/types/SortDirection.d.ts +1 -4
- package/api/resources/commons/types/SortDirection.js +5 -3
- package/api/resources/commons/types/SourceOfPaymentCode.d.ts +49 -76
- package/api/resources/commons/types/SourceOfPaymentCode.js +49 -3
- package/api/resources/commons/types/State.d.ts +1 -4
- package/api/resources/commons/types/State.js +1 -3
- package/api/resources/commons/types/StreetAddressBase.d.ts +1 -4
- package/api/resources/commons/types/StreetAddressBase.js +1 -3
- package/api/resources/commons/types/StreetAddressLongZip.d.ts +1 -4
- package/api/resources/commons/types/StreetAddressLongZip.js +1 -3
- package/api/resources/commons/types/StreetAddressLongZipOptional.d.ts +1 -4
- package/api/resources/commons/types/StreetAddressLongZipOptional.js +1 -3
- package/api/resources/commons/types/StreetAddressOptionalBase.d.ts +1 -4
- package/api/resources/commons/types/StreetAddressOptionalBase.js +1 -3
- package/api/resources/commons/types/StreetAddressShortZip.d.ts +1 -4
- package/api/resources/commons/types/StreetAddressShortZip.js +1 -3
- package/api/resources/commons/types/StreetAddressShortZipOptional.d.ts +1 -4
- package/api/resources/commons/types/StreetAddressShortZipOptional.js +1 -3
- package/api/resources/commons/types/TaskAssignmentId.d.ts +1 -4
- package/api/resources/commons/types/TaskAssignmentId.js +1 -3
- package/api/resources/commons/types/TaskId.d.ts +1 -4
- package/api/resources/commons/types/TaskId.js +1 -3
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- package/serialization/resources/x12/resources/v1/types/TypeOfBillFrequencyCode.d.ts +2 -5
- package/serialization/resources/x12/resources/v1/types/TypeOfBillFrequencyCode.js +1 -3
- package/serialization/resources/x12/resources/v1/types/TypeOfCareCode.d.ts +2 -5
- package/serialization/resources/x12/resources/v1/types/TypeOfCareCode.js +1 -3
- package/serialization/resources/x12/resources/v1/types/TypeOfFacilityCode.d.ts +2 -5
- package/serialization/resources/x12/resources/v1/types/TypeOfFacilityCode.js +1 -3
- package/serialization/resources/x12/resources/v1/types/index.d.ts +8 -8
- package/serialization/resources/x12/resources/v1/types/index.js +8 -8
- package/serialization/resources/yesNoIndicator/types/YesNoIndicator.d.ts +2 -5
- package/serialization/resources/yesNoIndicator/types/YesNoIndicator.js +1 -3
- package/version.d.ts +1 -1
- package/version.js +1 -1
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* This file was auto-generated by Fern from our API Definition.
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// This file was auto-generated by Fern from our API Definition.
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exports.ProcedureModifier = void 0;
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exports.ProcedureModifier = {
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/**
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* Ambulance service provided as a volunteer ambulance service organization as defined by the state */
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Av: "AV",
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* Item furnished in conjunction with a urological, ostomy, or tracheostomy supply */
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* Item furnished in conjunction with dialysis services */
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Aw: "AW",
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/**
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* Increased Procedural Services */
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TwentyTwo: "22",
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/**
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* Unusual Anesthesia */
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TwentyThree: "23",
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/**
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* Unrelated Evaluation and Management Service by the Same Physician or Other Qualified Health Care Professional During a Postoperative Period */
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/**
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* Significant, Separately Identifiable Evaluation and Management Service by the Same Physician or Other Qualified Health Care Professional on the Same Day of the Procedure or Other Service */
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/**
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* Professional Component */
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* Multiple Outpatient Hospital E/M Encounters on the Same Date */
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TwentySeven: "27",
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/**
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* Mandated Services */
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* Preventive Services */
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/**
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* Anesthesia by Surgeon */
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FortySeven: "47",
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/**
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* Bilateral Procedure */
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Fifty: "50",
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/**
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* Multiple Procedures */
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FiftyOne: "51",
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* Reduced Services */
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* Discontinued Procedure */
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/**
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* Surgical Care Only */
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FiftyFour: "54",
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/**
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* Postoperative Management Only */
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FiftyFive: "55",
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/**
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* Preoperative Management Only */
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FiftySix: "56",
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* Decision for Surgery */
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FiftySeven: "57",
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* Staged or Related Procedure or Service by the Same Physician or Other Qualified Health Care Professional During the Postoperative Period */
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* Distinct Procedural Service */
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* Two Surgeons */
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* Procedure Performed on Infants less than 4 kg */
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/**
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* Surgical Team */
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/**
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* Discontinued Outpatient Hospital/Ambulatory Surgery Center (ASC) Procedure After Administration of Anesthesia */
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SeventyFour: "74",
