{
"0"=>
{:code=>"0",
:description=>"Cannot provide further status electronically.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"1"=>
{:code=>"1",
:description=>"For more detailed information, see remittance advice.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"2"=>
{:code=>"2",
:description=>"More detailed information in letter.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"3"=>
{:code=>"3",
:description=>"Claim has been adjudicated and is awaiting payment cycle.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"4"=>
{:code=>"4",
:description=>
"This is a subsequent request for information from the original request.",
:effective_date=>"01/01/1995",
:deactivation_date=>"07/01/2008",
:last_modified_date=>"01/27/2008",
:notes=>""},
"5"=>
{:code=>"5",
:description=>"This is a final request for information.",
:effective_date=>"01/01/1995",
:deactivation_date=>"07/01/2008",
:last_modified_date=>"01/27/2008",
:notes=>""},
"6"=>
{:code=>"6",
:description=>"Balance due from the subscriber.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"7"=>
{:code=>"7",
:description=>"Claim may be reconsidered at a future date.",
:effective_date=>"01/01/1995",
:deactivation_date=>"07/01/2008",
:last_modified_date=>"01/27/2008",
:notes=>""},
"8"=>
{:code=>"8",
:description=>"No payment due to contract/plan provisions.",
:effective_date=>"01/01/1995",
:deactivation_date=>"01/01/2008",
:last_modified_date=>"07/09/2007",
:notes=>""},
"9"=>
{:code=>"9",
:description=>"No payment will be made for this claim.",
:effective_date=>"01/01/1995",
:deactivation_date=>"07/01/2008",
:last_modified_date=>"01/27/2008",
:notes=>""},
"10"=>
{:code=>"10",
:description=>
"All originally submitted procedure codes have been combined.",
:effective_date=>"01/01/1995",
:deactivation_date=>"01/01/2008",
:last_modified_date=>"07/09/2007",
:notes=>""},
"11"=>
{:code=>"11",
:description=>
"Some originally submitted procedure codes have been combined.",
:effective_date=>"01/01/1995",
:deactivation_date=>"01/01/2008",
:last_modified_date=>"07/09/2007",
:notes=>""},
"12"=>
{:code=>"12",
:description=>
"One or more originally submitted procedure codes have been combined.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"06/30/2001",
:notes=>""},
"13"=>
{:code=>"13",
:description=>
"All originally submitted procedure codes have been modified.",
:effective_date=>"01/01/1995",
:deactivation_date=>"01/01/2008",
:last_modified_date=>"07/09/2007",
:notes=>""},
"14"=>
{:code=>"14",
:description=>
"Some all originally submitted procedure codes have been modified.",
:effective_date=>"01/01/1995",
:deactivation_date=>"01/01/2008",
:last_modified_date=>"07/09/2007",
:notes=>""},
"15"=>
{:code=>"15",
:description=>
"One or more originally submitted procedure code have been modified.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"06/30/2001",
:notes=>""},
"16"=>
{:code=>"16",
:description=>
"Claim/encounter has been forwarded to entity. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"17"=>
{:code=>"17",
:description=>
"Claim/encounter has been forwarded by third party entity to entity. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"18"=>
{:code=>"18",
:description=>
"Entity received claim/encounter, but returned invalid status. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"19"=>
{:code=>"19",
:description=>
"Entity acknowledges receipt of claim/encounter. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"20"=>
{:code=>"20",
:description=>"Accepted for processing.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"06/30/2001",
:notes=>""},
"21"=>
{:code=>"21",
:description=>
"Missing or invalid information. Note: At least one other status code is required to identify the missing or invalid information.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"07/09/2007",
:notes=>""},
"22"=>
{:code=>"22",
:description=>"... before entering the adjudication system.",
:effective_date=>"01/01/1995",
:deactivation_date=>"01/01/2008",
:last_modified_date=>"07/09/2007",
:notes=>""},
"23"=>
{:code=>"23",
:description=>
"Returned to Entity. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"24"=>
{:code=>"24",
:description=>
"Entity not approved as an electronic submitter. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"25"=>
{:code=>"25",
:description=>
"Entity not approved. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"26"=>
{:code=>"26",
:description=>
"Entity not found. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"27"=>
{:code=>"27",
:description=>"Policy canceled.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"06/30/2001",
:notes=>""},
"28"=>
{:code=>"28",
:description=>"Claim submitted to wrong payer.",
:effective_date=>"01/01/1995",
:deactivation_date=>"01/01/2008",
:last_modified_date=>"07/09/2007",
:notes=>""},
"29"=>
{:code=>"29",
:description=>"Subscriber and policy number/contract number mismatched.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"30"=>
{:code=>"30",
:description=>"Subscriber and subscriber id mismatched.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"31"=>
{:code=>"31",
:description=>"Subscriber and policyholder name mismatched.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"32"=>
{:code=>"32",
:description=>"Subscriber and policy number/contract number not found.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"33"=>
{:code=>"33",
:description=>"Subscriber and subscriber id not found.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"34"=>
{:code=>"34",
:description=>"Subscriber and policyholder name not found.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"35"=>
{:code=>"35",
:description=>"Claim/encounter not found.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"37"=>
{:code=>"37",
:description=>
"Predetermination is on file, awaiting completion of services.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"38"=>
{:code=>"38",
:description=>"Awaiting next periodic adjudication cycle.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"39"=>
{:code=>"39",
:description=>"Charges for pregnancy deferred until delivery.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"40"=>
{:code=>"40",
:description=>"Waiting for final approval.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"41"=>
{:code=>"41",
:description=>"Special handling required at payer site.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"42"=>
{:code=>"42",
:description=>"Awaiting related charges.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"44"=>
{:code=>"44",
:description=>"Charges pending provider audit.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"45"=>
{:code=>"45",
:description=>"Awaiting benefit determination.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"46"=>
{:code=>"46",
:description=>"Internal review/audit.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"47"=>
{:code=>"47",
:description=>"Internal review/audit - partial payment made.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"48"=>
{:code=>"48",
:description=>"Referral/authorization.",
:effective_date=>"01/01/1995",
:deactivation_date=>"01/01/2012",
:last_modified_date=>"02/28/2001",
:notes=>"Refer to codes 252 and 761."},
"49"=>
{:code=>"49",
:description=>"Pending provider accreditation review.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"50"=>
{:code=>"50",
:description=>"Claim waiting for internal provider verification.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"51"=>
{:code=>"51",
:description=>"Investigating occupational illness/accident.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"52"=>
{:code=>"52",
:description=>"Investigating existence of other insurance coverage.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"53"=>
{:code=>"53",
:description=>
"Claim being researched for Insured ID/Group Policy Number error.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"54"=>
{:code=>"54",
:description=>"Duplicate of a previously processed claim/line.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"55"=>
{:code=>"55",
:description=>"Claim assigned to an approver/analyst.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"56"=>
{:code=>"56",
:description=>"Awaiting eligibility determination.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"57"=>
{:code=>"57",
:description=>"Pending COBRA information requested.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"59"=>
{:code=>"59",
:description=>
"Information was requested by a non-electronic method. Note: At least one other status code is required to identify the requested information.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"10/17/2010",
:notes=>""},
"60"=>
{:code=>"60",
:description=>
"Information was requested by an electronic method. Note: At least one other status code is required to identify the requested information.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"10/17/2010",
:notes=>""},
"61"=>
{:code=>"61",
:description=>"Eligibility for extended benefits.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"64"=>
{:code=>"64",
:description=>"Re-pricing information.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"65"=>
{:code=>"65",
:description=>"Claim/line has been paid.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"66"=>
{:code=>"66",
:description=>"Payment reflects usual and customary charges.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"67"=>
{:code=>"67",
:description=>"Payment made in full.",
:effective_date=>"01/01/1995",
:deactivation_date=>"07/01/2008",
:last_modified_date=>"01/27/2008",
:notes=>""},
"68"=>
{:code=>"68",
:description=>"Partial payment made for this claim.",
:effective_date=>"01/01/1995",
:deactivation_date=>"07/01/2008",
:last_modified_date=>"01/27/2008",
:notes=>""},
"69"=>
{:code=>"69",
:description=>"Payment reflects plan provisions.",
:effective_date=>"01/01/1995",
:deactivation_date=>"01/01/2008",
:last_modified_date=>"07/09/2007",
:notes=>""},
"70"=>
{:code=>"70",
:description=>"Payment reflects contract provisions.",
:effective_date=>"01/01/1995",
:deactivation_date=>"01/01/2008",
:last_modified_date=>"07/09/2007",
:notes=>""},
"71"=>
{:code=>"71",
:description=>"Periodic installment released.",
:effective_date=>"01/01/1995",
:deactivation_date=>"07/01/2008",
:last_modified_date=>"01/27/2008",
:notes=>""},
"72"=>
{:code=>"72",
:description=>"Claim contains split payment.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"73"=>
{:code=>"73",
:description=>
"Payment made to entity, assignment of benefits not on file. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"78"=>
{:code=>"78",
:description=>"Duplicate of an existing claim/line, awaiting processing.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"81"=>
{:code=>"81",
:description=>"Contract/plan does not cover pre-existing conditions.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"83"=>
{:code=>"83",
:description=>"No coverage for newborns.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"84"=>
{:code=>"84",
:description=>"Service not authorized.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"85"=>
{:code=>"85",
:description=>
"Entity not primary. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"86"=>
{:code=>"86",
:description=>"Diagnosis and patient gender mismatch.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/28/2000",
:notes=>""},
"87"=>
{:code=>"87",
:description=>
"Denied: Entity not found. (Use code 26 with appropriate Claim Status category Code)",
:effective_date=>"01/01/1995",
:deactivation_date=>"01/01/2008",
:last_modified_date=>"07/09/2007",
:notes=>""},
"88"=>
{:code=>"88",
:description=>
"Entity not eligible for benefits for submitted dates of service. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"89"=>
{:code=>"89",
:description=>
"Entity not eligible for dental benefits for submitted dates of service. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"90"=>
{:code=>"90",
:description=>
"Entity not eligible for medical benefits for submitted dates of service. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"91"=>
{:code=>"91",
:description=>
"Entity not eligible/not approved for dates of service. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"92"=>
{:code=>"92",
:description=>
"Entity does not meet dependent or student qualification. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"93"=>
{:code=>"93",
:description=>
"Entity is not selected primary care provider. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"94"=>
{:code=>"94",
:description=>
"Entity not referred by selected primary care provider. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"95"=>
{:code=>"95",
:description=>"Requested additional information not received.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"07/09/2007",
:notes=>
"If known, the payer must report a second claim status code identifying the requested information."},
"96"=>
{:code=>"96",
:description=>
"No agreement with entity. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"97"=>
{:code=>"97",
:description=>
"Patient eligibility not found with entity. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"98"=>
{:code=>"98",
:description=>"Charges applied to deductible.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"99"=>
{:code=>"99",
:description=>"Pre-treatment review.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"100"=>
{:code=>"100",
:description=>"Pre-certification penalty taken.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"101"=>
{:code=>"101",
:description=>"Claim was processed as adjustment to previous claim.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"102"=>
{:code=>"102",
:description=>"Newborn's charges processed on mother's claim.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"103"=>
{:code=>"103",
:description=>"Claim combined with other claim(s).",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"104"=>
{:code=>"104",
:description=>
"Processed according to plan provisions (Plan refers to provisions that exist between the Health Plan and the Consumer or Patient)",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"06/01/2008",
:notes=>""},
"105"=>
{:code=>"105",
:description=>"Claim/line is capitated.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"106"=>
{:code=>"106",
:description=>
