Segment
X12 EDI Release 00305
To supply information related to the certification of a home health care patient
Elements
Code indicating the date format, time format, or date and time format.
Codes (28)- CCFirst Two Digits of Year Expressed in Format CCYY
- CDMonth and Year Expressed in Format MMMYYYY
- CMDate in Format CCYYMM
- CYYear Expressed in Format CCYY
- D6Date Expressed in Format YYMMDD
- D8Date Expression in Format CCYYMMDD
- DDDay of Month in Numeric Format
- DTDate and Time Expressed in Format CCYYMMDDHHMM
- MDMonth of Year and Day of Month Expressed in Format MMDD
- MMMonth of Year in Numeric Format
- TMTime Expressed in Format HHMM
- TQDate Expressed in Format MMYY
- TRDate and Time Expressed in Format DDMMYYHHMM
- TSTime Expressed in Format HHMMSS
- TTDate Expressed in Format MMDDYY
- TUDate Expressed in Format YYDDD
- YMYear and Month Expressed in Format YYMM
- YYLast Two Digits of Year Expressed in Format CCYY
- DTSRange of Date and Time Expressed in Format CCYYMMDDHHMMSS-CCYYMMDDHHMMSS
- RD2Range of Years Expressed in Format YY-YY
- RD4Range of Years Expressed in Format CCYY-CCYY
- RD6Range of Dates Expressed in Format YYMMDD-YYMMDD
- RD8Range of Dates Expressed in Format CCYYMMDD-CCYYMMDD
- RDMRange of Dates Expressed in Format YYMMDD-MMDD
- RDTRange of Date and Time, Expressed in Format CCYYMMDDHHMM-CCYYMMDDHHMM
- RMDRange of Months and Days Expressed in Format MMDD-MMDD
- RTMRange of Time Expressed in Format HHMM-HHMM
- RTSDate and Time Expressed in Format CCYYMMDDHHMMSS
Code indicating the type of certification
Codes (12)- 1Appeal - Immediate
- 2Appeal - Standard
- 3Cancel
- 4Extension
- 5Notification
- 6Verification
- ACertification of Current Cost and Pricing Data
- BCertification of Overhead
- CCertification Not Required
- IInitial
- RRenewal
- SRevised
Code identifying the type/source of the descriptive number used in Product/Service ID (234).
Codes (341)- A1Plant Equipment Number
- A2Department of Defense Identification Code (DoDIC)
- A3Locally Assigned Control Number
- A4Subsistence Identification Number
- A6Document Identification Code
- A7Subline Item Number
- A8Exhibit Line Item Number
- A9Activity
- AAAssembly Level Code, Vehicle Maintenance Reporting Standards (VMRS) 2000 Code Key 32
- ABAssembly
- ACAggregation Code (Used to Consolidate Part Families)
- ADAmerican Dental Association Codes
- AESerial Item and Contribution Identifier (Defined in ANSI 239.56)
- AFFront Axle Serial Number
- AGAge
- AHBillboards Commercial
- AIAlternate ISBN
- AJPiggyback Commercial
- AKRefined Product Code
- ALAxle Serial Number
- AMAllocation Methodology Identification Code
- ANAsset Number
- AOAssemblage Identification Number
- APComponent Level Code, Vehicle Maintenance Reporting Standards (VMRS) 2000 Code Key 33
- ARARINC Part Number
- ASRear Axle Serial Number
- ATAssortability Code
- AWWell Number
- AXAssembly Lot Number
- AYSystem Level Code, Vehicle Maintenance Reporting Standards (VMRS) 2000 Code Key 31
- AZAxle Ratio
- B1Volume Set
- B2Library of Congress Code
- B3Edition Code
- B4Binding Code
- B5Title Code
- B6Author Code
- B7Publisher Code
- B8Batch Number
- BABale Number
- BBPrint Color Standard Reference
- BCSupplier Brand Code
- BDBuyer Ground Shade Identifier
- BEBuyer's Engineering Change Level Number
- BFVendor Ground Shade Identifier
- BGGround Shade Standard Reference
- BHFinish/Hand Standard Reference
- BLBrand/Label
- BMBeam Number
- BNBar-Coded Serial Number
- BOBuyers Color
- BPBuyer's Part Number
- BSBill Subgroup Code
- BTVolume Type Identification Code