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/**
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* Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional */
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SeventySix: "76",
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/**
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* Repeat Procedure by Another Physician or Other Qualified Health Care Professional */
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SeventySeven: "77",
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/**
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* Unplanned Return to the Operating/Procedure Room by the Same Physician or Other Qualified Health Care Professional Following Initial Procedure for a Related Procedure During the Postoperative Period */
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SeventyEight: "78",
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/**
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* Unrelated Procedure or Service by the Same Physician or Other Qualified Health Care Professional During the Postoperative Period */
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* Assistant Surgeon */
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* Minimum Assistant Surgeon */
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* Assistant Surgeon (when qualified resident surgeon not available) */
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* Reference (Outside) Laboratory */
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* Repeat Clinical Diagnostic Laboratory Test */
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NinetyOne: "91",
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* Alternative Laboratory Platform Testing */
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NinetyTwo: "92",
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* Synchronous Telemedicine Service Rendered Via Telephone or Other Real-Time Interactive Audio-Only Telecommunications System */
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NinetyThree: "93",
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* Synchronous Telemedicine Service Rendered via a Real-Time Interactive Audio and Video Telecommunications System */
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* Habilitative Services */
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* Rehabilitative Services */
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NinetySeven: "97",
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* Multiple Modifiers */
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NinetyNine: "99",
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/**
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* Dressing for one wound */
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* Dressing for two wounds */
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* Dressing for three wounds */
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* Dressing for four wounds */
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A4: "A4",
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* Dressing for five wounds */
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* Dressing for six wounds */
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A6: "A6",
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* Dressing for seven wounds */
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A7: "A7",
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* Dressing for eight wounds */
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A8: "A8",
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* Dressing for nine wounds */
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A9: "A9",
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/**
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* Anesthesia services performed personally by anesthesiologist */
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Aa: "AA",
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/**
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* Audiology service furnished personally by an audiologist without a physician/npp order for non-acute hearing assessment ... */
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Ab: "AB",
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/**
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* Medical supervision by a physician: more than four concurrent anesthesia procedures */
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/**
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* Registered dietician */
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/**
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* Specialty physician */
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/**
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* Primary physician */
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/**
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* Clinical psychologist */
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* Principal physician of record */
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Ai: "AI",
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* Clinical social worker */
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Aj: "AJ",
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/**
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* Non participating physician */
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Ak: "AK",
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/**
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* Physician, team member service */
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Am: "AM",
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/**
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* Alternate payment method declined by provider of service */
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Ao: "AO",
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/**
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* Determination of refractive state was not performed in the course of diagnostic ophthalmological examination */
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Ap: "AP",
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/**
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* Physician providing a service in an unlisted health professional shortage area (hpsa) */
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Aq: "AQ",
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/**
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* Physician provider services in a physician scarcity area */
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Ar: "AR",
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/**
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* Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery */
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As: "AS",
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/**
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* Acute treatment */
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At: "AT",
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/**
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* Physician providing a service in a dental health professional shortage area for the purpose of an EHR incentive payment */
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Az: "AZ",
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/**
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* Item furnished in conjunction with parenteral enteral nutrition (pen) services */
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Ba: "BA",
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/**
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* Special acquisition of blood and blood products */
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Bl: "BL",
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/**
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* Orally administered nutrition, not by feeding tube */
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Bo: "BO",
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/**
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* The beneficiary has been informed of the purchase and rental options and has elected to purchase the item */
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Bp: "BP",
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/**
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* The beneficiary has been informed of the purchase and rental options and has elected to rent the item */
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Br: "BR",
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/**
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* The beneficiary has been informed of the purchase and rental options and after 30 days has not informed the supplier */
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Bu: "BU",
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/**
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* Procedure payable only in the inpatient setting when performed emergently on an outpatient who expires prior to admission */
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Ca: "CA",
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/**
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* Service ordered by a renal dialysis facility (rdf) physician as part of the ESRD beneficiary's dialysis benefit */
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Cb: "CB",
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/**
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* Procedure code change */
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Cc: "CC",
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/**
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* Amcc test has been ordered by an ESRD facility or MCP physician that is not separately billable */
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Cd: "CD",
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/**
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* Amcc test has been ordered by an esrd facility or mcp physician that is beyond the normal frequency covered */
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Ce: "CE",
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/**
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* Amcc test has been ordered by an esrd facility or mcp physician that is separately billable */
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Cf: "CF",
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/**
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* Policy criteria applied */
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Cg: "CG",
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/**
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* 0 percent impaired, limited or restricted */
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Ch: "CH",
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/**
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* At least 1 percent but less than 20 percent impaired, limited or restricted */
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Ci: "CI",
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/**
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* At least 20 percent but less than 40 percent impaired, limited or restricted */
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Cj: "CJ",
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/**
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* At least 40 percent but less than 60 percent impaired, limited or restricted */
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Ck: "CK",
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/**
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* At least 60 percent but less than 80 percent impaired, limited or restricted */
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Cl: "CL",
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/**
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* At least 80 percent but less than 100 percent impaired, limited or restricted */
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Cm: "CM",
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/**
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* 100 percent impaired, limited or restricted */
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Cn: "CN",
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/**
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* Catastrophe/disaster related */
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Cr: "CR",
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/**
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* Cost sharing for COVID-19 testing */
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Cs: "CS",
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/**
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* Computed tomography services furnished using equipment that does not meet xr-29-2013 standard */
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Ct: "CT",
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/**
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* Outpatient physical therapy services furnished in whole or in part by a occupational therapist assistant */
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Co: "CO",
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/**
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* Outpatient physical therapy services furnished in whole or in part by a physical therapist assistant */
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Cq: "CQ",
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/**
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* Oral health assessment by a licensed health professional other than a dentist */
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Da: "DA",
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/**
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* Upper left, eyelid */
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E1: "E1",
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/**
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* Lower left, eyelid */
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E2: "E2",
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/**
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* Upper right, eyelid */
