SV6 Anesthesia Service
SV6 Anesthesia Service
To specify the claim service detail for anesthesia
Position
Element
Name
Type
Requirement
Min
Max
Repeat
SV6-01
Product/Service ID Qualifier
Identifier (ID)
Mandatory
2
2
-
Code identifying the type/source of the descriptive number used in Product/Service ID (234).
SV6-02
Product/Service ID
String (AN)
Mandatory
1
30
-
Identifying number for a product or service.
SV6-03
Facility Code Qualifier
Identifier (ID)
Conditional
1
2
-
Code identifying the type of facility referenced
SV6-04
Facility Code
Identifier (ID)
Conditional
1
2
-
Code identifying the type of facility where services were performed; the first position of the uniform bill type or place of service from health care financing administration claim form or place of treatment from the dental claim form
SV6-05
Monetary Amount
Decimal number (R)
Optional
1
15
-
Monetary amount.
SV605 is submitted charge amount.
SV6-06
Diagnosis Code Pointer
Numeric (N0)
Optional
1
2
-
A pointer to the claim diagnosis code in the order of importance to this service
SV6-07
Quantity
Decimal number (R)
Optional
1
15
-
Numeric value of quantity.
SV607 is the number of anesthesia minutes.
SV6-08
Procedure Modifier
String (AN)
Optional
2
2
-
This identifies special circumstances related to the performance of the service, as defined by trading partners
SV6-09
Diagnosis Code Pointer
Numeric (N0)
Optional
1
2
-
A pointer to the claim diagnosis code in the order of importance to this service
SV6-10
Procedure Modifier
String (AN)
Optional
2
2
-
This identifies special circumstances related to the performance of the service, as defined by trading partners
SV6-11
Procedure Modifier
String (AN)
Optional
2
2
-
This identifies special circumstances related to the performance of the service, as defined by trading partners
SV6-12
Yes/No Condition or Response Code
Identifier (ID)
Optional
1
1
-
Code indicating a Yes or No condition or response.
SV612 is anesthesiologist employee indicator. A ``Y'' value indicates the Certified Registered Nurse Anesthetist (CRNA) is an employee of the anesthesiologist. An ``N'' value indicates the Certified Registered Nurse Anesthetist (CRNA) is not an employee of the anesthesiologist.