"This amount is not entity's responsibility. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"107"=>
{:code=>"107",
:description=>
"Processed according to contract provisions (Contract refers to provisions that exist between the Health Plan and a Provider of Health Care Services)",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"06/01/2008",
:notes=>""},
"108"=>
{:code=>"108",
:description=>"Coverage has been canceled for this entity. (Use code 27)",
:effective_date=>"01/01/1995",
:deactivation_date=>"01/01/2008",
:last_modified_date=>"07/09/2007",
:notes=>""},
"109"=>
{:code=>"109",
:description=>
"Entity not eligible. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"110"=>
{:code=>"110",
:description=>"Claim requires pricing information.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"111"=>
{:code=>"111",
:description=>
"At the policyholder's request these claims cannot be submitted electronically.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"112"=>
{:code=>"112",
:description=>"Policyholder processes their own claims.",
:effective_date=>"01/01/1995",
:deactivation_date=>"07/01/2008",
:last_modified_date=>"01/27/2008",
:notes=>""},
"113"=>
{:code=>"113",
:description=>"Cannot process individual insurance policy claims.",
:effective_date=>"01/01/1995",
:deactivation_date=>"07/01/2008",
:last_modified_date=>"01/27/2008",
:notes=>""},
"114"=>
{:code=>"114",
:description=>
"Claim/service should be processed by entity. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"115"=>
{:code=>"115",
:description=>"Cannot process HMO claims",
:effective_date=>"01/01/1995",
:deactivation_date=>"07/01/2008",
:last_modified_date=>"01/27/2008",
:notes=>""},
"116"=>
{:code=>"116",
:description=>"Claim submitted to incorrect payer.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"117"=>
{:code=>"117",
:description=>"Claim requires signature-on-file indicator.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"118"=>
{:code=>"118",
:description=>
"TPO rejected claim/line because payer name is missing. (Use status code 21 and status code 125 with entity code IN)",
:effective_date=>"01/01/1995",
:deactivation_date=>"01/01/2008",
:last_modified_date=>"07/09/2007",
:notes=>""},
"119"=>
{:code=>"119",
:description=>
"TPO rejected claim/line because certification information is missing. (Use status code 21 and status code 252)",
:effective_date=>"01/01/1995",
:deactivation_date=>"01/01/2008",
:last_modified_date=>"07/09/2007",
:notes=>""},
"120"=>
{:code=>"120",
:description=>
"TPO rejected claim/line because claim does not contain enough information. (Use status code 21)",
:effective_date=>"01/01/1995",
:deactivation_date=>"01/01/2008",
:last_modified_date=>"07/09/2007",
:notes=>""},
"121"=>
{:code=>"121",
:description=>
"Service line number greater than maximum allowable for payer.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"122"=>
{:code=>"122",
:description=>
"Missing/invalid data prevents payer from processing claim. (Use CSC Code 21)",
:effective_date=>"01/01/1995",
:deactivation_date=>"01/01/2008",
:last_modified_date=>"07/09/2007",
:notes=>""},
"123"=>
{:code=>"123",
:description=>
"Additional information requested from entity. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"124"=>
{:code=>"124",
:description=>
"Entity's name, address, phone and id number. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"125"=>
{:code=>"125",
:description=>
"Entity's name. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"126"=>
{:code=>"126",
:description=>
"Entity's address. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"127"=>
{:code=>"127",
:description=>
"Entity's Communication Number. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"06/06/2010",
:notes=>""},
"128"=>
{:code=>"128",
:description=>
"Entity's tax id. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"129"=>
{:code=>"129",
:description=>
"Entity's Blue Cross provider id. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"130"=>
{:code=>"130",
:description=>
"Entity's Blue Shield provider id. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"131"=>
{:code=>"131",
:description=>
"Entity's Medicare provider id. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"132"=>
{:code=>"132",
:description=>
"Entity's Medicaid provider id. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"133"=>
{:code=>"133",
:description=>
"Entity's UPIN. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"134"=>
{:code=>"134",
:description=>
"Entity's CHAMPUS provider id. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"135"=>
{:code=>"135",
:description=>
"Entity's commercial provider id. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"136"=>
{:code=>"136",
:description=>
"Entity's health industry id number. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"137"=>
{:code=>"137",
:description=>
"Entity's plan network id. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"138"=>
{:code=>"138",
:description=>
"Entity's site id . Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"139"=>
{:code=>"139",
:description=>
"Entity's health maintenance provider id (HMO). Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"140"=>
{:code=>"140",
:description=>
"Entity's preferred provider organization id (PPO). Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"141"=>
{:code=>"141",
:description=>
"Entity's administrative services organization id (ASO). Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"142"=>
{:code=>"142",
:description=>
"Entity's license/certification number. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"143"=>
{:code=>"143",
:description=>
"Entity's state license number. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"144"=>
{:code=>"144",
:description=>
"Entity's specialty license number. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"145"=>
{:code=>"145",
:description=>
"Entity's specialty/taxonomy code. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"146"=>
{:code=>"146",
:description=>
"Entity's anesthesia license number. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"147"=>
{:code=>"147",
:description=>
"Entity's qualification degree/designation (e.g. RN,PhD,MD). Note: This code requires use of an Entity Code.",
:effective_date=>"02/28/1997",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"148"=>
{:code=>"148",
:description=>
"Entity's social security number. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"149"=>
{:code=>"149",
:description=>
"Entity's employer id. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"150"=>
{:code=>"150",
:description=>
"Entity's drug enforcement agency (DEA) number. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"152"=>
{:code=>"152",
:description=>"Pharmacy processor number.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"153"=>
{:code=>"153",
:description=>
"Entity's id number. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"154"=>
{:code=>"154",
:description=>"Relationship of surgeon & assistant surgeon.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"155"=>
{:code=>"155",
:description=>
"Entity's relationship to patient. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"156"=>
{:code=>"156",
:description=>"Patient relationship to subscriber",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"157"=>
{:code=>"157",
:description=>
"Entity's Gender. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"158"=>
{:code=>"158",
:description=>
"Entity's date of birth. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"159"=>
{:code=>"159",
:description=>
"Entity's date of death. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"160"=>
{:code=>"160",
:description=>
"Entity's marital status. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"161"=>
{:code=>"161",
:description=>
"Entity's employment status. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"162"=>
{:code=>"162",
:description=>
"Entity's health insurance claim number (HICN). Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"163"=>
{:code=>"163",
:description=>
"Entity's policy number. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"164"=>
{:code=>"164",
:description=>
"Entity's contract/member number. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"165"=>
{:code=>"165",
:description=>
"Entity's employer name, address and phone. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"166"=>
{:code=>"166",
:description=>
"Entity's employer name. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"167"=>
{:code=>"167",
:description=>
"Entity's employer address. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"168"=>
{:code=>"168",
:description=>
"Entity's employer phone number. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"169"=>
{:code=>"169",
:description=>"Entity's employer id.",
:effective_date=>"01/01/1995",
:deactivation_date=>"01/01/2008",
:last_modified_date=>"07/09/2007",
:notes=>""},
"170"=>
{:code=>"170",
:description=>
"Entity's employee id. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"171"=>
{:code=>"171",
:description=>
"Other insurance coverage information (health, liability, auto, etc.).",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"172"=>
{:code=>"172",
:description=>"Other employer name, address and telephone number.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"173"=>
{:code=>"173",
:description=>
"Entity's name, address, phone, gender, DOB, marital status, employment status and relation to subscriber. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"174"=>
{:code=>"174",
:description=>
"Entity's student status. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"175"=>
{:code=>"175",
:description=>
"Entity's school name. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"176"=>
{:code=>"176",
:description=>
"Entity's school address. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"177"=>
{:code=>"177",
:description=>
"Transplant recipient's name, date of birth, gender, relationship to insured.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/28/2000",
:notes=>""},
"178"=>
{:code=>"178",
:description=>"Submitted charges.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"179"=>
{:code=>"179",
:description=>"Outside lab charges.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"180"=>
{:code=>"180",
:description=>"Hospital s semi-private room rate.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"181"=>
{:code=>"181",
:description=>"Hospital s room rate.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"182"=>
{:code=>"182",
:description=>
"Allowable/paid from other entities coverage NOTE: This code requires the use of an entity code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"01/24/2010",
:notes=>""},
"183"=>
{:code=>"183",
:description=>
"Amount entity has paid. Note: This code requires use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"184"=>
{:code=>"184",
:description=>"Purchase price for the rented durable medical equipment.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"185"=>
{:code=>"185",
:description=>"Rental price for durable medical equipment.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"186"=>
{:code=>"186",
:description=>"Purchase and rental price of durable medical equipment.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"187"=>
{:code=>"187",
:description=>"Date(s) of service.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"188"=>
{:code=>"188",
:description=>"Statement from-through dates.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"189"=>
{:code=>"189",
:description=>"Facility admission date",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"10/31/2006",
:notes=>""},
"190"=>
{:code=>"190",
:description=>"Facility discharge date",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"10/31/2006",
:notes=>""},
"191"=>
{:code=>"191",
:description=>"Date of Last Menstrual Period (LMP)",
:effective_date=>"02/28/1997",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"192"=>
{:code=>"192",
:description=>"Date of first service for current series/symptom/illness.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"193"=>
{:code=>"193",
:description=>"First consultation/evaluation date.",
:effective_date=>"02/28/1997",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"194"=>
{:code=>"194",
:description=>"Confinement dates.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"195"=>
{:code=>"195",
:description=>"Unable to work dates/Disability Dates.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"09/20/2009",
:notes=>""},
"196"=>
{:code=>"196",
:description=>"Return to work dates.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"197"=>
{:code=>"197",
:description=>"Effective coverage date(s).",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"198"=>
{:code=>"198",
:description=>"Medicare effective date.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"199"=>
{:code=>"199",
:description=>"Date of conception and expected date of delivery.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"200"=>
{:code=>"200",
:description=>"Date of equipment return.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"201"=>
{:code=>"201",
:description=>"Date of dental appliance prior placement.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"202"=>
{:code=>"202",
:description=>"Date of dental prior replacement/reason for replacement.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"203"=>
{:code=>"203",
:description=>"Date of dental appliance placed.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"204"=>
{:code=>"204",
:description=>"Date dental canal(s) opened and date service completed.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"205"=>
{:code=>"205",
:description=>"Date(s) dental root canal therapy previously performed.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"206"=>
{:code=>"206",
:description=>
"Most recent date of curettage, root planing, or periodontal surgery.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"207"=>
{:code=>"207",
:description=>"Dental impression and seating date.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"208"=>
{:code=>"208",
:description=>"Most recent date pacemaker was implanted.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"209"=>
{:code=>"209",