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E3: "E3",
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/**
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* Lower right, eyelid */
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E4: "E4",
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/**
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* Erythropoetic stimulating agent (esa) administered to treat anemia due to anti-cancer chemotherapy */
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Ea: "EA",
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/**
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* Erythropoetic stimulating agent (esa) administered to treat anemia due to anti-cancer radiotherapy */
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Eb: "EB",
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/**
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* Erythropoetic stimulating agent (esa) administered to treat anemia not due to anti-cancer radiotherapy or chemotherapy */
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Ec: "EC",
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/**
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* Hematocrit level has exceeded 39% (or hemoglobin level has exceeded 13.0 g/dl) for 3 or more consecutive billing cycles */
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Ed: "ED",
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/**
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* Hematocrit level has not exceeded 39% (or hemoglobin level has not exceeded 13.0 g/dl) for 3 or more billing cycles */
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Ee: "EE",
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/**
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* Subsequent claims for a defined course of therapy, e.g., epo, sodium hyaluronate, infliximab */
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Ej: "EJ",
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/**
|
|
330
|
+
* Emergency reserve supply (for esrd benefit only) */
|
|
123
331
|
Em: "EM",
|
|
332
|
+
/**
|
|
333
|
+
* Service provided as part of medicaid early periodic screening diagnosis and treatment (epsdt) program */
|
|
124
334
|
Ep: "EP",
|
|
335
|
+
/**
|
|
336
|
+
* Items and services furnished by a provider-based, off-campus emergency department */
|
|
125
337
|
Er: "ER",
|
|
338
|
+
/**
|
|
339
|
+
* Emergency services */
|
|
126
340
|
Et: "ET",
|
|
341
|
+
/**
|
|
342
|
+
* Expatriate beneficiary */
|
|
127
343
|
Ex: "EX",
|
|
344
|
+
/**
|
|
345
|
+
* No physician or other licensed health care provider order for this item or service */
|
|
128
346
|
Ey: "EY",
|
|
347
|
+
/**
|
|
348
|
+
* Left hand, second digit */
|
|
129
349
|
F1: "F1",
|
|
350
|
+
/**
|
|
351
|
+
* Left hand, third digit */
|
|
130
352
|
F2: "F2",
|
|
353
|
+
/**
|
|
354
|
+
* Left hand, fourth digit */
|
|
131
355
|
F3: "F3",
|
|
356
|
+
/**
|
|
357
|
+
* Left hand, fifth digit */
|
|
132
358
|
F4: "F4",
|
|
359
|
+
/**
|
|
360
|
+
* Right hand, thumb */
|
|
133
361
|
F5: "F5",
|
|
362
|
+
/**
|
|
363
|
+
* Right hand, second digit */
|
|
134
364
|
F6: "F6",
|
|
365
|
+
/**
|
|
366
|
+
* Right hand, third digit */
|
|
135
367
|
F7: "F7",
|
|
368
|
+
/**
|
|
369
|
+
* Right hand, fourth digit */
|
|
136
370
|
F8: "F8",
|
|
371
|
+
/**
|
|
372
|
+
* Right hand, fifth digit */
|
|
137
373
|
F9: "F9",
|
|
374
|
+
/**
|
|
375
|
+
* Right hand, thumb */
|
|
138
376
|
Fa: "FA",
|
|
377
|
+
/**
|
|
378
|
+
* Item provided without cost to provider, supplier or practitioner, or full credit received for replaced device */
|
|
139
379
|
Fb: "FB",
|
|
380
|
+
/**
|
|
381
|
+
* Partial credit received for replaced device */
|
|
140
382
|
Fc: "FC",
|
|
383
|
+
/**
|
|
384
|
+
* Service provided as part of family planning program */
|
|
141
385
|
Fp: "FP",
|
|
386
|
+
/**
|
|
387
|
+
* Telehealth service furnished using real-time audio-only communication technology. */
|
|
142
388
|
Fq: "FQ",
|
|
389
|
+
/**
|
|
390
|
+
* A supervising practitioner was present through a real-time two-way, audio/video communication technology. */
|
|
143
391
|
Fr: "FR",
|
|
392
|
+
/**
|
|
393
|
+
* Split (or shared) evaluation and management visit. */
|
|
144
394
|
Fs: "FS",
|
|
395
|
+
/**
|
|
396
|
+
* Unrelated evaluation and management (e/m) visit on the same day as another e/m visit or during a global procedure */
|
|
145
397
|
Ft: "FT",
|
|
398
|
+
/**
|
|
399
|
+
* X-ray taken using film */
|
|
146
400
|
Fx: "FX",
|
|
401
|
+
/**
|
|
402
|
+
* X-ray taken using computed radiography technology/cassette-based imaging */
|
|
147
403
|
Fy: "FY",
|
|
404
|
+
/**
|
|
405
|
+
* Telehealth Services For Diagnosis, Evaluation, Or Treatment, Of Symptoms Of An Acute Stroke */
|
|
148
406
|
G0: "G0",
|
|
407
|
+
/**
|
|
408
|
+
* Most recent urr reading of less than 60 */
|
|
149
409
|
G1: "G1",
|
|
410
|
+
/**
|
|
411
|
+
* Most recent urr reading of 60 to 64.9 */
|
|
150
412
|
G2: "G2",
|
|
413
|
+
/**
|
|
414
|
+
* Most recent urr reading of 65 to 69.9 */
|
|
151
415
|
G3: "G3",
|
|
416
|
+
/**
|
|
417
|
+
* Most recent urr reading of 70 to 74.9 */
|
|
152
418
|
G4: "G4",
|
|
419
|
+
/**
|
|
420
|
+
* Most recent urr reading of 75 or greater */
|
|
153
421
|
G5: "G5",
|
|
422
|
+
/**
|
|
423
|
+
* ESRD patient for whom less than six dialysis sessions have been provided in a month */
|
|
154
424
|
G6: "G6",
|
|
425
|
+
/**
|
|
426
|
+
* Pregnancy resulted from rape or incest or pregnancy certified by physician as life threatening */
|
|
155
427
|
G7: "G7",
|
|
428
|
+
/**
|
|
429
|
+
* Monitored anesthesia care (mac) for deep complex, complicated, or markedly invasive surgical procedure */
|
|
156
430
|
G8: "G8",
|
|
431
|
+
/**
|
|
432
|
+
* Monitored anesthesia care for patient who has history of severe cardio-pulmonary condition */
|
|
157
433
|
G9: "G9",
|
|
434
|
+
/**
|
|
435
|
+
* Waiver of liability statement issued as required by payer policy, individual case */
|
|
158
436
|
Ga: "GA",
|
|
437
|
+
/**
|
|
438
|
+
* Claim being re-submitted for payment because it is no longer covered under a global payment demonstration */
|
|
159
439
|
Gb: "GB",
|
|
440
|
+
/**
|
|
441
|
+
* This service has been performed in part by a resident under the direction of a teaching physician */
|
|
160
442
|
Gc: "GC",
|
|
443
|
+
/**
|
|
444
|
+
* This service has been performed by a resident without the presence of a teaching physician under the primary care exception */
|
|
161
445
|
Ge: "GE",
|
|
446
|
+
/**
|
|
447
|
+
* Non-physician (e.g. nurse practitioner (np), certified registered nurse anesthetist (crna), certified registered nurse (crn), clinical nurse specialist (cns), physician assistant (pa)) services in a critical access hospital */
|
|
162
448
|
Gf: "GF",
|
|
449
|
+
/**
|
|
450
|
+
* Performance and payment of a screening mammogram and diagnostic mammogram on the same patient, same day */
|
|
163
451
|
Gg: "GG",
|
|
452
|
+
/**
|
|
453
|
+
* Diagnostic mammogram converted from screening mammogram on same day */
|
|
164
454
|
Gh: "GH",
|
|
455
|
+
/**
|
|
456
|
+
* opt out physician or practitioner emergency or urgent service */
|
|
165
457
|
Gj: "GJ",
|
|
458
|
+
/**
|
|
459
|
+
* Reasonable and necessary item/service associated with a ga or gz modifier */
