Segment
X12 EDI Release 00303
To specify the claim service detail for durable medical equipment
Elements
  • SV501235Product/Service ID Qualifier
    ID
    M必须(Mandatory)

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

    Codes (275)
  • SV502234Product/Service ID
    AN
    M必须(Mandatory)
    Min 1 / Max 30

    Identifying number for a product or service.

  • SV503355Unit or Basis for Measurement Code
    ID
    M必须(Mandatory)

    Code specifying the units in which a value is being expressed, or manner in which a measurement has been taken

    Codes (682)
  • SV504380Quantity
    R
    M必须(Mandatory)
    Min 1 / Max 15

    Numeric value of quantity.

  • SV505782Monetary Amount
    R
    O可选(Optional)
    Min 1 / Max 15

    Monetary amount.

  • SV506782Monetary Amount
    R
    O可选(Optional)
    Min 1 / Max 15

    Monetary amount.