:description=>"Most recent pacemaker battery change date.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"210"=>
{:code=>"210",
:description=>"Date of the last x-ray.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"211"=>
{:code=>"211",
:description=>"Date(s) of dialysis training provided to patient.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"212"=>
{:code=>"212",
:description=>"Date of last routine dialysis.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"213"=>
{:code=>"213",
:description=>"Date of first routine dialysis.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"214"=>
{:code=>"214",
:description=>"Original date of prescription/orders/referral.",
:effective_date=>"02/28/1997",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"215"=>
{:code=>"215",
:description=>"Date of tooth extraction/evolution.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"216"=>
{:code=>"216",
:description=>"Drug information.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"217"=>
{:code=>"217",
:description=>"Drug name, strength and dosage form.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"218"=>
{:code=>"218",
:description=>"NDC number.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"219"=>
{:code=>"219",
:description=>"Prescription number.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"220"=>
{:code=>"220",
:description=>"Drug product id number. (Use code 218)",
:effective_date=>"01/01/1995",
:deactivation_date=>"07/01/2011",
:last_modified_date=>"10/17/2010",
:notes=>""},
"221"=>
{:code=>"221",
:description=>"Drug days supply and dosage.",
:effective_date=>"01/01/1995",
:deactivation_date=>"01/01/2012",
:last_modified_date=>"01/24/2010",
:notes=>""},
"222"=>
{:code=>"222",
:description=>"Drug dispensing units and average wholesale price (AWP).",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"223"=>
{:code=>"223",
:description=>"Route of drug/myelogram administration.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"224"=>
{:code=>"224",
:description=>"Anatomical location for joint injection.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"225"=>
{:code=>"225",
:description=>"Anatomical location.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"226"=>
{:code=>"226",
:description=>"Joint injection site.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"227"=>
{:code=>"227",
:description=>"Hospital information.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"228"=>
{:code=>"228",
:description=>"Type of bill for UB claim",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"10/31/2006",
:notes=>""},
"229"=>
{:code=>"229",
:description=>"Hospital admission source.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"230"=>
{:code=>"230",
:description=>"Hospital admission hour.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"231"=>
{:code=>"231",
:description=>"Hospital admission type.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"232"=>
{:code=>"232",
:description=>"Admitting diagnosis.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"233"=>
{:code=>"233",
:description=>"Hospital discharge hour.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"234"=>
{:code=>"234",
:description=>"Patient discharge status.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"235"=>
{:code=>"235",
:description=>"Units of blood furnished.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"236"=>
{:code=>"236",
:description=>"Units of blood replaced.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"237"=>
{:code=>"237",
:description=>"Units of deductible blood.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"238"=>
{:code=>"238",
:description=>"Separate claim for mother/baby charges.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"239"=>
{:code=>"239",
:description=>"Dental information.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"240"=>
{:code=>"240",
:description=>"Tooth surface(s) involved.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"241"=>
{:code=>"241",
:description=>"List of all missing teeth (upper and lower).",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"242"=>
{:code=>"242",
:description=>"Tooth numbers, surfaces, and/or quadrants involved.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"243"=>
{:code=>"243",
:description=>"Months of dental treatment remaining.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"244"=>
{:code=>"244",
:description=>"Tooth number or letter.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"245"=>
{:code=>"245",
:description=>"Dental quadrant/arch.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"246"=>
{:code=>"246",
:description=>
"Total orthodontic service fee, initial appliance fee, monthly fee, length of service.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"247"=>
{:code=>"247",
:description=>"Line information.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"248"=>
{:code=>"248",
:description=>"Accident date, state, description and cause.",
:effective_date=>"01/01/1995",
:deactivation_date=>"01/01/2012",
:last_modified_date=>"01/24/2010",
:notes=>""},
"249"=>
{:code=>"249",
:description=>"Place of service.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"250"=>
{:code=>"250",
:description=>"Type of service.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"251"=>
{:code=>"251",
:description=>"Total anesthesia minutes.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"252"=>
{:code=>"252",
:description=>
"Entity's authorization/certification number. Note: This code requires the use of an Entity Code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"01/30/2011",
:notes=>""},
"253"=>
{:code=>"253",
:description=>
"Procedure/revenue code for service(s) rendered. Use codes 454 or 455.",
:effective_date=>"01/01/1995",
:deactivation_date=>"02/28/1997",
:last_modified_date=>"07/09/2007",
:notes=>""},
"254"=>
{:code=>"254",
:description=>"Principal diagnosis code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"01/30/2011",
:notes=>""},
"255"=>
{:code=>"255",
:description=>"Diagnosis code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"256"=>
{:code=>"256",
:description=>"DRG code(s).",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"257"=>
{:code=>"257",
:description=>"ADSM-III-R code for services rendered.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"258"=>
{:code=>"258",
:description=>"Days/units for procedure/revenue code.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"259"=>
{:code=>"259",
:description=>"Frequency of service.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"260"=>
{:code=>"260",
:description=>"Length of medical necessity, including begin date.",
:effective_date=>"02/28/1997",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"261"=>
{:code=>"261",
:description=>"Obesity measurements.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"262"=>
{:code=>"262",
:description=>
"Type of surgery/service for which anesthesia was administered.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"263"=>
{:code=>"263",
:description=>"Length of time for services rendered.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"264"=>
{:code=>"264",
:description=>
"Number of liters/minute & total hours/day for respiratory support.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"265"=>
{:code=>"265",
:description=>"Number of lesions excised.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"266"=>
{:code=>"266",
:description=>"Facility point of origin and destination - ambulance.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"267"=>
{:code=>"267",
:description=>"Number of miles patient was transported.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"268"=>
{:code=>"268",
:description=>"Location of durable medical equipment use.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"269"=>
{:code=>"269",
:description=>"Length/size of laceration/tumor.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"270"=>
{:code=>"270",
:description=>"Subluxation location.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"271"=>
{:code=>"271",
:description=>"Number of spine segments.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"272"=>
{:code=>"272",
:description=>"Oxygen contents for oxygen system rental.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"273"=>
{:code=>"273",
:description=>"Weight.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"274"=>
{:code=>"274",
:description=>"Height.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"275"=>
{:code=>"275",
:description=>"Claim.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"276"=>
{:code=>"276",
:description=>"UB04/HCFA-1450/1500 claim form",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"10/31/2006",
:notes=>""},
"277"=>
{:code=>"277",
:description=>"Paper claim.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"278"=>
{:code=>"278",
:description=>"Signed claim form.",
:effective_date=>"01/01/1995",
:deactivation_date=>"11/01/2011",
:last_modified_date=>"",
:notes=>""},
"279"=>
{:code=>"279",
:description=>"Claim/service must be itemized",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"10/17/2010",
:notes=>""},
"280"=>
{:code=>"280",
:description=>"Itemized claim by provider.",
:effective_date=>"01/01/1995",
:deactivation_date=>"11/01/2011",
:last_modified_date=>"",
:notes=>"Refer to code 279"},
"281"=>
{:code=>"281",
:description=>"Related confinement claim.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"282"=>
{:code=>"282",
:description=>"Copy of prescription.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"283"=>
{:code=>"283",
:description=>
"Medicare entitlement information is required to determine primary coverage",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"01/27/2008",
:notes=>""},
"284"=>
{:code=>"284",
:description=>"Copy of Medicare ID card.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"285"=>
{:code=>"285",
:description=>"Vouchers/explanation of benefits (EOB).",
:effective_date=>"01/01/1995",
:deactivation_date=>"11/01/2011",
:last_modified_date=>"",
:notes=>"Refer to code 286"},
"286"=>
{:code=>"286",
:description=>
"Other payer's Explanation of Benefits/payment information.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"287"=>
{:code=>"287",
:description=>"Medical necessity for service.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"288"=>
{:code=>"288",
:description=>"Hospital late charges",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"10/17/2010",
:notes=>""},
"289"=>
{:code=>"289",
:description=>"Reason for late discharge.",
:effective_date=>"01/01/1995",
:deactivation_date=>"11/01/2011",
:last_modified_date=>"",
:notes=>""},
"290"=>
{:code=>"290",
:description=>"Pre-existing information.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"291"=>
{:code=>"291",
:description=>"Reason for termination of pregnancy.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"292"=>
{:code=>"292",
:description=>"Purpose of family conference/therapy.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"293"=>
{:code=>"293",
:description=>"Reason for physical therapy.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"294"=>
{:code=>"294",
:description=>
"Supporting documentation. Note: At least one other status code is required to identify the supporting documentation.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"10/17/2010",
:notes=>""},
"295"=>
{:code=>"295",
:description=>"Attending physician report.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"296"=>
{:code=>"296",
:description=>"Nurse's notes.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"297"=>
{:code=>"297",
:description=>"Medical notes/report.",
:effective_date=>"02/28/1997",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"298"=>
{:code=>"298",
:description=>"Operative report.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"299"=>
{:code=>"299",
:description=>"Emergency room notes/report.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"300"=>
{:code=>"300",
:description=>"Lab/test report/notes/results.",
:effective_date=>"02/28/1997",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"301"=>
{:code=>"301",
:description=>"MRI report.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"302"=>
{:code=>"302",
:description=>
"Refer to codes 300 for lab notes and 311 for pathology notes",
:effective_date=>"01/01/1995",
:deactivation_date=>"01/31/1997",
:last_modified_date=>"",
:notes=>""},
"303"=>
{:code=>"303",
:description=>
"Physical therapy notes. Use code 297:6O (6 'OH' - not zero)",
:effective_date=>"01/01/1995",
:deactivation_date=>"02/28/1997",
:last_modified_date=>"07/09/2007",
:notes=>""},
"304"=>
{:code=>"304",
:description=>"Reports for service.",
:effective_date=>"01/01/1995",
:deactivation_date=>"11/01/2011",
:last_modified_date=>"",
:notes=>"Refer to codes 297, 298, 299, 300"},
"305"=>
{:code=>"305",
:description=>"Radiology/x-ray reports and/or interpretation",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"01/30/2011",
:notes=>""},
"306"=>
{:code=>"306",
:description=>"Detailed description of service.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"307"=>
{:code=>"307",
:description=>"Narrative with pocket depth chart.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"308"=>
{:code=>"308",
:description=>"Discharge summary.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"309"=>
{:code=>"309",
:description=>"Code was duplicate of code 299",
:effective_date=>"01/01/1995",
:deactivation_date=>"01/31/1997",
:last_modified_date=>"",
:notes=>""},
"310"=>
{:code=>"310",
:description=>
"Progress notes for the six months prior to statement date.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"311"=>
{:code=>"311",
:description=>"Pathology notes/report.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"312"=>
{:code=>"312",
:description=>"Dental charting.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"313"=>
{:code=>"313",
:description=>"Bridgework information.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"314"=>
{:code=>"314",
:description=>"Dental records for this service.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"315"=>
{:code=>"315",
:description=>"Past perio treatment history.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"316"=>
{:code=>"316",
:description=>"Complete medical history.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"317"=>