|
|
166
460
|
Gk: "GK",
|
|
461
|
+
/**
|
|
462
|
+
* Medically unnecessary upgrade provided instead of non-upgraded item, no charge, no advance beneficiary notice (abn) */
|
|
167
463
|
Gl: "GL",
|
|
464
|
+
/**
|
|
465
|
+
* Multiple patients on one ambulance trip */
|
|
168
466
|
Gm: "GM",
|
|
467
|
+
/**
|
|
468
|
+
* Services delivered under an outpatient speech-language pathology plan of care */
|
|
169
469
|
Gn: "GN",
|
|
470
|
+
/**
|
|
471
|
+
* Service delivered personally by an occupational therapist or under an outpatient occupational therapy plan of care */
|
|
170
472
|
Go: "GO",
|
|
473
|
+
/**
|
|
474
|
+
* Service delivered personally by a physical therapist or under an outpatient physical therapy plan of care */
|
|
171
475
|
Gp: "GP",
|
|
476
|
+
/**
|
|
477
|
+
* Services provided via an asynchronous telecommunications system */
|
|
172
478
|
Gq: "GQ",
|
|
479
|
+
/**
|
|
480
|
+
* This service was performed in whole or in part by a resident in a department of veterans affairs medical center or clinic, supervised in accordance with va policy */
|
|
173
481
|
Gr: "GR",
|
|
482
|
+
/**
|
|
483
|
+
* Dosage of erythropoietin stimulating agent has been reduced and maintained in response to hematocrit or hemoglobin level */
|
|
174
484
|
Gs: "GS",
|
|
485
|
+
/**
|
|
486
|
+
* Services took place via an interactive audio and video telecommunications system */
|
|
175
487
|
Gt: "GT",
|
|
488
|
+
/**
|
|
489
|
+
* Waiver of liability statement issued as required by payer policy, routine notice */
|
|
176
490
|
Gu: "GU",
|
|
491
|
+
/**
|
|
492
|
+
* Attending physician not employed or paid under arrangement by the patient's hospice provider */
|
|
177
493
|
Gv: "GV",
|
|
494
|
+
/**
|
|
495
|
+
* Service not related to the hospice patient's terminal condition */
|
|
178
496
|
Gw: "GW",
|
|
497
|
+
/**
|
|
498
|
+
* Notice of liability issued, voluntary under payer policy */
|
|
179
499
|
Gx: "GX",
|
|
500
|
+
/**
|
|
501
|
+
* Not a covered benefit */
|
|
180
502
|
Gy: "GY",
|
|
503
|
+
/**
|
|
504
|
+
* Item or service expected to be denied as not reasonable and necessary */
|
|
181
505
|
Gz: "GZ",
|
|
506
|
+
/**
|
|
507
|
+
* Child/adolescent program */
|
|
182
508
|
Ha: "HA",
|
|
509
|
+
/**
|
|
510
|
+
* Adult program, non geriatric */
|
|
183
511
|
Hb: "HB",
|
|
512
|
+
/**
|
|
513
|
+
* Adult program, geriatric */
|
|
184
514
|
Hc: "HC",
|
|
515
|
+
/**
|
|
516
|
+
* Pregnant/parenting women's program */
|
|
185
517
|
Hd: "HD",
|
|
518
|
+
/**
|
|
519
|
+
* Mental health program */
|
|
186
520
|
He: "HE",
|
|
521
|
+
/**
|
|
522
|
+
* Substance abuse program */
|
|
187
523
|
Hf: "HF",
|
|
524
|
+
/**
|
|
525
|
+
* Opioid addiction treatment program */
|
|
188
526
|
Hg: "HG",
|
|
527
|
+
/**
|
|
528
|
+
* Integrated mental health/substance abuse program */
|
|
189
529
|
Hh: "HH",
|
|
530
|
+
/**
|
|
531
|
+
* Integrated mental health and intellectual disability/developmental disabilities program */
|
|
190
532
|
Hi: "HI",
|
|
533
|
+
/**
|
|
534
|
+
* Employee assistance program */
|
|
191
535
|
Hj: "HJ",
|
|
536
|
+
/**
|
|
537
|
+
* Specialized mental health programs for high-risk populations */
|
|
192
538
|
Hk: "HK",
|
|
539
|
+
/**
|
|
540
|
+
* Intern */
|
|
193
541
|
Hl: "HL",
|
|
542
|
+
/**
|
|
543
|
+
* The rendering provider has a highest educational attainment of less than a bachelor's degree */
|
|
194
544
|
Hm: "HM",
|
|
545
|
+
/**
|
|
546
|
+
* The rendering provider has a highest educational attainment of a bachelor's degree */
|
|
195
547
|
Hn: "HN",
|
|
548
|
+
/**
|
|
549
|
+
* The rendering provider has a highest educational attainment of a master's degree */
|
|
196
550
|
Ho: "HO",
|
|
551
|
+
/**
|
|
552
|
+
* The rendering provider has a highest educational attainment of a doctoral degree */
|
|
197
553
|
Hp: "HP",
|
|
554
|
+
/**
|
|
555
|
+
* Group setting */
|
|
198
556
|
Hq: "HQ",
|
|
557
|
+
/**
|
|
558
|
+
* Family/couple with client present */
|
|
199
559
|
Hr: "HR",
|
|
560
|
+
/**
|
|
561
|
+
* Family/couple without client present */
|
|
200
562
|
Hs: "HS",
|
|
563
|
+
/**
|
|
564
|
+
* Multi-disciplinary team */
|
|
201
565
|
Ht: "HT",
|
|
566
|
+
/**
|
|
567
|
+
* Funded by child welfare agency */
|
|
202
568
|
Hu: "HU",
|
|
569
|
+
/**
|
|
570
|
+
* Funded by state addictions agency */
|
|
203
571
|
Hv: "HV",
|
|
572
|
+
/**
|
|
573
|
+
* Funded by state mental health agency */
|
|
204
574
|
Hw: "HW",
|
|
575
|
+
/**
|
|
576
|
+
* Funded by county/local agency */
|
|
205
577
|
Hx: "HX",
|
|
578
|
+
/**
|
|
579
|
+
* Funded by juvenile justice agency */
|
|
206
580
|
Hy: "HY",
|
|
581
|
+
/**
|
|
582
|
+
* Funded by criminal justice agency */
|
|
207
583
|
Hz: "HZ",
|
|
584
|
+
/**
|
|
585
|
+
* Competitive acquisition program no-pay submission for a prescription number */
|
|
208
586
|
J1: "J1",
|
|
587
|
+
/**
|
|
588
|
+
* Competitive acquisition program, restocking of emergency drugs after emergency administration */
|
|
209
589
|
J2: "J2",
|
|
590
|
+
/**
|
|
591
|
+
* Competitive acquisition program (cap) reimbursed under average sales price methodology */
|
|
210
592
|
J3: "J3",
|
|
593
|
+
/**
|
|
594
|
+
* DMEPOS item subject to DMEPOS competitive bidding program that is furnished by a hospital upon discharge */
|
|
211
595
|
J4: "J4",
|
|
596
|
+
/**
|
|
597
|
+
* Off-the-shelf orthotic subject to DMEPOS competitive bidding program */
|
|
212
598
|
J5: "J5",
|
|
599
|
+
/**
|
|
600
|
+
* Administered intravenously */
|
|
213
601
|
Ja: "JA",
|
|
602
|
+
/**
|
|
603
|
+
* Administered subcutaneously */
|
|
214
604
|
Jb: "JB",
|
|
605
|
+
/**
|
|
606
|
+
* Skin substitute used as a graft */
|
|
215
607
|
Jc: "JC",
|
|
608
|
+
/**
|
|
609
|
+
* Skin substitute not used as a graft */
|
|
216
610
|
Jd: "JD",
|
|
611
|
+
/**
|
|
612
|
+
* Administered via dialysate */
|
|
217
613
|
Je: "JE",
|
|
614
|
+
/**
|
|
615
|
+
* Drug or biological acquired with 340b drug pricing program discount */
|
|
218
616
|
Jg: "JG",
|
|
617
|
+
/**
|
|
618
|
+
* Drug amount discarded/not administered to any patient */
|
|
219
619
|
Jw: "JW",
|
|
620
|
+
/**
|
|
621
|
+
* Zero drug amount discarded/not administered to any patient */
|
|
220
622
|
Jz: "JZ",
|
|
623
|
+
/**
|
|
624
|
+
* Lower extremity prosthesis functional level 0 */
|
|
221
625
|
K0: "K0",
|
|
626
|
+
/**
|
|
627
|
+
* Lower extremity prosthesis functional level 1 */
|
|
222
628
|
K1: "K1",
|
|
629
|
+
/**
|
|
630
|
+
* Lower extremity prosthesis functional level 2 */
|
|
223
631
|
K2: "K2",
|
|
632
|
+
/**
|
|
633
|
+
* Lower extremity prosthesis functional level 3 */
|
|
224
634
|
K3: "K3",
|
|
635
|
+
/**
|
|
636
|
+
* Lower extremity prosthesis functional level 4 */
|
|
225
637
|
K4: "K4",
|
|
638
|
+
/**
|
|
639
|
+
* Add on option/accessory for wheelchair */
|
|
226
640
|
Ka: "KA",
|
|
641
|
+
/**
|
|
642
|
+
* Beneficiary requested upgrade for abn, more than 4 modifiers identified on claim */
|
|
227
643
|
Kb: "KB",
|
|
644
|
+
/**
|
|
645
|
+
* Replacement of special power wheelchair interface */
|
|
228
646
|
Kc: "KC",
|
|
647
|
+
/**
|
|
648
|
+
* Drug or biological infused through DME */
|
|
229
649
|
Kd: "KD",
|
|
650
|
+
/**
|
|
651
|
+
* Bid under round one of the DMEPOS competitive bidding program */
|
|
230
652
|
Ke: "KE",
|
|
653
|
+
/**
|
|
654
|
+