- BUBus Body Serial Number
- BXBill Credit Code
- CACase
- CBBuyer's Catalog Number
- CCCompatible Cut Number
- CDMotor Vehicle-Line Designator
- CEClass of Contract Code
- CFChassis Serial Number
- CGCommodity Grouping
- CHCountry of Origin Code
- CICommon Language Equipment Identifier (CLEI)
- CJCurrent Procedural Terminology (CPT) Codes
- CKCandidate Oil
- CLColor
- CMNational Retail Federation Color Code
- CNCommodity Name
- COChemical Abstract Service (CAS) Registry Number
- CPCarry-over Part Number
- CQEquipment Code per COPAS standard
- CRContract Number
- CSService code per COPAS standard
- CTContinuation (ID Number Spans Multiple Product ID Data Elements)
- CUCut Number
- CVCustomer Provided Equipment
- CYCustomer Company Registry Number
- DEDesign Number
- DGDiscount Grouping
- DIDeposit Item Number
- DLDye Lot Number
- DNDie Number
- DPDiscontinued Part Number
- DRDrawing Revision Number
- DXInternational Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) - Diagnosis
- DZDiagnosis Code Pointer
- ECEngineering Change Level
- EDEngine Displacement Identification
- EFExhibit Identifier
- EIExpense Identifier
- ELBuyer's Subline Item Number
- EMEquipment Identification Number
- ENGTIN-13
- EPBuyer's End Product Number
- EQEquipment Type
- ESEngine Serial Number
- EXExchanged Part, Assembly or Product
- F1Catalog Number
- F2Technical Order Number
- F3Technical Manual Number
- F4Series Identifier
- F5Obligation Authority Number
- F6First Prior Identifier
- F7End-Item Description
- F8Next Higher Used Assembly
- F9Former Publisher
- FAFailed Subassembly Serial Number
- FBForm Number
- FEFeature
- FFFifth Wheel Serial Number
- FIFinish Number
- FLFinish Lot Number
- FMFailed Subassembly Model Number
- FNFinal Test Lot Number
- FPFabric Pieces Per Roll
- FSNational Stock Number
- FTFederal Supply Classification
- FWNew Microcode
- GAGathering
- GCGrade Code
- GDGrain Direction
- GKGlider Kit
- GNGrade Name
- GRGear Ratio
- GSGeneral Specification Number
- GUVolume Usage Identification Code
- HCHealthcare Common Procedure Coding System (HCPCS) Codes
- HDInternational Harmonized Commodity Code
- HIHIBC (Health Care Industry Bar Code) Supplier Labeling Standard Primary Data Message
- HNHeat Number
- IAInformation Media Type
- IBInternational Standard Book Number (ISBN)
- ICInterior Color Number
- IDInternational Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) - Procedure
- IMImprint (Trademark Code of Subsidiary)
- INBuyer's Item Number
- IPInternational Classification of Diseases, 10th Revision, Procedure Coding System (ICD-10-PCS)
- ISInternational Standard Serial Number (ISSN)
- ITBuyer's Style Number
- IWInterchangeability Code
- IZBuyer's Size Code
- JNJob Number
- JPPackage Type Code
- JSJob Sequence Number
- KAEngineering Data List
- KBData Category Code
- KDReplacement National Stock Number
- KEMilitary Standard
- KFItem Type Number
- KGTime Compliant Technical Order
- KICognizance Symbol
- KJMaterial Control Code
- KKSpecial Material Identification Code
- KLItem Management Code
- KMShelf-Life Code
- KNShelf-Life Action Code
- KPKanban Plan Number
- LALabor Group
- LCLaboratory Test Condition Code
- LGLift Gate Serial Number
- LSLoad Sequence
- LTLot Number
- LULot Pricing Unit Number
- MAMachine Number
- MBMeasurement Type Code
- MCMortgage Credit Data Order Type
- MDMethod of Delivery Code
- MFManufacturer
- MGManufacturer's Part Number
- MIMortgage Insurance Product Code or Number
- MMMotor Equipment Manufacturing Association (MEMA) Product Type Code
- MNModel Number
