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Condition Information Group Definition
Format-Length:  A/N - 2 Required For:   See below
Effective Date:  1/1/94 Revision Date:  September 2003

NOTE: This is a composite data element. Up to 24 Condition Codes can be reported. For mapping guidelines refer to the Inpatient and Outpatient 837 Addenda.

National Standard Mapping:

Electronic - 837I

X12 Loop

Ref. Des.

Data Element

Code

Description
Version 4050R 2300 HI01-1 1270 BG Condition Qualifier
HI01-2 1271 Condition Code

Paper Form Locator Code Qualifier
Institutional - UB-04 18-28 N/A

Definition:

A code(s) used to identify conditions or events relating to this bill that may affect processing.

Ambulatory Surgery, Emergency Department, and Inpatient:
Homeless Patients
Inpatient Only:
Non-US Resident Patients
Special Program (PHC)
Special Program (SFP)
Special Program (FP)
Special Program (DIS)
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