* Item designated by FDA as class III device */
|
|
231
655
|
Kf: "KF",
|
|
656
|
+
/**
|
|
657
|
+
* DMEPOS item subject to DMEPOS competitive bidding program number 1 */
|
|
232
658
|
Kg: "KG",
|
|
659
|
+
/**
|
|
660
|
+
* DMEPOS item, initial claim, purchase or first month rental */
|
|
233
661
|
Kh: "KH",
|
|
662
|
+
/**
|
|
663
|
+
* DMEPOS item, second or third month rental */
|
|
234
664
|
Ki: "KI",
|
|
665
|
+
/**
|
|
666
|
+
* DMEPOS item, parenteral enteral nutrition (pen) pump or capped rental, months four to fifteen */
|
|
235
667
|
Kj: "KJ",
|
|
668
|
+
/**
|
|
669
|
+
* DMEPOS item subject to DMEPOS competitive bidding program number 2 */
|
|
236
670
|
Kk: "KK",
|
|
671
|
+
/**
|
|
672
|
+
* DMEPOS item delivered via mail */
|
|
237
673
|
Kl: "KL",
|
|
674
|
+
/**
|
|
675
|
+
* Replacement of facial prosthesis including new impression/moulage */
|
|
238
676
|
Km: "KM",
|
|
677
|
+
/**
|
|
678
|
+
* Replacement of facial prosthesis using previous master model */
|
|
239
679
|
Kn: "KN",
|
|
680
|
+
/**
|
|
681
|
+
* Single drug unit dose formulation */
|
|
240
682
|
Ko: "KO",
|
|
683
|
+
/**
|
|
684
|
+
* First drug of a multiple drug unit dose formulation */
|
|
241
685
|
Kp: "KP",
|
|
686
|
+
/**
|
|
687
|
+
* Second or subsequent drug of a multiple drug unit dose formulation */
|
|
242
688
|
Kq: "KQ",
|
|
689
|
+
/**
|
|
690
|
+
* Rental item, billing for partial month */
|
|
243
691
|
Kr: "KR",
|
|
692
|
+
/**
|
|
693
|
+
* Glucose monitor supply for diabetic beneficiary not treated with insulin */
|
|
244
694
|
Ks: "KS",
|
|
695
|
+
/**
|
|
696
|
+
* Beneficiary resides in a competitive bidding area and travels outside that competitive bidding area */
|
|
245
697
|
Kt: "KT",
|
|
698
|
+
/**
|
|
699
|
+
* DMEPOS item subject to DMEPOS competitive bidding program number 3 */
|
|
246
700
|
Ku: "KU",
|
|
701
|
+
/**
|
|
702
|
+
* DMEPOS item subject to DMEPOS competitive bidding program that is furnished as part of a professional service */
|
|
247
703
|
Kv: "KV",
|
|
704
|
+
/**
|
|
705
|
+
* DMEPOS item subject to DMEPOS competitive bidding program number 4 */
|
|
248
706
|
Kw: "KW",
|
|
707
|
+
/**
|
|
708
|
+
* Requirements specified in the medical policy have been met */
|
|
249
709
|
Kx: "KX",
|
|
710
|
+
/**
|
|
711
|
+
* DMEPOS item subject to DMEPOS competitive bidding program number 5 */
|
|
250
712
|
Ky: "KY",
|
|
713
|
+
/**
|
|
714
|
+
* New coverage not implemented by managed care */
|
|
251
715
|
Kz: "KZ",
|
|
716
|
+
/**
|
|
717
|
+
* Left circumflex coronary artery */
|
|
252
718
|
Lc: "LC",
|
|
719
|
+
/**
|
|
720
|
+
* Left anterior descending coronary artery */
|
|
253
721
|
Ld: "LD",
|
|
722
|
+
/**
|
|
723
|
+
* Lease/rental */
|
|
254
724
|
Ll: "LL",
|
|
725
|
+
/**
|
|
726
|
+
* Left main coronary artery */
|
|
255
727
|
Lm: "LM",
|
|
728
|
+
/**
|
|
729
|
+
* Laboratory round trip */
|
|
256
730
|
Lr: "LR",
|
|
731
|
+
/**
|
|
732
|
+
* FDA-monitored intraocular lens implant */
|
|
257
733
|
Ls: "LS",
|
|
734
|
+
/**
|
|
735
|
+
* Left side (used to identify procedures performed on the left side of the body) */
|
|
258
736
|
Lt: "LT",
|
|
737
|
+
/**
|
|
738
|
+
* Fractionated payment of CAR-T therapy */
|
|
259
739
|
Lu: "LU",
|
|
740
|
+
/**
|
|
741
|
+
* Medicare secondary payer */
|
|
260
742
|
M2: "M2",
|
|
743
|
+
/**
|
|
744
|
+
* Not required to consult clinical decision support... for patient with a suspected or confirmed emergency medical condition */
|
|
261
745
|
Ma: "MA",
|
|
746
|
+
/**
|
|
747
|
+
* Not required to consult clinical decision support mechanism due to insufficient internet access */
|
|
262
748
|
Mb: "MB",
|
|
749
|
+
/**
|
|
750
|
+
* Not required to consult clinical decision support mechanism due to electronic health record vendor issues */
|
|
263
751
|
Mc: "MC",
|
|
752
|
+
/**
|
|
753
|
+
* Not required to consult clinical decision support mechanism due to extreme/uncontrollable circumstances */
|
|
264
754
|
Md: "MD",
|
|
755
|
+
/**
|
|
756
|
+
* Adheres to appropriate use criteria in the clinical decision support mechanism consulted by the ordering professional */
|
|
265
757
|
Me: "ME",
|
|
758
|
+
/**
|
|
759
|
+
* Does not adhere to the criteria in the clinical decision support mechanism consulted by the ordering professional */
|
|
266
760
|
Mf: "MF",
|
|
761
|
+
/**
|
|
762
|
+
* Does not have appropriate use criteria in the clinical decision support mechanism consulted by the ordering professional */
|
|
267
763
|
Mg: "MG",
|
|
764
|
+
/**
|
|
765
|
+
* Unknown if ordering professional consulted a clinical decision support mechanism for this service */
|
|
268
766
|
Mh: "MH",
|
|
767
|
+
/**
|
|
768
|
+
* Six month maintenance and servicing fee for parts and labor, not covered under any manufacturer or supplier warranty */
|
|
269
769
|
Ms: "MS",
|
|
770
|
+
/**
|
|
771
|
+
* Group 1 oxygen coverage criteria met */
|
|
270
772
|
N1: "N1",
|
|
773
|
+
/**
|
|
774
|
+
* Group 2 oxygen coverage criteria met */
|
|
271
775
|
N2: "N2",
|
|
776
|
+
/**
|
|
777
|
+
* Group 3 oxygen coverage criteria met */
|
|
272
778
|
N3: "N3",
|
|
779
|
+
/**
|
|
780
|
+
* Nebulizer system, any type, FDA-cleared for use with specific drug */
|
|
273
781
|
Nb: "NB",
|
|
782
|
+
/**
|
|
783
|
+
* New when rented */
|
|
274
784
|
Nr: "NR",
|
|
785
|
+
/**
|
|
786
|
+
* New durable medical equipment purchase */
|
|
275
787
|
Nu: "NU",
|
|
788
|
+
/**
|
|
789
|
+
* A normal healthy patient */
|
|
276
790
|
P1: "P1",
|
|
791
|
+
/**
|
|
792
|
+
* A patient with a mild systemic disease */
|
|
277
793
|
P2: "P2",
|
|
794
|
+
/**
|
|
795
|
+
* A patient with severe systemic disease */
|
|
278
796
|
P3: "P3",
|
|
797
|
+
/**
|
|
798
|
+
* A patient with severe systemic disease that is a constant threat to life */
|
|
279
799
|
P4: "P4",
|
|
800
|
+
/**
|
|
801
|
+
* A moribund patient who is not expected to survive without the operation */
|
|
280
802
|
P5: "P5",
|
|
803
|
+
/**
|
|
804
|
+
* A declared brain-dead patient whose organs are being removed for donor purposes */
|
|
281
805
|
P6: "P6",
|
|
806
|
+
/**
|
|
807
|
+
* Surgical or other invasive procedure on wrong body part */
|
|
282
808
|
Pa: "PA",
|
|
809
|
+
/**
|
|
810
|
+
* Surgical or other invasive procedure on wrong patient */
|
|
283
811
|
Pb: "PB",
|
|
812
|
+
/**
|
|
813
|
+
* Wrong surgery or other invasive procedure on patient */
|
|
284
814
|
Pc: "PC",
|
|
815
|
+
/**
|
|
816
|
+
* Diagnostic or related non diagnostic item or service provided in a wholly owned or operated entity to a patient who is admitted as an inpatient within 3 days */
|
|
285
817
|
Pd: "PD",
|
|
818
|
+
/**
|
|
819
|
+
* Positron emission tomography (PET) or PET/computed tomography (CT) */
|
|
286
820
|
Pi: "PI",
|
|
821
|
+
/**
|
|
822
|
+
* Progressive addition lenses */
|
|
287
823
|
Pl: "PL",
|
|
824
|
+
/**
|
|
825
|
+
* Post-mortem */
|
|
288
826
|
Pm: "PM",
|
|
827
|
+
/**
|
|
828
|
+
* Non-excepted service provided at an off-campus, outpatient, provider-based department of a hospital */
|
|
289
829
|
Pn: "PN",
|
|
830
|
+
/**
|
|
831
|
+
* Excepted service provided at an off-campus, outpatient, provider-based department of a hospital */
|
|
290
832
|
Po: "PO",
|
|
833
|
+
/**
|
|
834
|
+
* Positron emission tomography (PET) or pet/computed tomography (CT) to inform the treatment strategy of cancerous tumors */
|
|
