01/11/2021
(ASC X12) C004 Composite Diagnosis Code Pointer
To identify one or more diagnosis code pointers
Elements
| Position | Element | Name | Type | Requirement | Min | Max | Note |
| C00401 | 1328 | Diagnosis Code Pointer | Numeric(N) | Mandatory | 1 | 2 | C004-01 identifies the primary diagnosis code for this service line. |
| C00402 | 1328 | Diagnosis Code Pointer | Numeric(N) | Optional | 1 | 2 | C004-02 identifies the second diagnosis code for this service line. |
| C00403 | 1328 | Diagnosis Code Pointer | Numeric(N) | Optional | 1 | 2 | C004-03 identifies the third diagnosis code for this service line. |
| C00404 | 1328 | Diagnosis Code Pointer | Numeric(N) | Optional | 1 | 2 | C004-04 identifies the fourth diagnosis code for this service line. |
Appears in
| SV1 | Professional Service |
| SV2 | Dental Service |
| SV3 | Anesthesia Service |
Categories: