<< Previous Data Element X12-837 Input Table of Contents Next Data Element >>
Data Element Name:  Value Information - Neonate Birth Weight
Format-Length:  A/N - 2, N - 4 Required For:  IP
Effective Date:  1/1/94 Revision Date:  September 2003

NOTE: This is a composite data element. Up to 12 Value Codes and Amounts can be reported. For mapping guidelines refer to the Inpatient 837 Addendum.

National Standard Mapping:

Electronic - 837I

X12 Loop

Ref. Des.

Data Element

Code

Description
Version 4050R 2300 HI01-1 1270 BE Value Code Qualifier
HI01-2 1271 Value Code
HI01-5 782 Value Code Associated Amount

Paper Form Locator Code Qualifier
Institutional - UB-04 39-41 N/A

Definition:

The birth weight of the neonate in grams.

Codes and Values:

  1. 54 = Newborn Birth Weight in Grams

  2. The amount must be entered as a positive whole number.

  3. Must be a valid number greater than "99" and less than "9001".

  4. Birth Weights of "99" grams or less should be reported as "100" grams.

Edit Applications:

  1. If Admission Date/Start of Care is within 28 days of the Patient Birth Date, the Neonate Birth Weight must be reported.

  2. Inpatient Only: If the Neonate Birth Weight is reported as less than 1500 grams, and the New York State Patient Status is reported as code "01" home, then the Length of Stay must be greater than 10.
<< Previous Data Element X12-837 Input Table of Contents Next Data Element >>