{:code=>"317",
:description=>"Patient's medical records.",
:effective_date=>"01/01/1995",
:deactivation_date=>"11/01/2011",
:last_modified_date=>"",
:notes=>"Refer to code 297 or other specific report type codes"},
"318"=>
{:code=>"318",
:description=>"X-rays/radiology films",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"10/17/2010",
:notes=>""},
"319"=>
{:code=>"319",
:description=>"Pre/post-operative x-rays/photographs.",
:effective_date=>"02/28/1997",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"320"=>
{:code=>"320",
:description=>"Study models.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"321"=>
{:code=>"321",
:description=>"Radiographs or models. (Use codes 318 and/or 320)",
:effective_date=>"01/01/1995",
:deactivation_date=>"07/01/2011",
:last_modified_date=>"10/17/2010",
:notes=>""},
"322"=>
{:code=>"322",
:description=>"Recent Full Mouth X-rays",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"10/17/2010",
:notes=>""},
"323"=>
{:code=>"323",
:description=>"Study models, x-rays, and/or narrative.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"324"=>
{:code=>"324",
:description=>"Recent x-ray of treatment area and/or narrative.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"325"=>
{:code=>"325",
:description=>"Recent fm x-rays and/or narrative.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"326"=>
{:code=>"326",
:description=>"Copy of transplant acquisition invoice.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"327"=>
{:code=>"327",
:description=>
"Periodontal case type diagnosis and recent pocket depth chart with narrative.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"328"=>
{:code=>"328",
:description=>"Speech therapy notes. Use code 297:6R",
:effective_date=>"01/01/1995",
:deactivation_date=>"02/28/1997",
:last_modified_date=>"07/09/2007",
:notes=>""},
"329"=>
{:code=>"329",
:description=>"Exercise notes.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"330"=>
{:code=>"330",
:description=>"Occupational notes.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"331"=>
{:code=>"331",
:description=>"History and physical.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"08/01/2007",
:notes=>""},
"332"=>
{:code=>"332",
:description=>
"Authorization/certification (include period covered). (Use code 252)",
:effective_date=>"02/28/1997",
:deactivation_date=>"01/01/2008",
:last_modified_date=>"07/09/2007",
:notes=>""},
"333"=>
{:code=>"333",
:description=>"Patient release of information authorization.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"334"=>
{:code=>"334",
:description=>"Oxygen certification.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"335"=>
{:code=>"335",
:description=>"Durable medical equipment certification.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"336"=>
{:code=>"336",
:description=>"Chiropractic certification.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"337"=>
{:code=>"337",
:description=>"Ambulance certification/documentation.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"338"=>
{:code=>"338",
:description=>"Home health certification. Use code 332:4Y",
:effective_date=>"01/01/1995",
:deactivation_date=>"02/28/1997",
:last_modified_date=>"07/09/2007",
:notes=>""},
"339"=>
{:code=>"339",
:description=>"Enteral/parenteral certification.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"340"=>
{:code=>"340",
:description=>"Pacemaker certification.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"341"=>
{:code=>"341",
:description=>"Private duty nursing certification.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"342"=>
{:code=>"342",
:description=>"Podiatric certification.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"343"=>
{:code=>"343",
:description=>
"Documentation that facility is state licensed and Medicare approved as a surgical facility.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"344"=>
{:code=>"344",
:description=>
"Documentation that provider of physical therapy is Medicare Part B approved.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"345"=>
{:code=>"345",
:description=>"Treatment plan for service/diagnosis",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"346"=>
{:code=>"346",
:description=>"Proposed treatment plan for next 6 months.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"347"=>
{:code=>"347",
:description=>
"Refer to code 345 for treatment plan and code 282 for prescription",
:effective_date=>"01/01/1995",
:deactivation_date=>"01/31/1997",
:last_modified_date=>"",
:notes=>""},
"348"=>
{:code=>"348",
:description=>"Chiropractic treatment plan. (Use 345:QL)",
:effective_date=>"01/01/1995",
:deactivation_date=>"01/01/2008",
:last_modified_date=>"07/09/2007",
:notes=>""},
"349"=>
{:code=>"349",
:description=>
"Psychiatric treatment plan. Use codes 345:5I, 5J, 5K, 5L, 5M, 5N, 5O (5 'OH' - not zero), 5P",
:effective_date=>"01/01/1995",
:deactivation_date=>"02/28/1997",
:last_modified_date=>"07/09/2007",
:notes=>""},
"350"=>
{:code=>"350",
:description=>"Speech pathology treatment plan. Use code 345:6R",
:effective_date=>"01/01/1995",
:deactivation_date=>"02/28/1997",
:last_modified_date=>"07/09/2007",
:notes=>""},
"351"=>
{:code=>"351",
:description=>
"Physical/occupational therapy treatment plan. Use codes 345:6O (6 'OH' - not zero), 6N",
:effective_date=>"01/01/1995",
:deactivation_date=>"02/28/1997",
:last_modified_date=>"07/09/2007",
:notes=>""},
"352"=>
{:code=>"352",
:description=>"Duration of treatment plan.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"353"=>
{:code=>"353",
:description=>"Orthodontics treatment plan.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"354"=>
{:code=>"354",
:description=>
"Treatment plan for replacement of remaining missing teeth.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"355"=>
{:code=>"355",
:description=>"Has claim been paid?",
:effective_date=>"01/01/1995",
:deactivation_date=>"11/01/2011",
:last_modified_date=>"",
:notes=>""},
"356"=>
{:code=>"356",
:description=>"Was blood furnished?",
:effective_date=>"01/01/1995",
:deactivation_date=>"11/01/2011",
:last_modified_date=>"",
:notes=>"Refer to code 235"},
"357"=>
{:code=>"357",
:description=>"Has or will blood be replaced?",
:effective_date=>"01/01/1995",
:deactivation_date=>"11/01/2011",
:last_modified_date=>"",
:notes=>"Refer to code 236"},
"358"=>
{:code=>"358",
:description=>
"Does provider accept assignment of benefits? (Use code 589)",
:effective_date=>"01/01/1995",
:deactivation_date=>"07/01/2011",
:last_modified_date=>"10/17/2010",
:notes=>""},
"359"=>
{:code=>"359",
:description=>
"Is there a release of information signature on file? (Use code 333)",
:effective_date=>"01/01/1995",
:deactivation_date=>"07/01/2011",
:last_modified_date=>"10/17/2010",
:notes=>""},
"360"=>
{:code=>"360",
:description=>"Benefits Assignment Certification Indicator",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"10/17/2010",
:notes=>""},
"361"=>
{:code=>"361",
:description=>"Is there other insurance?",
:effective_date=>"01/01/1995",
:deactivation_date=>"11/01/2011",
:last_modified_date=>"",
:notes=>"Refer to codes 171 and 550"},
"362"=>
{:code=>"362",
:description=>"Is the dental patient covered by medical insurance?",
:effective_date=>"01/01/1995",
:deactivation_date=>"11/01/2011",
:last_modified_date=>"",
:notes=>"Refer to code 171"},
"363"=>
{:code=>"363",
:description=>"Possible Workers' Compensation",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"10/17/2010",
:notes=>""},
"364"=>
{:code=>"364",
:description=>"Is accident/illness/condition employment related?",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"365"=>
{:code=>"365",
:description=>"Is service the result of an accident?",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"366"=>
{:code=>"366",
:description=>"Is injury due to auto accident?",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"367"=>
{:code=>"367",
:description=>
"Is service performed for a recurring condition or new condition?",
:effective_date=>"01/01/1995",
:deactivation_date=>"11/01/2011",
:last_modified_date=>"",
:notes=>"Refer to code 397"},
"368"=>
{:code=>"368",
:description=>
"Is medical doctor (MD) or doctor of osteopath (DO) on staff of this facility?",
:effective_date=>"01/01/1995",
:deactivation_date=>"11/01/2011",
:last_modified_date=>"",
:notes=>"Refer to code 676"},
"369"=>
{:code=>"369",
:description=>"Does patient condition preclude use of ordinary bed?",
:effective_date=>"01/01/1995",
:deactivation_date=>"11/01/2011",
:last_modified_date=>"",
:notes=>"Refer to codes 287, 335"},
"370"=>
{:code=>"370",
:description=>"Can patient operate controls of bed?",
:effective_date=>"01/01/1995",
:deactivation_date=>"11/01/2011",
:last_modified_date=>"",
:notes=>"Refer to codes 287, 335"},
"371"=>
{:code=>"371",
:description=>"Is patient confined to room?",
:effective_date=>"01/01/1995",
:deactivation_date=>"11/01/2011",
:last_modified_date=>"",
:notes=>"Refer to codes 287, 335, 527"},
"372"=>
{:code=>"372",
:description=>"Is patient confined to bed?",
:effective_date=>"01/01/1995",
:deactivation_date=>"11/01/2011",
:last_modified_date=>"",
:notes=>"Refer to codes 287, 335, 527"},
"373"=>
{:code=>"373",
:description=>"Is patient an insulin diabetic?",
:effective_date=>"01/01/1995",
:deactivation_date=>"11/01/2011",
:last_modified_date=>"",
:notes=>""},
"374"=>
{:code=>"374",
:description=>"Is prescribed lenses a result of cataract surgery?",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"375"=>
{:code=>"375",
:description=>"Was refraction performed?",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"376"=>
{:code=>"376",
:description=>"Was charge for ambulance for a round-trip?",
:effective_date=>"01/01/1995",
:deactivation_date=>"11/01/2011",
:last_modified_date=>"",
:notes=>"Refer to code 453"},
"377"=>
{:code=>"377",
:description=>"Was durable medical equipment purchased new or used?",
:effective_date=>"01/01/1995",
:deactivation_date=>"11/01/2011",
:last_modified_date=>"",
:notes=>"Refer to codes 184, 185, 186, 335"},
"378"=>
{:code=>"378",
:description=>"Is pacemaker temporary or permanent?",
:effective_date=>"01/01/1995",
:deactivation_date=>"11/01/2011",
:last_modified_date=>"",
:notes=>"Refer to code 340"},
"379"=>
{:code=>"379",
:description=>"Were services performed supervised by a physician?",
:effective_date=>"01/01/1995",
:deactivation_date=>"11/01/2011",
:last_modified_date=>"",
:notes=>"Refer to codes 453, 454, 666 & procedure code"},
"380"=>
{:code=>"380",
:description=>"CRNA supervision/medical direction.",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"10/17/2010",
:notes=>""},
"381"=>
{:code=>"381",
:description=>"Is drug generic?",
:effective_date=>"01/01/1995",
:deactivation_date=>"11/01/2011",
:last_modified_date=>"",
:notes=>"Refer to code 216"},
"382"=>
{:code=>"382",
:description=>"Did provider authorize generic or brand name dispensing?",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"383"=>
{:code=>"383",
:description=>"Nerve block use (surgery vs. pain management)",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"10/17/2010",
:notes=>""},
"384"=>
{:code=>"384",
:description=>
"Is prosthesis/crown/inlay placement an initial placement or a replacement?",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"385"=>
{:code=>"385",
:description=>
"Is appliance upper or lower arch & is appliance fixed or removable?",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"386"=>
{:code=>"386",
:description=>"Orthodontic Treatment/Purpose Indicator",
:effective_date=>"01/01/1995",
:deactivation_date=>"",
:last_modified_date=>"10/17/2010",
:notes=>""},
"387"=>
{:code=>"387",
:description=>
"Date patient last examined by entity. Note: This code requires use of an Entity Code.",
:effective_date=>"02/28/1997",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"388"=>
{:code=>"388",
:description=>"Date post-operative care assumed",
:effective_date=>"02/28/1997",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"389"=>
{:code=>"389",
:description=>"Date post-operative care relinquished",
:effective_date=>"02/28/1997",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"390"=>
{:code=>"390",
:description=>
"Date of most recent medical event necessitating service(s)",
:effective_date=>"02/28/1997",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"391"=>
{:code=>"391",
:description=>"Date(s) dialysis conducted",
:effective_date=>"02/28/1997",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"392"=>
{:code=>"392",
:description=>"Date(s) of blood transfusion(s)",
:effective_date=>"02/28/1997",
:deactivation_date=>"11/01/2011",
:last_modified_date=>"",
:notes=>""},
"393"=>
{:code=>"393",
:description=>"Date of previous pacemaker check",
:effective_date=>"02/28/1997",
:deactivation_date=>"11/01/2011",
:last_modified_date=>"",
:notes=>""},
"394"=>
{:code=>"394",
:description=>"Date(s) of most recent hospitalization related to service",
:effective_date=>"02/28/1997",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"395"=>
{:code=>"395",
:description=>
"Date entity signed certification/recertification Note: This code requires use of an Entity Code.",
:effective_date=>"02/28/1997",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"396"=>
{:code=>"396",
:description=>"Date home dialysis began",
:effective_date=>"02/28/1997",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"397"=>
{:code=>"397",
:description=>"Date of onset/exacerbation of illness/condition",
:effective_date=>"02/28/1997",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"398"=>
{:code=>"398",
:description=>"Visual field test results",
:effective_date=>"02/28/1997",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"399"=>
{:code=>"399",
:description=>
"Report of prior testing related to this service, including dates",
:effective_date=>"02/28/1997",
:deactivation_date=>"11/01/2011",
:last_modified_date=>"",
:notes=>"Refer to code 417"},
"400"=>
{:code=>"400",
:description=>"Claim is out of balance",
:effective_date=>"02/28/1997",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"401"=>
{:code=>"401",
:description=>"Source of payment is not valid",
:effective_date=>"02/28/1997",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"402"=>
{:code=>"402",
