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Data Element Name:  Patient Race
Format-Length:  A/N - 2 Required For:  AS, ED, IP
Effective Date:  1/1/94 Revision Date:  January 2007

NOTE: This data element is defined in the 4050 Data Reporting Guide. The applicable mapping is defined in the Inpatient and Outpatient 837 Addenda.
This data element is not defined in the 4010 Institutional Guide. It is a SPARCS extension defined in the Inpatient and Outpatient 837 Addenda.

National Standard Mapping:

Electronic - 837I

X12 Loop

Ref. Des.

Data Element

Code

Description
Version 4050R 2010BA DMG05 - 2 1270 RET Race Qualifier
DMG05 - 3 1271 Race Code

2010CA DMG05 - 2 1270 RET Race Qualifier
DMG05 - 3 1271 Race Code

Version 4010AI 2300 NTE01 363 UPI Updated Information
NTE02 352 Patient Race

Paper Form Locator Code Qualifier
Institutional - UB-04 81 B1

Definition:

The code which best describes the race of the patient.

Codes and Values:

  1. Use the following race codes when reporting in Version 4050R DMG segment:
    • R1 = American Indian
    • R2 = Asian
    • R3 = Black or African American
    • R4 = Native Hawaiian or Pacific Islander
    • R5 = White
    • R9 = Other Race

    • Example:  DMG*D8*19880208*F**:RET:R5^:RET:E2******~

  2. Use the following race codes when reporting in Version 4010AI NTE segment:
    • 01 = White
    • 02 = Black or African American
    • 03 = Native American or Alaskan Native
    • 04 = Asian
    • 05 = Native Hawaiian or Other Pacific Islander
    • 88 = Other Race
    • 99 = Unknown

    • Inpatient Example:  NTE*UPI*06100120ALR012072125080~
    • Outpatient Example:  NTE*UPI*0620012072125080~

Edit Applications:

  1. Must be a valid entry.
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