291
835
|
Ps: "PS",
|
|
836
|
+
/**
|
|
837
|
+
* Colorectal cancer screening test; converted to diagnostic test or other procedure */
|
|
292
838
|
Pt: "PT",
|
|
839
|
+
/**
|
|
840
|
+
* Investigational clinical service provided in a clinical research study that is in an approved clinical research study */
|
|
293
841
|
Q0: "Q0",
|
|
842
|
+
/**
|
|
843
|
+
* Routine clinical service provided in a clinical research study that is in an approved clinical research study */
|
|
294
844
|
Q1: "Q1",
|
|
845
|
+
/**
|
|
846
|
+
* Demonstration procedure/service */
|
|
295
847
|
Q2: "Q2",
|
|
848
|
+
/**
|
|
849
|
+
* Live kidney donor surgery and related services */
|
|
296
850
|
Q3: "Q3",
|
|
851
|
+
/**
|
|
852
|
+
* Service for ordering/referring physician qualifies as a service exemption */
|
|
297
853
|
Q4: "Q4",
|
|
854
|
+
/**
|
|
855
|
+
* Service furnished under a reciprocal billing arrangement by a substitute physician; or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area */
|
|
298
856
|
Q5: "Q5",
|
|
857
|
+
/**
|
|
858
|
+
* Service furnished under a fee-for-time compensation arrangement by a substitute physician; or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area */
|
|
299
859
|
Q6: "Q6",
|
|
860
|
+
/**
|
|
861
|
+
* One Class A finding */
|
|
300
862
|
Q7: "Q7",
|
|
863
|
+
/**
|
|
864
|
+
* Two Class A findings */
|
|
301
865
|
Q8: "Q8",
|
|
866
|
+
/**
|
|
867
|
+
* One Class B and two Class C findings */
|
|
302
868
|
Q9: "Q9",
|
|
869
|
+
/**
|
|
870
|
+
* Prescribed amounts of stationary oxygen for daytime use differ ... <1 liter per minute */
|
|
303
871
|
Qa: "QA",
|
|
872
|
+
/**
|
|
873
|
+
* Prescribed amounts of stationary oxygen for daytime use differ ... >4 liters per minute */
|
|
304
874
|
Qb: "QB",
|
|
875
|
+
/**
|
|
876
|
+
* Single channel monitoring */
|
|
305
877
|
Qc: "QC",
|
|
878
|
+
/**
|
|
879
|
+
* Recording and storage in solid state memory by a digital recorder */
|
|
306
880
|
Qd: "QD",
|
|
881
|
+
/**
|
|
882
|
+
* Prescribed amount of stationary oxygen while at rest is less than 1 liter per minute (lpm) */
|
|
307
883
|
Qe: "QE",
|
|
884
|
+
/**
|
|
885
|
+
* Prescribed amount of stationary oxygen while at rest exceeds 4 liters per minute (lpm) and portable oxygen is prescribed */
|
|
308
886
|
Qf: "QF",
|
|
887
|
+
/**
|
|
888
|
+
* Prescribed amount of stationary oxygen while at rest is greater than 4 liters per minute (lpm) */
|
|
309
889
|
Qg: "QG",
|
|
890
|
+
/**
|
|
891
|
+
* Oxygen conserving device is being used with an oxygen delivery system */
|
|
310
892
|
Qh: "QH",
|
|
893
|
+
/**
|
|
894
|
+
* Services/items provided to a prisoner or patient in state or local custody, however the state or local government, as applicable, meets the requirements in 42 cfr 411.4 (b) */
|
|
311
895
|
Qj: "QJ",
|
|
896
|
+
/**
|
|
897
|
+
* Medical direction of two, three, or four concurrent anesthesia procedure involving qualified individuals */
|
|
312
898
|
Qk: "QK",
|
|
899
|
+
/**
|
|
900
|
+
* Patient pronounced dead after ambulance called */
|
|
313
901
|
Ql: "QL",
|
|
902
|
+
/**
|
|
903
|
+
* Ambulance service provided under arrangement by a provider of services */
|
|
314
904
|
Qm: "QM",
|
|
905
|
+
/**
|
|
906
|
+
* Ambulance service furnished directly by a provider of services */
|
|
315
907
|
Qn: "QN",
|
|
908
|
+
/**
|
|
909
|
+
* Laboratory test(s) was ordered individually or ordered as a cpt-recognized panel other than automated profile codes */
|
|
316
910
|
Qp: "QP",
|
|
911
|
+
/**
|
|
912
|
+
* Ordering professional consulted a qualified clinical decision support mechanism for this service */
|
|
317
913
|
Qq: "QQ",
|
|
914
|
+
/**
|
|
915
|
+
* Amounts of stationary oxygen for daytime use and nighttime use differ; average of the amounts >4 liters per minute */
|
|
318
916
|
Qr: "QR",
|
|
917
|
+
/**
|
|
918
|
+
* Monitored anesthesia care service */
|
|
319
919
|
Qs: "QS",
|
|
920
|
+
/**
|
|
921
|
+
* Recording and storage on tape by an analog tape recorder */
|
|
320
922
|
Qt: "QT",
|
|
923
|
+
/**
|
|
924
|
+
* CLIA waived */
|
|
321
925
|
Qw: "QW",
|
|
926
|
+
/**
|
|
927
|
+
* CRNA service: with medical direction by a physician */
|
|
322
928
|
Qx: "QX",
|
|
929
|
+
/**
|
|
930
|
+
* Medical direction of one certified registered nurse anesthetist (CRNA) by an anesthesiologist */
|
|
323
931
|
Qy: "QY",
|
|
932
|
+
/**
|
|
933
|
+
* CRNA service: without medical direction by a physician */
|
|
324
934
|
Qz: "QZ",
|
|
935
|
+
/**
|
|
936
|
+
* Replacement of a DME, orthotic or prosthetic item */
|
|
325
937
|
Ra: "RA",
|
|
938
|
+
/**
|
|
939
|
+
* Replacement of a part of a DME, orthotic or prosthetic item */
|
|
326
940
|
Rb: "RB",
|
|
941
|
+
/**
|
|
942
|
+
* Right coronary artery */
|
|
327
943
|
Rc: "RC",
|
|
944
|
+
/**
|
|
945
|
+
* Drug provided to beneficiary, but not administered 'incident-to' */
|
|
328
946
|
Rd: "RD",
|
|
947
|
+
/**
|
|
948
|
+
* Furnished in full compliance with FDA-mandated risk evaluation and mitigation strategy (REMS) */
|
|
329
949
|
Re: "RE",
|
|
950
|
+
/**
|
|
951
|
+
* Ramus intermedius coronary artery */
|
|
330
952
|
Ri: "RI",
|
|
953
|
+
/**
|
|
954
|
+
* Rental (Use this ‘RR' modifier when DME is to be rented) */
|
|
331
955
|
Rr: "RR",
|
|
956
|
+
/**
|
|
957
|
+
* Right side (used to identify procedures performed on the right side of the body) */
|
|
332
958
|
Rt: "RT",
|
|
959
|
+
/**
|
|
960
|
+
* Physician assistant, nurse practitioner, or clinical nurse specialist services for non-surgical services */
|
|
333
961
|
Sa: "SA",
|
|
962
|
+
/**
|
|
963
|
+
* Nurse midwife */
|
|
334
964
|
Sb: "SB",
|
|
965
|
+
/**
|
|
966
|
+
* Medically necessary service or supply */
|
|
335
967
|
Sc: "SC",
|
|
968
|
+
/**
|
|
969
|
+
* Services provided by registered nurse with specialized, highly technical home infusion training */
|
|
336
970
|
Sd: "SD",
|
|
971
|
+
/**
|
|
972
|
+
* State- and/or federally-funded programs/services */
|
|
337
973
|
Se: "SE",
|
|
974
|
+
/**
|
|
975
|
+
* Second opinion ordered by a professional review organization (PRO) per section 9401, p.l. 99-272 */
|
|
338
976
|
Sf: "SF",
|
|
977
|
+
/**
|
|
978
|
+
* Ambulatory surgical center (ASC) facility service */
|
|
339
979
|
Sg: "SG",
|
|
980
|
+
/**
|
|
981
|
+
* Second concurrently administered infusion therapy */
|
|
340
982
|
Sh: "SH",
|
|
983
|
+
/**
|
|
984
|
+
* Third or more concurrently administered infusion therapy */
|
|
341
985
|
Sj: "SJ",
|
|
986
|
+
/**
|
|
987
|
+
* Addresses reimbursement guidelines for vaccines provided at no cost to the provider by a state or federal agency */
|
|
342
988
|
Sl: "SL",
|
|
989
|
+
/**
|
|
990
|
+
* Second surgical opinion */
|
|
343
991
|
Sm: "SM",
|
|
992
|
+
/**
|
|
993
|
+
* Third surgical opinion */
|
|
344
994
|
Sn: "SN",
|
|
995
|
+
/**
|
|
996
|
+
* Item ordered by home health */
|
|
345
997
|
Sq: "SQ",
|
|
998
|
+
/**
|
|
999
|
+
* Home infusion services provided in the infusion suite of the IV therapy provider */
|
|
346
1000
|
Ss: "SS",
|
|
1001
|
+
/**
|
|
1002
|
+
* Related to trauma or injury */
|
|
347
1003
|
St: "ST",
|
|
1004
|
+
/**
|
|
1005
|
+
* Procedure performed in physician's office (to denote use of facility and equipment) */
|
|
348
1006
|
Su: "SU",
|
|
1007
|
+
/**
|
|
1008
|
+
* Pharamceuticals delivered to patient's home but not utilized */