:description=>
"Amount must be greater than zero. Note: At least one other status code is required to identify which amount element is in error.",
:effective_date=>"02/28/1997",
:deactivation_date=>"",
:last_modified_date=>"09/20/2009",
:notes=>""},
"403"=>
{:code=>"403",
:description=>"Entity referral notes/orders/prescription",
:effective_date=>"02/28/1997",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"404"=>
{:code=>"404",
:description=>
"Specific findings, complaints, or symptoms necessitating service",
:effective_date=>"02/28/1997",
:deactivation_date=>"11/01/2011",
:last_modified_date=>"",
:notes=>"Refer to codes 287, 488"},
"405"=>
{:code=>"405",
:description=>"Summary of services",
:effective_date=>"02/28/1997",
:deactivation_date=>"11/01/2011",
:last_modified_date=>"",
:notes=>"Refer to code 306"},
"406"=>
{:code=>"406",
:description=>"Brief medical history as related to service(s)",
:effective_date=>"02/28/1997",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"407"=>
{:code=>"407",
:description=>"Complications/mitigating circumstances",
:effective_date=>"02/28/1997",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"408"=>
{:code=>"408",
:description=>"Initial certification",
:effective_date=>"02/28/1997",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"409"=>
{:code=>"409",
:description=>"Medication logs/records (including medication therapy)",
:effective_date=>"02/28/1997",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"410"=>
{:code=>"410",
:description=>
"Explain differences between treatment plan and patient's condition",
:effective_date=>"02/28/1997",
:deactivation_date=>"11/01/2011",
:last_modified_date=>"",
:notes=>"Refer to code 297 or other specific report type codes"},
"411"=>
{:code=>"411",
:description=>"Medical necessity for non-routine service(s)",
:effective_date=>"02/28/1997",
:deactivation_date=>"11/01/2011",
:last_modified_date=>"",
:notes=>"Refer to code 287"},
"412"=>
{:code=>"412",
:description=>"Medical records to substantiate decision of non-coverage",
:effective_date=>"02/28/1997",
:deactivation_date=>"11/01/2011",
:last_modified_date=>"",
:notes=>"Refer to code 297 or other specific report type codes"},
"413"=>
{:code=>"413",
:description=>
"Explain/justify differences between treatment plan and services rendered.",
:effective_date=>"02/28/1997",
:deactivation_date=>"11/01/2011",
:last_modified_date=>"",
:notes=>"Refer to code 297 or other specific report type codes"},
"414"=>
{:code=>"414",
:description=>
"Necessity for concurrent care (more than one physician treating the patient)",
:effective_date=>"02/28/1997",
:deactivation_date=>"",
:last_modified_date=>"10/17/2010",
:notes=>""},
"415"=>
{:code=>"415",
:description=>"Justify services outside composite rate",
:effective_date=>"02/28/1997",
:deactivation_date=>"11/01/2011",
:last_modified_date=>"",
:notes=>"Refer to code 287"},
"416"=>
{:code=>"416",
:description=>
"Verification of patient's ability to retain and use information",
:effective_date=>"02/28/1997",
:deactivation_date=>"11/01/2011",
:last_modified_date=>"",
:notes=>"Refer to code 297 or other specific report type codes"},
"417"=>
{:code=>"417",
:description=>
"Prior testing, including result(s) and date(s) as related to service(s)",
:effective_date=>"02/28/1997",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"418"=>
{:code=>"418",
:description=>"Indicating why medications cannot be taken orally",
:effective_date=>"02/28/1997",
:deactivation_date=>"11/01/2011",
:last_modified_date=>"",
:notes=>"Refer to code 297 or other specific report type codes"},
"419"=>
{:code=>"419",
:description=>
"Individual test(s) comprising the panel and the charges for each test",
:effective_date=>"02/28/1997",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"420"=>
{:code=>"420",
:description=>
"Name, dosage and medical justification of contrast material used for radiology procedure",
:effective_date=>"02/28/1997",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"421"=>
{:code=>"421",
:description=>"Medical review attachment/information for service(s)",
:effective_date=>"02/28/1997",
:deactivation_date=>"11/01/2011",
:last_modified_date=>"",
:notes=>"Refer to code 297 or other specific report type codes"},
"422"=>
{:code=>"422",
:description=>"Homebound status",
:effective_date=>"02/28/1997",
:deactivation_date=>"11/01/2011",
:last_modified_date=>"",
:notes=>"Refer to code 575"},
"423"=>
{:code=>"423",
:description=>"Prognosis",
:effective_date=>"02/28/1997",
:deactivation_date=>"01/01/2008",
:last_modified_date=>"07/09/2007",
:notes=>""},
"424"=>
{:code=>"424",
:description=>"Statement of non-coverage including itemized bill",
:effective_date=>"02/28/1997",
:deactivation_date=>"11/01/2011",
:last_modified_date=>"",
:notes=>"Refer to code 279 & 286"},
"425"=>
{:code=>"425",
:description=>"Itemize non-covered services",
:effective_date=>"02/28/1997",
:deactivation_date=>"11/01/2011",
:last_modified_date=>"",
:notes=>"Refer to code 279 & 286"},
"426"=>
{:code=>"426",
:description=>"All current diagnoses",
:effective_date=>"02/28/1997",
:deactivation_date=>"11/01/2011",
:last_modified_date=>"",
:notes=>"Refer to code 255, 232 & 488"},
"427"=>
{:code=>"427",
:description=>"Emergency care provided during transport",
:effective_date=>"02/28/1997",
:deactivation_date=>"11/01/2011",
:last_modified_date=>"",
:notes=>""},
"428"=>
{:code=>"428",
:description=>"Reason for transport by ambulance",
:effective_date=>"02/28/1997",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"429"=>
{:code=>"429",
:description=>
"Loaded miles and charges for transport to nearest facility with appropriate services",
:effective_date=>"02/28/1997",
:deactivation_date=>"11/01/2011",
:last_modified_date=>"",
:notes=>"Refer to codes 267, 178, 430"},
"430"=>
{:code=>"430",
:description=>"Nearest appropriate facility",
:effective_date=>"02/28/1997",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"431"=>
{:code=>"431",
:description=>"Patient's condition/functional status at time of service.",
:effective_date=>"02/28/1997",
:deactivation_date=>"",
:last_modified_date=>"10/17/2010",
:notes=>""},
"432"=>
{:code=>"432",
:description=>"Date benefits exhausted",
:effective_date=>"02/28/1997",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"433"=>
{:code=>"433",
:description=>"Copy of patient revocation of hospice benefits",
:effective_date=>"02/28/1997",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"434"=>
{:code=>"434",
:description=>"Reasons for more than one transfer per entitlement period",
:effective_date=>"02/28/1997",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"435"=>
{:code=>"435",
:description=>"Notice of Admission",
:effective_date=>"02/28/1997",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"436"=>
{:code=>"436",
:description=>"Short term goals",
:effective_date=>"02/28/1997",
:deactivation_date=>"11/01/2011",
:last_modified_date=>"",
:notes=>"Refer to code 345"},
"437"=>
{:code=>"437",
:description=>"Long term goals",
:effective_date=>"02/28/1997",
:deactivation_date=>"11/01/2011",
:last_modified_date=>"",
:notes=>"Refer to code 345"},
"438"=>
{:code=>"438",
:description=>"Number of patients attending session",
:effective_date=>"02/28/1997",
:deactivation_date=>"11/01/2011",
:last_modified_date=>"",
:notes=>""},
"439"=>
{:code=>"439",
:description=>"Size, depth, amount, and type of drainage wounds",
:effective_date=>"02/28/1997",
:deactivation_date=>"11/01/2011",
:last_modified_date=>"",
:notes=>"Refer to code 297 or other specific report type codes"},
"440"=>
{:code=>"440",
:description=>"why non-skilled caregiver has not been taught procedure",
:effective_date=>"02/28/1997",
:deactivation_date=>"11/01/2011",
:last_modified_date=>"",
:notes=>""},
"441"=>
{:code=>"441",
:description=>"Entity professional qualification for service(s)",
:effective_date=>"02/28/1997",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"442"=>
{:code=>"442",
:description=>"Modalities of service",
:effective_date=>"02/28/1997",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"443"=>
{:code=>"443",
:description=>"Initial evaluation report",
:effective_date=>"02/28/1997",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"444"=>
{:code=>"444",
:description=>"Method used to obtain test sample",
:effective_date=>"02/28/1997",
:deactivation_date=>"11/01/2011",
:last_modified_date=>"",
:notes=>""},
"445"=>
{:code=>"445",
:description=>"Explain why hearing loss not correctable by hearing aid",
:effective_date=>"02/28/1997",
:deactivation_date=>"11/01/2011",
:last_modified_date=>"",
:notes=>"Refer to code 287"},
"446"=>
{:code=>"446",
:description=>"Documentation from prior claim(s) related to service(s)",
:effective_date=>"02/28/1997",
:deactivation_date=>"11/01/2011",
:last_modified_date=>"",
:notes=>""},
"447"=>
{:code=>"447",
:description=>"Plan of teaching",
:effective_date=>"02/28/1997",
:deactivation_date=>"11/01/2011",
:last_modified_date=>"",
:notes=>""},
"448"=>
{:code=>"448",
:description=>
"Invalid billing combination. See STC12 for details. This code should only be used to indicate an inconsistency between two or more data elements on the claim. A detailed explanation is required in STC12 when this code is used.",
:effective_date=>"02/28/1997",
:deactivation_date=>"01/01/2012",
:last_modified_date=>"01/24/2010",
:notes=>""},
"449"=>
{:code=>"449",
:description=>"Projected date to discontinue service(s)",
:effective_date=>"02/28/1997",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"450"=>
{:code=>"450",
:description=>"Awaiting spend down determination",
:effective_date=>"02/28/1997",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"451"=>
{:code=>"451",
:description=>"Preoperative and post-operative diagnosis",
:effective_date=>"02/28/1997",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"452"=>
{:code=>"452",
:description=>
"Total visits in total number of hours/day and total number of hours/week",
:effective_date=>"02/28/1997",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"453"=>
{:code=>"453",
:description=>"Procedure Code Modifier(s) for Service(s) Rendered",
:effective_date=>"02/28/1997",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"454"=>
{:code=>"454",
:description=>"Procedure code for services rendered.",
:effective_date=>"02/28/1997",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"455"=>
{:code=>"455",
:description=>"Revenue code for services rendered.",
:effective_date=>"02/28/1997",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"456"=>
{:code=>"456",
:description=>"Covered Day(s)",
:effective_date=>"02/28/1997",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"457"=>
{:code=>"457",
:description=>"Non-Covered Day(s)",
:effective_date=>"02/28/1997",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"458"=>
{:code=>"458",
:description=>"Coinsurance Day(s)",
:effective_date=>"02/28/1997",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"459"=>
{:code=>"459",
:description=>"Lifetime Reserve Day(s)",
:effective_date=>"02/28/1997",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"460"=>
{:code=>"460",
:description=>"NUBC Condition Code(s)",
:effective_date=>"02/28/1997",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"461"=>
{:code=>"461",
:description=>"NUBC Occurrence Code(s) and Date(s)",
:effective_date=>"02/28/1997",
:deactivation_date=>"01/01/2012",
:last_modified_date=>"01/24/2010",
:notes=>""},
"462"=>
{:code=>"462",
:description=>"NUBC Occurrence Span Code(s) and Date(s)",
:effective_date=>"02/28/1997",
:deactivation_date=>"01/01/2012",
:last_modified_date=>"01/24/2010",
:notes=>""},
"463"=>
{:code=>"463",
:description=>"NUBC Value Code(s) and/or Amount(s)",
:effective_date=>"02/28/1997",
:deactivation_date=>"01/01/2012",
:last_modified_date=>"01/24/2010",
:notes=>""},
"464"=>
{:code=>"464",
:description=>"Payer Assigned Claim Control Number",
:effective_date=>"02/28/1997",
:deactivation_date=>"",
:last_modified_date=>"10/31/2004",
:notes=>""},
"465"=>
{:code=>"465",
:description=>"Principal Procedure Code for Service(s) Rendered",
:effective_date=>"02/28/1997",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"466"=>
{:code=>"466",
:description=>
"Entity's Original Signature. Note: This code requires use of an Entity Code.",
:effective_date=>"02/28/1997",
:deactivation_date=>"",
:last_modified_date=>"01/30/2011",
:notes=>""},
"467"=>
{:code=>"467",
:description=>
"Entity Signature Date. Note: This code requires use of an Entity Code.",
:effective_date=>"02/28/1997",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"468"=>
{:code=>"468",
:description=>"Patient Signature Source",
:effective_date=>"02/28/1997",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"469"=>
{:code=>"469",
:description=>"Purchase Service Charge",
:effective_date=>"02/28/1997",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"470"=>
{:code=>"470",
:description=>
"Was service purchased from another entity? Note: This code requires use of an Entity Code.",
:effective_date=>"02/28/1997",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"471"=>
{:code=>"471",
:description=>"Were services related to an emergency?",
:effective_date=>"02/28/1997",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"472"=>
{:code=>"472",
:description=>"Ambulance Run Sheet",
:effective_date=>"02/28/1997",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"473"=>
{:code=>"473",
:description=>"Missing or invalid lab indicator",
:effective_date=>"06/30/1998",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"474"=>
{:code=>"474",
:description=>"Procedure code and patient gender mismatch",
:effective_date=>"06/30/1998",
:deactivation_date=>"",
:last_modified_date=>"02/29/2000",
:notes=>""},
"475"=>
{:code=>"475",
:description=>"Procedure code not valid for patient age",
:effective_date=>"06/30/1998",
:deactivation_date=>"",
:last_modified_date=>"02/29/2000",
:notes=>""},
"476"=>
{:code=>"476",
:description=>"Missing or invalid units of service",
:effective_date=>"06/30/1998",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"477"=>
{:code=>"477",
:description=>"Diagnosis code pointer is missing or invalid",
:effective_date=>"06/30/1998",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"478"=>
{:code=>"478",
:description=>"Claim submitter's identifier",
:effective_date=>"06/30/1998",