- MOMovement Type Code
- MSMilitary Specification (MILSPEC) Number
- MTMajor Product/Material/Machine Type
- N1National Drug Code in 4-4-2 Format
- N2National Drug Code in 5-3-2 Format
- N3National Drug Code in 5-4-1 Format
- N4National Drug Code in 5-4-2 Format
- NC
- NDNational Drug Code (NDC)
- NHNational Health Related Item Code
- NRNon-resaleable item (excluding deposit) number
- NUNational Uniform Billing Committee (NUBC) UB92 Codes
- NWNew Replacement Part or Assembly Defective
- NZCombined NCCMA/Bank Service Code
- OA
- OB
- OC
- OD
- OEOriginal Equipment Number
- OFOld Common Language Equipment Identifier (CLEI) Code
- OGOld Microcode
- OHOpposite-Hand Part Number
- OIOptical Industry Product Code
- OLOptical Cable Code
- ONCustomer Order Number
- OOOutside Production Operation Sheet Number
- OPObsolete Part Number
- P1Petroleum Accountants Society of Canada Operating and Maintenance Code - Goods and Services Tax Not Applicable
- P2Petroleum Accountants Society of Canada Capital Expenditure Code - Goods and Services Tax Not Applicable
- P3Petroleum Accountants Society of Canada Tubular Code
- P4Petroleum Accountants Society of Canada Non-Tubular Code
- P5Material Discharge Number
- PAPattern Number
- PBPetroleum Accountants Society of Canada Operating and Maintenance Code - Goods and Services Tax Forwarded
- PCPrime Contractor Part Number
- PDPart Number Description
- PEPieces in Roll
- PFPetroleum Accountants Society of Canada Capital Expenditure Code - Goods and Services Tax Forwarded
- PGPackaging Specification Number
- PHProperty and Casualty Service Code
- PIPurchaser's Item Code
- PJProduct Date Code (A code indicating the period during which a product was manufactured.)
- PKPackaging Drawing
- PLPurchaser's Order Line Number
- PMNumber of Positions on Machine
- PNCompany Part Number
- POPurchase Order Number
- PPAir Transportation Association Proprietary Rights Code
- PQProduct ID Attribute Code
- PRProcess Number
- PSPosition
- PTPrint or Drawing
- PUPart Reference Number
- PVAdvertising Package Identification Code
- PWPart Drawing
- PYOperator Assigned Property Identification
- PZProduct Change Notice Number
- R1Replacement Subassembly Model Number
- R2Replacement Subassembly Serial Number
- RAReturn Code
- RBNational Uniform Billing Committee (NUBC) UB82 Codes
- RCReturnable Container Number
- RDReel Number
- REReefer Serial Number
- RFRepair From Product Code
- RGReference Oil
- RKRack Number
- RNRelease Number
- RORoll Number
- RPReplaced Part Number
- RRReplacement Product Number
- RSSet Number
- RTReel Type
- RURun Number
- RVRepair Tag Number
- RWRelative Value Units
- RYRecord Keeping or Model Year
- S2Second Prior Identifier
- S3Phase
- SASchematic Diagram Reference Number
- SBSubmission Number
- SCSeller's Date Code
- SDSupplier Company Registry Number
- SESection Print Number
- SFSurface Finish
- SHService Requested
- SIStandard Industrial Classification Code
- SKStock Keeping Unit (SKU)
- SLSeller's Lot Number
- SMNational Retail Federation Size Code
- SNSerial Number
- SPSuperseded Purchase Order Number
- SQRoll Sequence Number
- SRSubstitute Product Number
- SSSuperseded Part Number
- STStyle Number
- SUSide Up/Side Down
- SVService Rendered
- SWStock Number
- SZVendor Alphanumeric Size Code
- T3Third Prior Identifier
- TAPipeline Transaction Code
- TBAssociation for Financial Professionals Service Code and Bank Service Code
- TCTelecommunications Circuit ID
- TDTreatment Codes
- TEAssociation for Financial Professionals Service Code
- TITrade In Identifier