|
|
349
1009
|
Sv: "SV",
|
|
1010
|
+
/**
|
|
1011
|
+
* Services provided by a certified diabetic educator */
|
|
350
1012
|
Sw: "SW",
|
|
1013
|
+
/**
|
|
1014
|
+
* Persons who are in close contact with member of high-risk population (use only with codes for immunization) */
|
|
351
1015
|
Sy: "SY",
|
|
1016
|
+
/**
|
|
1017
|
+
* Left foot, second digit */
|
|
352
1018
|
T1: "T1",
|
|
1019
|
+
/**
|
|
1020
|
+
* Left foot, third digit */
|
|
353
1021
|
T2: "T2",
|
|
1022
|
+
/**
|
|
1023
|
+
* Left foot, fourth digit */
|
|
354
1024
|
T3: "T3",
|
|
1025
|
+
/**
|
|
1026
|
+
* Left foot, fifth digit */
|
|
355
1027
|
T4: "T4",
|
|
1028
|
+
/**
|
|
1029
|
+
* Right foot, great toe */
|
|
356
1030
|
T5: "T5",
|
|
1031
|
+
/**
|
|
1032
|
+
* Right foot, second digit */
|
|
357
1033
|
T6: "T6",
|
|
1034
|
+
/**
|
|
1035
|
+
* Right foot, third digit */
|
|
358
1036
|
T7: "T7",
|
|
1037
|
+
/**
|
|
1038
|
+
* Right foot, fourth digit */
|
|
359
1039
|
T8: "T8",
|
|
1040
|
+
/**
|
|
1041
|
+
* Right foot, fifth digit */
|
|
360
1042
|
T9: "T9",
|
|
1043
|
+
/**
|
|
1044
|
+
* Left foot, great toe */
|
|
361
1045
|
Ta: "TA",
|
|
1046
|
+
/**
|
|
1047
|
+
* Drug or biological acquired with 340b drug pricing program discount, reported for informational purposes */
|
|
362
1048
|
Tb: "TB",
|
|
1049
|
+
/**
|
|
1050
|
+
* Technical Component */
|
|
363
1051
|
Tc: "TC",
|
|
1052
|
+
/**
|
|
1053
|
+
* Registered nurse (RN) */
|
|
364
1054
|
Td: "TD",
|
|
1055
|
+
/**
|
|
1056
|
+
* Licensed vocational nurse (LVN) or licensed practical nurse (LPN) */
|
|
365
1057
|
Te: "TE",
|
|
1058
|
+
/**
|
|
1059
|
+
* Intermediate level of care */
|
|
366
1060
|
Tf: "TF",
|
|
1061
|
+
/**
|
|
1062
|
+
* Complex/high tech level of care */
|
|
367
1063
|
Tg: "TG",
|
|
1064
|
+
/**
|
|
1065
|
+
* Obstetrical treatment/services, prenatal or postpart */
|
|
368
1066
|
Th: "TH",
|
|
1067
|
+
/**
|
|
1068
|
+
* Program group, child and/or adolescent */
|
|
369
1069
|
Tj: "TJ",
|
|
1070
|
+
/**
|
|
1071
|
+
* Extra patient or passenger, non-ambulance */
|
|
370
1072
|
Tk: "TK",
|
|
1073
|
+
/**
|
|
1074
|
+
* Early Intervention/Individualized Family Service Plan */
|
|
371
1075
|
Tl: "TL",
|
|
1076
|
+
/**
|
|
1077
|
+
* Individualized education program (IEP) */
|
|
372
1078
|
Tm: "TM",
|
|
1079
|
+
/**
|
|
1080
|
+
* Rural/outside providers' customary service area */
|
|
373
1081
|
Tn: "TN",
|
|
1082
|
+
/**
|
|
1083
|
+
* Medical transport, unloaded vehicle */
|
|
374
1084
|
Tp: "TP",
|
|
1085
|
+
/**
|
|
1086
|
+
* Basic life support transport by a volunteer ambulance provider */
|
|
375
1087
|
Tq: "TQ",
|
|
1088
|
+
/**
|
|
1089
|
+
* School-based individualized education program (IEP) services provided outside the public school district */
|
|
376
1090
|
Tr: "TR",
|
|
1091
|
+
/**
|
|
1092
|
+
* Follow-up service */
|
|
377
1093
|
Ts: "TS",
|
|
1094
|
+
/**
|
|
1095
|
+
* Individualized service provided to more than one patient in same setting */
|
|
378
1096
|
Tt: "TT",
|
|
1097
|
+
/**
|
|
1098
|
+
* Special payment rate, overtime */
|
|
379
1099
|
Tu: "TU",
|
|
1100
|
+
/**
|
|
1101
|
+
* Special payment rates, holidays/weekends */
|
|
380
1102
|
Tv: "TV",
|
|
1103
|
+
/**
|
|
1104
|
+
* Back-up equipment */
|
|
381
1105
|
Tw: "TW",
|
|
1106
|
+
/**
|
|
1107
|
+
* Medicaid level of care 1, as defined by each state */
|
|
382
1108
|
U1: "U1",
|
|
1109
|
+
/**
|
|
1110
|
+
* Medicaid level of care 2, as defined by each state */
|
|
383
1111
|
U2: "U2",
|
|
1112
|
+
/**
|
|
1113
|
+
* Medicaid level of care 3, as defined by each state */
|
|
384
1114
|
U3: "U3",
|
|
1115
|
+
/**
|
|
1116
|
+
* Medicaid level of care 4, as defined by each state */
|
|
385
1117
|
U4: "U4",
|
|
1118
|
+
/**
|
|
1119
|
+
* Medicaid level of care 5, as defined by each state */
|
|
386
1120
|
U5: "U5",
|
|
1121
|
+
/**
|
|
1122
|
+
* Medicaid level of care 6, as defined by each state */
|
|
387
1123
|
U6: "U6",
|
|
1124
|
+
/**
|
|
1125
|
+
* Medicaid level of care 7, as defined by each state */
|
|
388
1126
|
U7: "U7",
|
|
1127
|
+
/**
|
|
1128
|
+
* Medicaid level of care 8, as defined by each state */
|
|
389
1129
|
U8: "U8",
|
|
1130
|
+
/**
|
|
1131
|
+
* Medicaid level of care 9, as defined by each state */
|
|
390
1132
|
U9: "U9",
|
|
1133
|
+
/**
|
|
1134
|
+
* Medicaid level of care 10, as defined by each state */
|
|
391
1135
|
Ua: "UA",
|
|
1136
|
+
/**
|
|
1137
|
+
* Medicaid level of care 11, as defined by each state */
|
|
392
1138
|
Ub: "UB",
|
|
1139
|
+
/**
|
|
1140
|
+
* Medicaid level of care 12, as defined by each state */
|
|
393
1141
|
Uc: "UC",
|
|
1142
|
+
/**
|
|
1143
|
+
* Medicaid level of care 13, as defined by each state */
|
|
394
1144
|
Ud: "UD",
|
|
1145
|
+
/**
|
|
1146
|
+
* Used durable medical equipment */
|
|
395
1147
|
Ue: "UE",
|
|
1148
|
+
/**
|
|
1149
|
+
* Services provided in the morning */
|
|
396
1150
|
Uf: "UF",
|
|
1151
|
+
/**
|
|
1152
|
+
* Services provided in the afternoon */
|
|
397
1153
|
Ug: "UG",
|
|
1154
|
+
/**
|
|
1155
|
+
* Services provided in the evening */
|
|
398
1156
|
Uh: "UH",
|
|
1157
|
+
/**
|
|
1158
|
+
* Services provided at night */
|
|
399
1159
|
Uj: "UJ",
|
|
1160
|
+
/**
|
|
1161
|
+
* Services provided on behalf of the client to someone other than the client (collateral relationship) */
|
|
400
1162
|
Uk: "UK",
|
|
1163
|
+
/**
|
|
1164
|
+
* Two patients served */
|
|
401
1165
|
Un: "UN",
|
|
1166
|
+
/**
|
|
1167
|
+
* Three patients served */
|
|
402
1168
|
Up: "UP",
|
|
1169
|
+
/**
|
|
1170
|
+
* Four patients served */
|
|
403
1171
|
Uq: "UQ",
|
|
1172
|
+
/**
|
|
1173
|
+
* Five patients served */
|
|
404
1174
|
Ur: "UR",
|
|
1175
|
+
/**
|
|
1176
|
+
* Six patients served */
|
|
405
1177
|
Us: "US",
|
|
1178
|
+
/**
|
|
1179
|
+
* One patient visit in a month */
|
|
406
1180
|
V1: "V1",
|
|
1181
|
+
/**
|
|
1182
|
+
* Two patient visits in a month */
|
|
407
1183
|
V2: "V2",
|
|
1184
|
+
/**
|
|
1185
|
+
* Three patient visits in a month */
|
|
408
1186
|
V3: "V3",
|
|
1187
|
+
/**
|
|
1188
|
+
* Indicates that the service was provided under a state-mandated reimbursement rate for workers' compensation claims */
|
|
409
1189
|
W1: "W1",
|
|
1190
|
+
/**
|
|
1191
|
+
* Used when a Medicare Set-Aside (MSA) account is used to pay for services related to a workers' compensation settlement */
|
|
410
1192
|
W2: "W2",
|
|
1193
|
+
/**
|
|
1194
|
+
* The treatment was approved under the workers’ compensation plan */
|
|
411
1195
|
W3: "W3",
|
|
1196
|
+
/**
|
|
1197
|
+
* Episodic/Focused Services - Reported by a specialty focused clinician who provides care that is time-limited */
|
|
412
1198
|
X4: "X4",
|
|
1199
|
+
/**
|
|
1200
|
+
* Two or more separate patient visits on the same date of service */
|
|
413
1201
|
Xe: "XE",
|
|
1202
|
+
/**
|
|
1203
|
+
* A service that is distinct because it was performed by a different practitioner */
|
|
414
1204
|
Xp: "XP",
|
|
1205
|
+
/**
|
|
1206
|
+
* A service that is distinct because it was performed on a separate organ/structure */
|
|
415
1207
|
Xs: "XS",
|
|
1208
|
+
/**
|
|
1209
|
+
* The use of a service that is distinct because it does not overlap usual components of the main service */
|
|
416
1210
|
Xu: "XU",
|
|
1211
|
+
/**
|
|
1212
|
+
* Custom modifier */
|
|
417
1213
|
Xy: "XY",
|
|
418
1214
|
};
|