:deactivation_date=>"",
:last_modified_date=>"01/24/2010",
:notes=>""},
"479"=>
{:code=>"479",
:description=>"Other Carrier payer ID is missing or invalid",
:effective_date=>"06/30/1998",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"480"=>
{:code=>"480",
:description=>
"Entity's claim filing indicator. Note: This code requires use of an Entity Code.",
:effective_date=>"06/30/1998",
:deactivation_date=>"",
:last_modified_date=>"06/06/2010",
:notes=>""},
"481"=>
{:code=>"481",
:description=>"Claim/submission format is invalid.",
:effective_date=>"10/31/1998",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"482"=>
{:code=>"482",
:description=>"Date Error, Century Missing",
:effective_date=>"02/28/1999",
:deactivation_date=>"10/01/2010",
:last_modified_date=>"09/20/2009",
:notes=>""},
"483"=>
{:code=>"483",
:description=>
"Maximum coverage amount met or exceeded for benefit period.",
:effective_date=>"06/30/1999",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"484"=>
{:code=>"484",
:description=>"Business Application Currently Not Available",
:effective_date=>"02/29/2000",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"485"=>
{:code=>"485",
:description=>
"More information available than can be returned in real time mode. Narrow your current search criteria.",
:effective_date=>"02/28/2001",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"486"=>
{:code=>"486",
:description=>"Principal Procedure Date",
:effective_date=>"10/31/2001",
:deactivation_date=>"",
:last_modified_date=>"07/01/2009",
:notes=>""},
"487"=>
{:code=>"487",
:description=>
"Claim not found, claim should have been submitted to/through 'entity'. Note: This code requires use of an Entity Code.",
:effective_date=>"02/28/2002",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"488"=>
{:code=>"488",
:description=>"Diagnosis code(s) for the services rendered.",
:effective_date=>"06/30/2002",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"489"=>
{:code=>"489",
:description=>"Attachment Control Number",
:effective_date=>"10/31/2002",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"490"=>
{:code=>"490",
:description=>"Other Procedure Code for Service(s) Rendered",
:effective_date=>"02/28/2003",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"491"=>
{:code=>"491",
:description=>
"Entity not eligible for encounter submission. Note: This code requires use of an Entity Code.",
:effective_date=>"02/28/2003",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"492"=>
{:code=>"492",
:description=>"Other Procedure Date",
:effective_date=>"02/28/2003",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"493"=>
{:code=>"493",
:description=>
"Version/Release/Industry ID code not currently supported by information holder",
:effective_date=>"02/28/2003",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"494"=>
{:code=>"494",
:description=>
"Real-Time requests not supported by the information holder, resubmit as batch request",
:effective_date=>"02/28/2003",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"495"=>
{:code=>"495",
:description=>
"Requests for re-adjudication must reference the newly assigned payer claim control number for this previously adjusted claim. Correct the payer claim control number and re-submit.",
:effective_date=>"10/31/2003",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"496"=>
{:code=>"496",
:description=>
"Submitter not approved for electronic claim submissions on behalf of this entity. Note: This code requires use of an Entity Code.",
:effective_date=>"02/29/2004",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"497"=>
{:code=>"497",
:description=>"Sales tax not paid",
:effective_date=>"06/30/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"498"=>
{:code=>"498",
:description=>"Maximum leave days exhausted",
:effective_date=>"06/30/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"499"=>
{:code=>"499",
:description=>
"No rate on file with the payer for this service for this entity Note: This code requires use of an Entity Code.",
:effective_date=>"06/30/2004",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"500"=>
{:code=>"500",
:description=>
"Entity's Postal/Zip Code. Note: This code requires use of an Entity Code.",
:effective_date=>"06/30/2004",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"501"=>
{:code=>"501",
:description=>
"Entity's State/Province. Note: This code requires use of an Entity Code.",
:effective_date=>"06/30/2004",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"502"=>
{:code=>"502",
:description=>
"Entity's City. Note: This code requires use of an Entity Code.",
:effective_date=>"06/30/2004",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"503"=>
{:code=>"503",
:description=>
"Entity's Street Address. Note: This code requires use of an Entity Code.",
:effective_date=>"06/30/2004",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"504"=>
{:code=>"504",
:description=>
"Entity's Last Name. Note: This code requires use of an Entity Code.",
:effective_date=>"06/30/2004",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"505"=>
{:code=>"505",
:description=>
"Entity's First Name. Note: This code requires use of an Entity Code.",
:effective_date=>"06/30/2004",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"506"=>
{:code=>"506",
:description=>
"Entity is changing processor/clearinghouse. This claim must be submitted to the new processor/clearinghouse. Note: This code requires use of an Entity Code.",
:effective_date=>"06/30/2004",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"507"=>
{:code=>"507",
:description=>"HCPCS",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"508"=>
{:code=>"508",
:description=>
"ICD9 NOTE: At least one other status code is required to identify the related procedure code or diagnosis code.",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"07/01/2009",
:notes=>""},
"509"=>
{:code=>"509",
:description=>"External Cause of Injury Code (E-code).",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"01/30/2011",
:notes=>""},
"510"=>
{:code=>"510",
:description=>
"Future date. Note: At least one other status code is required to identify the data element in error.",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"09/20/2009",
:notes=>""},
"511"=>
{:code=>"511",
:description=>
"Invalid character. Note: At least one other status code is required to identify the data element in error.",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"09/20/2009",
:notes=>""},
"512"=>
{:code=>"512",
:description=>
"Length invalid for receiver's application system. Note: At least one other status code is required to identify the data element in error.",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"09/20/2009",
:notes=>""},
"513"=>
{:code=>"513",
:description=>"HIPPS Rate Code for services Rendered",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"514"=>
{:code=>"514",
:description=>
"Entity's Middle Name Note: This code requires use of an Entity Code.",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"01/30/2011",
:notes=>""},
"515"=>
{:code=>"515",
:description=>"Managed Care review",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"516"=>
{:code=>"516",
:description=>
"Other Entity's Adjudication or Payment/Remittance Date. Note: An Entity code is required to identify the Other Payer Entity, i.e. primary, secondary.",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"11/29/2009",
:notes=>""},
"517"=>
{:code=>"517",
:description=>"Adjusted Repriced Claim Reference Number",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"518"=>
{:code=>"518",
:description=>"Adjusted Repriced Line item Reference Number",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"519"=>
{:code=>"519",
:description=>"Adjustment Amount",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"520"=>
{:code=>"520",
:description=>"Adjustment Quantity",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"521"=>
{:code=>"521",
:description=>"Adjustment Reason Code",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"522"=>
{:code=>"522",
:description=>"Anesthesia Modifying Units",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"523"=>
{:code=>"523",
:description=>"Anesthesia Unit Count",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"524"=>
{:code=>"524",
:description=>"Arterial Blood Gas Quantity",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"525"=>
{:code=>"525",
:description=>"Begin Therapy Date",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"526"=>
{:code=>"526",
:description=>"Bundled or Unbundled Line Number",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"527"=>
{:code=>"527",
:description=>"Certification Condition Indicator",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"528"=>
{:code=>"528",
:description=>"Certification Period Projected Visit Count",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"529"=>
{:code=>"529",
:description=>"Certification Revision Date",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"530"=>
{:code=>"530",
:description=>"Claim Adjustment Indicator",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"531"=>
{:code=>"531",
:description=>"Claim Disproportinate Share Amount",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"532"=>
{:code=>"532",
:description=>"Claim DRG Amount",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"533"=>
{:code=>"533",
:description=>"Claim DRG Outlier Amount",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"534"=>
{:code=>"534",
:description=>"Claim ESRD Payment Amount",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"535"=>
{:code=>"535",
:description=>"Claim Frequency Code",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"536"=>
{:code=>"536",
:description=>"Claim Indirect Teaching Amount",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"537"=>
{:code=>"537",
:description=>"Claim MSP Pass-through Amount",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"538"=>
{:code=>"538",
:description=>"Claim or Encounter Identifier",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"539"=>
{:code=>"539",
:description=>"Claim PPS Capital Amount",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"540"=>
{:code=>"540",
:description=>"Claim PPS Capital Outlier Amount",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"541"=>
{:code=>"541",
:description=>"Claim Submission Reason Code",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"542"=>
{:code=>"542",
:description=>"Claim Total Denied Charge Amount",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"543"=>
{:code=>"543",
:description=>"Clearinghouse or Value Added Network Trace",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"544"=>
{:code=>"544",
:description=>"Clinical Laboratory Improvement Amendment",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"545"=>
{:code=>"545",
:description=>"Contract Amount",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"546"=>
{:code=>"546",
:description=>"Contract Code",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"547"=>
{:code=>"547",
:description=>"Contract Percentage",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"548"=>
{:code=>"548",
:description=>"Contract Type Code",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"549"=>
{:code=>"549",
:description=>"Contract Version Identifier",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"550"=>
{:code=>"550",
:description=>"Coordination of Benefits Code",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"551"=>
{:code=>"551",
:description=>"Coordination of Benefits Total Submitted Charge",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"552"=>
{:code=>"552",
:description=>"Cost Report Day Count",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"553"=>
{:code=>"553",
:description=>"Covered Amount",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"554"=>
{:code=>"554",
:description=>"Date Claim Paid",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"555"=>
{:code=>"555",
:description=>"Delay Reason Code",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"556"=>
{:code=>"556",
:description=>"Demonstration Project Identifier",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"557"=>
{:code=>"557",
:description=>"Diagnosis Date",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"558"=>
{:code=>"558",
:description=>"Discount Amount",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"559"=>
{:code=>"559",
:description=>"Document Control Identifier",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"560"=>
{:code=>"560",
:description=>
"Entity's Additional/Secondary Identifier. Note: This code requires use of an Entity Code.",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"561"=>
{:code=>"561",
:description=>
"Entity's Contact Name. Note: This code requires use of an Entity Code.",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"562"=>
{:code=>"562",
:description=>
"Entity's National Provider Identifier (NPI). Note: This code requires use of an Entity Code.",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"563"=>
{:code=>"563",
:description=>
"Entity's Tax Amount. Note: This code requires use of an Entity Code.",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"564"=>
{:code=>"564",
:description=>"EPSDT Indicator",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"565"=>
{:code=>"565",
:description=>"Estimated Claim Due Amount",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"566"=>
{:code=>"566",
:description=>"Exception Code",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"567"=>
{:code=>"567",
:description=>"Facility Code Qualifier",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"568"=>
{:code=>"568",
:description=>"Family Planning Indicator",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"569"=>
{:code=>"569",
:description=>"Fixed Format Information",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"570"=>
{:code=>"570",
:description=>"Free Form Message Text",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"571"=>
{:code=>"571",
:description=>"Frequency Count",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"572"=>
{:code=>"572",
:description=>"Frequency Period",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"573"=>
{:code=>"573",