- TMTelephone Industry Manufacturer Code
- TNRailroad-Owned Unit Train Number
- TPProduct Type Code
- TRTruck Body Serial Number
- TSTransmission Serial Number
- TTType Selvage
- TUTested Material Identification Number
- TVLine of Business
- TXFederal Aviation Administration (FAA) Service Bulletin Number
- TYTelecommunications Industry Service Code
- U2
- UA
- UB
- UCProduct Variant
- UD
- UE
- UFUser-Defined Shipping Container Identifier
- UG
- UH
- UI
- UJU.P.C./EAN Coupon Code (2-5-5)
- UKGTIN-14
- ULU.P.C. Coupon Code (1-5-5-1)
- UMUniversal Vendor Marking, Short Code (UVM; U Line)
- UN
- UOEAN.UCC Serial Shipping Container Code (SSCC)
- UPGTIN-12
- UQUnited Nations (UN) Number (Dangerous Goods)
- USUniform Stock Symbol System Code Number
- UTCompany-Owned Unit Train Number
- UVUniversal Vendor Marking, Long Code (UVM; R,P,M Lines)
- VAVendor's Style Number
- VBVendor's Engineering Change Level Number
- VCVendor's (Seller's) Catalog Number
- VEVendor Color
- VIVary Item Product Number
- VMVehicle Maintenance Reporting Standards
- VNVendor's (Seller's) Item Number
- VOVendor's Order Number
- VPVendor's (Seller's) Part Number
- VSVendor's Supplemental Item Number
- VTVintage
- VUVendor's Basic Unit Number
- VVMotor Vehicle ID Number
- VXVendor's Specification Number
- W1End Item Serial Number
- W2Work Unit Number
- W5Reclamation Process
- WCWorld Code
- WLWafer Lot Identifier
- WSWheel Chair Lift Serial Number
- XAPreferred Part Number
- XCExpendable Container Identification
- XPPreferred National Stock Number
- XQPreferred Manufacturer
- XZContractor Establishment Code
- YPPublication Number
- ZBCommercial and Government Entity (CAGE) Code
- ZRService Control Identification
- ZZMutually Defined
Code indicating the date format, time format, or date and time format.
Codes (28)- CCFirst Two Digits of Year Expressed in Format CCYY
- CDMonth and Year Expressed in Format MMMYYYY
- CMDate in Format CCYYMM
- CYYear Expressed in Format CCYY
- D6Date Expressed in Format YYMMDD
- D8Date Expression in Format CCYYMMDD
- DDDay of Month in Numeric Format
- DTDate and Time Expressed in Format CCYYMMDDHHMM
- MDMonth of Year and Day of Month Expressed in Format MMDD
- MMMonth of Year in Numeric Format
- TMTime Expressed in Format HHMM
- TQDate Expressed in Format MMYY
- TRDate and Time Expressed in Format DDMMYYHHMM
- TSTime Expressed in Format HHMMSS
- TTDate Expressed in Format MMDDYY
- TUDate Expressed in Format YYDDD
- YMYear and Month Expressed in Format YYMM
- YYLast Two Digits of Year Expressed in Format CCYY
- DTSRange of Date and Time Expressed in Format CCYYMMDDHHMMSS-CCYYMMDDHHMMSS
- RD2Range of Years Expressed in Format YY-YY
- RD4Range of Years Expressed in Format CCYY-CCYY
- RD6Range of Dates Expressed in Format YYMMDD-YYMMDD
- RD8Range of Dates Expressed in Format CCYYMMDD-CCYYMMDD
- RDMRange of Dates Expressed in Format YYMMDD-MMDD
- RDTRange of Date and Time, Expressed in Format CCYYMMDDHHMM-CCYYMMDDHHMM
- RMDRange of Months and Days Expressed in Format MMDD-MMDD
- RTMRange of Time Expressed in Format HHMM-HHMM
- RTSDate and Time Expressed in Format CCYYMMDDHHMMSS
Code identifying the location where patient is receiving medical treatment
Codes (15)- AAcute Care Facility
- BBoarding Home
- CHospice
- DIntermediate Care Facility
- ELong-term or Extended Care Facility
- FNot Specified
- GNursing Home
- HSub-acute Care Facility
- LOther Location
- MRehabilitation Facility
- OOutpatient Facility
- PPrivate Home
- RResidential Treatment Facility
- SSkilled Nursing Home
- TRest Home
