<< Previous Data Element X12-837 Input Table of Contents Next Data Element >>
Data Element Name:  Place-of-Injury Code
Format-Length:  A/N - 6 Required For:  AS, ED, IP
Effective Date:  1/1/94 Revision Date:  September 2003

NOTE: This is a composite data element, 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 HI04-1 1270 BN E-Code Qualifier
HI04-2 1271 Place-of-Injury Code

Paper Form Locator Code Qualifier
Institutional - UB-04 72a-c N/A

Definition:

The code which identifies the place where the injury reported in External Cause-of-Injury Code occurred.

Codes and Values:

  1. External Place-of-Injury Codes in the range of E849.0 - E849.9 are the only valid entries.

  2. Must include the prefix letter "E" and all digits entered exactly as shown in the ICD-9-CM coding reference.

  3. If this field is not applicable it must be blank.

Example: HI*BK:63491*BJ:63491*BN:E8802*BN:E8498*~

Edit Applications:

  1. Must be reported when External Cause-of-Injury Code is in the range of E850.0-E869.9 or E880.0-E928.9.
<< Previous Data Element X12-837 Input Table of Contents Next Data Element >>