:description=>"Functional Limitation Code",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"574"=>
{:code=>"574",
:description=>"HCPCS Payable Amount Home Health",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"575"=>
{:code=>"575",
:description=>"Homebound Indicator",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"576"=>
{:code=>"576",
:description=>"Immunization Batch Number",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"577"=>
{:code=>"577",
:description=>"Industry Code",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"578"=>
{:code=>"578",
:description=>"Insurance Type Code",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"579"=>
{:code=>"579",
:description=>"Investigational Device Exemption Identifier",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"580"=>
{:code=>"580",
:description=>"Last Certification Date",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"581"=>
{:code=>"581",
:description=>"Last Worked Date",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"582"=>
{:code=>"582",
:description=>"Lifetime Psychiatric Days Count",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"583"=>
{:code=>"583",
:description=>"Line Item Charge Amount",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"584"=>
{:code=>"584",
:description=>"Line Item Control Number",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"585"=>
{:code=>"585",
:description=>"Denied Charge or Non-covered Charge",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"07/09/2007",
:notes=>""},
"586"=>
{:code=>"586",
:description=>"Line Note Text",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"587"=>
{:code=>"587",
:description=>"Measurement Reference Identification Code",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"588"=>
{:code=>"588",
:description=>"Medical Record Number",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"589"=>
{:code=>"589",
:description=>"Provider Accept Assignment Code",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"10/17/2010",
:notes=>""},
"590"=>
{:code=>"590",
:description=>"Medicare Coverage Indicator",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"591"=>
{:code=>"591",
:description=>"Medicare Paid at 100% Amount",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"592"=>
{:code=>"592",
:description=>"Medicare Paid at 80% Amount",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"593"=>
{:code=>"593",
:description=>"Medicare Section 4081 Indicator",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"594"=>
{:code=>"594",
:description=>"Mental Status Code",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"595"=>
{:code=>"595",
:description=>"Monthly Treatment Count",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"596"=>
{:code=>"596",
:description=>"Non-covered Charge Amount",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"597"=>
{:code=>"597",
:description=>"Non-payable Professional Component Amount",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"598"=>
{:code=>"598",
:description=>"Non-payable Professional Component Billed Amount",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"599"=>
{:code=>"599",
:description=>"Note Reference Code",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"600"=>
{:code=>"600",
:description=>"Oxygen Saturation Qty",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"601"=>
{:code=>"601",
:description=>"Oxygen Test Condition Code",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"602"=>
{:code=>"602",
:description=>"Oxygen Test Date",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"603"=>
{:code=>"603",
:description=>"Old Capital Amount",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"604"=>
{:code=>"604",
:description=>"Originator Application Transaction Identifier",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"605"=>
{:code=>"605",
:description=>"Orthodontic Treatment Months Count",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"606"=>
{:code=>"606",
:description=>"Paid From Part A Medicare Trust Fund Amount",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"607"=>
{:code=>"607",
:description=>"Paid From Part B Medicare Trust Fund Amount",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"608"=>
{:code=>"608",
:description=>"Paid Service Unit Count",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"609"=>
{:code=>"609",
:description=>"Participation Agreement",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"610"=>
{:code=>"610",
:description=>"Patient Discharge Facility Type Code",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"611"=>
{:code=>"611",
:description=>"Peer Review Authorization Number",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"612"=>
{:code=>"612",
:description=>"Per Day Limit Amount",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"613"=>
{:code=>"613",
:description=>"Physician Contact Date",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"614"=>
{:code=>"614",
:description=>"Physician Order Date",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"615"=>
{:code=>"615",
:description=>"Policy Compliance Code",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"616"=>
{:code=>"616",
:description=>"Policy Name",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"617"=>
{:code=>"617",
:description=>"Postage Claimed Amount",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"618"=>
{:code=>"618",
:description=>"PPS-Capital DSH DRG Amount",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"619"=>
{:code=>"619",
:description=>"PPS-Capital Exception Amount",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"620"=>
{:code=>"620",
:description=>"PPS-Capital FSP DRG Amount",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"621"=>
{:code=>"621",
:description=>"PPS-Capital HSP DRG Amount",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"622"=>
{:code=>"622",
:description=>"PPS-Capital IME Amount",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"623"=>
{:code=>"623",
:description=>"PPS-Operating Federal Specific DRG Amount",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"624"=>
{:code=>"624",
:description=>"PPS-Operating Hospital Specific DRG Amount",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"625"=>
{:code=>"625",
:description=>"Predetermination of Benefits Identifier",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"626"=>
{:code=>"626",
:description=>"Pregnancy Indicator",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"627"=>
{:code=>"627",
:description=>"Pre-Tax Claim Amount",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"628"=>
{:code=>"628",
:description=>"Pricing Methodology",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"629"=>
{:code=>"629",
:description=>"Property Casualty Claim Number",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"630"=>
{:code=>"630",
:description=>"Referring CLIA Number",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"631"=>
{:code=>"631",
:description=>"Reimbursement Rate",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"632"=>
{:code=>"632",
:description=>"Reject Reason Code",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"633"=>
{:code=>"633",
:description=>"Related Causes Code (Accident, auto accident, employment)",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"10/17/2010",
:notes=>""},
"634"=>
{:code=>"634",
:description=>"Remark Code",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"635"=>
{:code=>"635",
:description=>"Repriced Ambulatory Patient Group Code",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"636"=>
{:code=>"636",
:description=>"Repriced Line Item Reference Number",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"637"=>
{:code=>"637",
:description=>"Repriced Saving Amount",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"638"=>
{:code=>"638",
:description=>"Repricing Per Diem or Flat Rate Amount",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"639"=>
{:code=>"639",
:description=>"Responsibility Amount",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"640"=>
{:code=>"640",
:description=>"Sales Tax Amount",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"641"=>
{:code=>"641",
:description=>"Service Adjudication or Payment Date. Note: Use code 516.",
:effective_date=>"10/31/2004",
:deactivation_date=>"10/01/2010",
:last_modified_date=>"09/20/2009",
:notes=>""},
"642"=>
{:code=>"642",
:description=>"Service Authorization Exception Code",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"643"=>
{:code=>"643",
:description=>"Service Line Paid Amount",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"644"=>
{:code=>"644",
:description=>"Service Line Rate",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"645"=>
{:code=>"645",
:description=>"Service Tax Amount",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"646"=>
{:code=>"646",
:description=>"Ship, Delivery or Calendar Pattern Code",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"647"=>
{:code=>"647",
:description=>"Shipped Date",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"648"=>
{:code=>"648",
:description=>"Similar Illness or Symptom Date",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"649"=>
{:code=>"649",
:description=>"Skilled Nursing Facility Indicator",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"650"=>
{:code=>"650",
:description=>"Special Program Indicator",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"651"=>
{:code=>"651",
:description=>"State Industrial Accident Provider Number",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"652"=>
{:code=>"652",
:description=>"Terms Discount Percentage",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"653"=>
{:code=>"653",
:description=>"Test Performed Date",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"654"=>
{:code=>"654",
:description=>"Total Denied Charge Amount",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"655"=>
{:code=>"655",
:description=>"Total Medicare Paid Amount",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"656"=>
{:code=>"656",
:description=>"Total Visits Projected This Certification Count",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"657"=>
{:code=>"657",
:description=>"Total Visits Rendered Count",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"658"=>
{:code=>"658",
:description=>"Treatment Code",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"659"=>
{:code=>"659",
:description=>"Unit or Basis for Measurement Code",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"660"=>
{:code=>"660",
:description=>"Universal Product Number",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"661"=>
{:code=>"661",
:description=>"Visits Prior to Recertification Date Count CR702",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"662"=>
{:code=>"662",
:description=>"X-ray Availability Indicator",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"663"=>
{:code=>"663",
:description=>
"Entity's Group Name. Note: This code requires use of an Entity Code.",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"664"=>
{:code=>"664",
:description=>"Orthodontic Banding Date",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"665"=>
{:code=>"665",
:description=>"Surgery Date",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"666"=>
{:code=>"666",
:description=>"Surgical Procedure Code",
:effective_date=>"10/31/2004",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"667"=>
{:code=>"667",
:description=>
"Real-Time requests not supported by the information holder, do not resubmit",
:effective_date=>"02/28/2005",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"668"=>
{:code=>"668",
:description=>"Missing Endodontics treatment history and prognosis",
:effective_date=>"06/30/2005",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"669"=>
{:code=>"669",
:description=>"Dental service narrative needed.",
:effective_date=>"10/31/2005",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"670"=>
{:code=>"670",
:description=>
"Funds applied from a consumer spending account such as consumer directed/driven health plan (CDHP), Health savings account (H S A) and or other similar accounts",
:effective_date=>"06/30/2006",
:deactivation_date=>"",
:last_modified_date=>"02/28/2007",
:notes=>""},
"671"=>
{:code=>"671",
:description=>
"Funds may be available from a consumer spending account such as consumer directed/driven health plan (CDHP), Health savings account (H S A) and or other similar accounts",
:effective_date=>"06/30/2006",
:deactivation_date=>"",
:last_modified_date=>"02/28/2007",
:notes=>""},
"672"=>
{:code=>"672",
:description=>"Other Payer's payment information is out of balance",
:effective_date=>"10/31/2006",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"673"=>
{:code=>"673",
:description=>"Patient Reason for Visit",
:effective_date=>"10/31/2006",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"674"=>
{:code=>"674",
:description=>"Authorization exceeded",
:effective_date=>"10/31/2006",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"675"=>
{:code=>"675",
:description=>"Facility admission through discharge dates",
:effective_date=>"10/31/2006",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"676"=>
{:code=>"676",
:description=>
"Entity possibly compensated by facility. Note: This code requires use of an Entity Code.",
:effective_date=>"10/31/2006",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"677"=>
{:code=>"677",
:description=>
"Entity not affiliated. Note: This code requires use of an Entity Code.",
:effective_date=>"10/31/2006",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"678"=>
{:code=>"678",
:description=>"Revenue code and patient gender mismatch",
:effective_date=>"10/31/2006",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"679"=>
{:code=>"679",
:description=>"Submit newborn services on mother's claim",
:effective_date=>"10/31/2006",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"680"=>
{:code=>"680",
:description=>
"Entity's Country. Note: This code requires use of an Entity Code.",
:effective_date=>"10/31/2006",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"681"=>
{:code=>"681",
:description=>"Claim currency not supported",
:effective_date=>"10/31/2006",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"682"=>
