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Data Element Name:  Patient Postal Service Zip Code and Extension Code
Format-Length:  A/N - 5, A/N - 4 Required For:  AS, ED, IP
Effective Date:  1/1/94 Revision Date:  September 2003

National Standard Mapping:

Electronic - 837I

X12 Loop

Ref. Des.

Data Element

Code

Description
Version 4050R 2010BA N403 116 Zip Code

2010CA N403 116 Zip Code

Paper Form Locator Code Qualifier
Institutional - UB-04 09d N/A

Definition:

The Zip Code and Extension Code assigned by the Postal Service to the patient's principal residence at the time of admission or date of service.

Codes and Values:

  1. For United States residences, this Data Element is divided into a five-digit Zip Code and a four-digit Extension Code. For Canadian residences, this Data Element is defined as a six character Zip Code and 3 character filler.

  2. Must contain no embedded blanks.

  3. "XXXXX    " = Unknown

    "YYYYY     " = Foreign Country (Other Than Canada)

  4. Must be a valid code in accordance with the Zip/County Code Edit Validation Table in Appendix F.

Edit Applications:

  1. Must be valid for the Patient County Code assigned to the patient's principal residence.

  2. If Patient Postal Service Zip Code is "10000"-"14999" or "06390", Patient State must equal "NY", and Patient County Code must be "01"-"62" or "99".
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