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Modifier 1 (HCPCS & CPT4)
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X12N Information
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Loop ID
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2400
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Segment ID
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SV2
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Position in Segment
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02
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Composite ID
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C003
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Position in Composite
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3
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837I Information
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This field also exists in the ASC X12N Health Care Claim: Institutional
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External Codes
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This field uses a code list external to the ASC X12 Standard
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If applicable, all internal X12 codes follow
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UB Information
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Form Locator
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FL 44
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Description
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HCPCS / Accommodation Rates / HIPPS Rate Codes
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There are UB codes for this field. Consult the UB-04 Manual for details.
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HL7 C-CDA R1.1, CCD Document
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Data Element Name
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Modifier 1 (HCPC & CPT4)
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CCD Templated Path
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StructuredBody.component.Procedures.ProcedureActivityProcedure.code
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xPath
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/hl7:ClinicalDocument/hl7:component/hl7:structuredBody/hl7:component/hl7:section[hl7:code[@code="47519‑4" and @codeSystem='2.16.840.1.113883.6.1']]/hl7:entry/hl7:procedure/hl7:code
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Additional Information
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NCVHS
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This field has a cross reference to the National Committee on Vital and Health Statistics Core Data Set
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Notes
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Outpatient Procedure Modifiers
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2014 © Washington Publishing Company, National Association of Health Data Organizations, and the National Center for Health Statistics. All rights reserved.
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