{:code=>"682",
:description=>"Cosmetic procedure",
:effective_date=>"02/28/2007",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"683"=>
{:code=>"683",
:description=>"Awaiting Associated Hospital Claims",
:effective_date=>"02/28/2007",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"684"=>
{:code=>"684",
:description=>
"Rejected. Syntax error noted for this claim/service/inquiry. See Functional or Implementation Acknowledgement for details. (Note: Only for use to reject claims or status requests in transactions that were 'accepted with errors' on a 997 or 999 Acknowledgement.)",
:effective_date=>"11/05/2007",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"685"=>
{:code=>"685",
:description=>
"Claim could not complete adjudication in real time. Claim will continue processing in a batch mode. Do not resubmit.",
:effective_date=>"01/27/2008",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"686"=>
{:code=>"686",
:description=>
"The claim/ encounter has completed the adjudication cycle and the entire claim has been voided",
:effective_date=>"01/27/2008",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"687"=>
{:code=>"687",
:description=>
"Claim estimation can not be completed in real time. Do not resubmit.",
:effective_date=>"01/27/2008",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"688"=>
{:code=>"688",
:description=>
"Present on Admission Indicator for reported diagnosis code(s).",
:effective_date=>"01/27/2008",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"689"=>
{:code=>"689",
:description=>
"Entity was unable to respond within the expected time frame. Note: This code requires use of an Entity Code.",
:effective_date=>"06/01/2008",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"690"=>
{:code=>"690",
:description=>
"Multiple claims or estimate requests cannot be processed in real time.",
:effective_date=>"06/01/2008",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"691"=>
{:code=>"691",
:description=>
"Multiple claim status requests cannot be processed in real time.",
:effective_date=>"06/01/2008",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"692"=>
{:code=>"692",
:description=>
"Contracted funding agreement-Subscriber is employed by the provider of services",
:effective_date=>"09/21/2008",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"693"=>
{:code=>"693",
:description=>
"Amount must be greater than or equal to zero. Note: At least one other status code is required to identify which amount element is in error.",
:effective_date=>"01/25/2009",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"694"=>
{:code=>"694",
:description=>
"Amount must not be equal to zero. Note: At least one other status code is required to identify which amount element is in error.",
:effective_date=>"01/25/2009",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"695"=>
{:code=>"695",
:description=>
"Entity's Country Subdivision Code. Note: This code requires use of an Entity Code.",
:effective_date=>"01/25/2009",
:deactivation_date=>"",
:last_modified_date=>"02/11/2010",
:notes=>""},
"696"=>
{:code=>"696",
:description=>"Claim Adjustment Group Code.",
:effective_date=>"01/25/2009",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"697"=>
{:code=>"697",
:description=>
"Invalid Decimal Precision. Note: At least one other status code is required to identify the data element in error.",
:effective_date=>"07/01/2009",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"698"=>
{:code=>"698",
:description=>"Form Type Identification",
:effective_date=>"07/01/2009",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"699"=>
{:code=>"699",
:description=>"Question/Response from Supporting Documentation Form",
:effective_date=>"07/01/2009",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"700"=>
{:code=>"700",
:description=>
"ICD10. Note: At least one other status code is required to identify the related procedure code or diagnosis code.",
:effective_date=>"07/01/2009",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"701"=>
{:code=>"701",
:description=>"Initial Treatment Date",
:effective_date=>"07/01/2009",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"702"=>
{:code=>"702",
:description=>"Repriced Claim Reference Number",
:effective_date=>"11/01/2009",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"703"=>
{:code=>"703",
:description=>"Advanced Billing Concepts (ABC) code",
:effective_date=>"01/24/2010",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"704"=>
{:code=>"704",
:description=>"Claim Note Text",
:effective_date=>"01/24/2010",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"705"=>
{:code=>"705",
:description=>"Repriced Allowed Amount",
:effective_date=>"01/24/2010",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"706"=>
{:code=>"706",
:description=>"Repriced Approved Amount",
:effective_date=>"01/24/2010",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"707"=>
{:code=>"707",
:description=>"Repriced Approved Ambulatory Patient Group Amount",
:effective_date=>"01/24/2010",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"708"=>
{:code=>"708",
:description=>"Repriced Approved Revenue Code",
:effective_date=>"01/24/2010",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"709"=>
{:code=>"709",
:description=>"Repriced Approved Service Unit Count",
:effective_date=>"01/24/2010",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"710"=>
{:code=>"710",
:description=>
"Line Adjudication Information. Note: At least one other status code is required to identify the data element in error.",
:effective_date=>"01/24/2010",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"711"=>
{:code=>"711",
:description=>"Stretcher purpose",
:effective_date=>"01/24/2010",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"712"=>
{:code=>"712",
:description=>"Obstetric Additional Units",
:effective_date=>"01/24/2010",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"713"=>
{:code=>"713",
:description=>"Patient Condition Description",
:effective_date=>"01/24/2010",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"714"=>
{:code=>"714",
:description=>"Care Plan Oversight Number",
:effective_date=>"01/24/2010",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"715"=>
{:code=>"715",
:description=>"Acute Manifestation Date",
:effective_date=>"01/24/2010",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"716"=>
{:code=>"716",
:description=>"Repriced Approved DRG Code",
:effective_date=>"01/24/2010",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"717"=>
{:code=>"717",
:description=>"This claim has been split for processing.",
:effective_date=>"01/24/2010",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"718"=>
{:code=>"718",
:description=>
"Claim/service not submitted within the required timeframe (timely filing).",
:effective_date=>"01/24/2010",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"719"=>
{:code=>"719",
:description=>"NUBC Occurrence Code(s)",
:effective_date=>"01/24/2010",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"720"=>
{:code=>"720",
:description=>"NUBC Occurrence Code Date(s)",
:effective_date=>"01/24/2010",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"721"=>
{:code=>"721",
:description=>"NUBC Occurrence Span Code(s)",
:effective_date=>"01/24/2010",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"722"=>
{:code=>"722",
:description=>"NUBC Occurrence Span Code Date(s)",
:effective_date=>"01/24/2010",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"723"=>
{:code=>"723",
:description=>"Drug days supply",
:effective_date=>"01/24/2010",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"724"=>
{:code=>"724",
:description=>"Drug dosage",
:effective_date=>"01/24/2010",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"725"=>
{:code=>"725",
:description=>"NUBC Value Code(s)",
:effective_date=>"01/24/2010",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"726"=>
{:code=>"726",
:description=>"NUBC Value Code Amount(s)",
:effective_date=>"01/24/2010",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"727"=>
{:code=>"727",
:description=>"Accident date",
:effective_date=>"01/24/2010",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"728"=>
{:code=>"728",
:description=>"Accident state",
:effective_date=>"01/24/2010",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"729"=>
{:code=>"729",
:description=>"Accident description",
:effective_date=>"01/24/2010",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"730"=>
{:code=>"730",
:description=>"Accident cause",
:effective_date=>"01/24/2010",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"731"=>
{:code=>"731",
:description=>"Measurement value/test result",
:effective_date=>"01/24/2010",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"732"=>
{:code=>"732",
:description=>
"Information submitted inconsistent with billing guidelines. Note: At least one other status code is required to identify the inconsistent information.",
:effective_date=>"01/24/2010",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"733"=>
{:code=>"733",
:description=>"Prefix for entity's contract/member number.",
:effective_date=>"01/24/2010",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"734"=>
{:code=>"734",
:description=>"Verifying premium payment",
:effective_date=>"06/06/2010",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"735"=>
{:code=>"735",
:description=>
"This service/claim is included in the allowance for another service or claim.",
:effective_date=>"06/06/2010",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"736"=>
{:code=>"736",
:description=>
"A related or qualifying service/claim has not been received/adjudicated.",
:effective_date=>"06/06/2010",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"737"=>
{:code=>"737",
:description=>"Current Dental Terminology (CDT) Code",
:effective_date=>"06/06/2010",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"738"=>
{:code=>"738",
:description=>"Home Infusion EDI Coalition (HEIC) Product/Service Code",
:effective_date=>"06/06/2010",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"739"=>
{:code=>"739",
:description=>"Jurisdiction Specific Procedure or Supply Code",
:effective_date=>"06/06/2010",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"740"=>
{:code=>"740",
:description=>"Drop-Off Location",
:effective_date=>"06/06/2010",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"741"=>
{:code=>"741",
:description=>
"Entity must be a person. Note: This code requires use of an Entity Code.",
:effective_date=>"06/06/2010",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"742"=>
{:code=>"742",
:description=>"Payer Responsibility Sequence Number Code",
:effective_date=>"06/06/2010",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"743"=>
{:code=>"743",
:description=>
"Entity's credential/enrollment information. Note: This code requires use of an Entity Code.",
:effective_date=>"10/17/2010",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"744"=>
{:code=>"744",
:description=>
"Services/charges related to the treatment of a hospital-acquired condition or preventable medical error.",
:effective_date=>"10/17/2010",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"745"=>
{:code=>"745",
:description=>
"Identifier Qualifier Note: At least one other status code is required to identify the specific identifier qualifier in error.",
:effective_date=>"10/17/2010",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"746"=>
{:code=>"746",
:description=>
"Duplicate Submission Note: use only at the information receiver level in the Health Care Claim Acknowledgement transaction.",
:effective_date=>"10/17/2010",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"747"=>
{:code=>"747",
:description=>"Hospice Employee Indicator",
:effective_date=>"10/17/2010",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"748"=>
{:code=>"748",
:description=>
"Corrected Data Note: Requires a second status code to identify the corrected data.",
:effective_date=>"10/17/2010",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"749"=>
{:code=>"749",
:description=>"Date of Injury/Illness",
:effective_date=>"10/17/2010",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"750"=>
{:code=>"750",
:description=>"Auto Accident State or Province Code",
:effective_date=>"10/17/2010",
:deactivation_date=>"",
:last_modified_date=>"01/30/2011",
:notes=>""},
"751"=>
{:code=>"751",
:description=>"Ambulance Pick-up State or Province Code",
:effective_date=>"10/17/2010",
:deactivation_date=>"",
:last_modified_date=>"01/30/2011",
:notes=>""},
"752"=>
{:code=>"752",
:description=>"Ambulance Drop-off State or Province Code",
:effective_date=>"10/17/2010",
:deactivation_date=>"",
:last_modified_date=>"01/30/2011",
:notes=>""},
"753"=>
{:code=>"753",
:description=>"Co-pay status code.",
:effective_date=>"01/30/2011",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"754"=>
{:code=>"754",
:description=>
"Entity Name Suffix. Note: This code requires the use of an Entity Code.",
:effective_date=>"01/30/2011",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"755"=>
{:code=>"755",
:description=>
"Entity's primary identifier. Note: This code requires the use of an Entity Code.",
:effective_date=>"01/30/2011",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"756"=>
{:code=>"756",
:description=>
"Entity's Received Date. Note: This code requires the use of an Entity Code.",
:effective_date=>"01/30/2011",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"757"=>
{:code=>"757",
:description=>"Last seen date.",
:effective_date=>"01/30/2011",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"758"=>
{:code=>"758",
:description=>"Repriced approved HCPCS code.",
:effective_date=>"01/30/2011",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"759"=>
{:code=>"759",
:description=>"Round trip purpose description.",
:effective_date=>"01/30/2011",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"760"=>
{:code=>"760",
:description=>"Tooth status code.",
:effective_date=>"01/30/2011",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""},
"761"=>
{:code=>"761",
:description=>
"Entity's referral number. Note: This code requires the use of an Entity Code.",
:effective_date=>"01/30/2011",
:deactivation_date=>"",
:last_modified_date=>"",
:notes=>""}}