EDI 文档
X12 003040 Release
Transaction Set
Segments
Elements
Reference
/
X12 Release 003040
/
Elements
/
1364 Review Code
1364 Review Code
Code identifying extenuating circumstances or justifications which might assist any review of the medical necessity for this service
Type
ID
Length
Max 2 / Min 1
Codes
<> A
Case Turned Over to a Consultant
<> B
Pre-Admission Testing
<> C
Xray or Lab Procedure Related to a Covered Surgery
<> D
Provider/Supplier determined the service is not covered, but the patient is requesting a formal review by the payor
<> L
Reserved for Local Assignment
<> N
Reserved for National Assignment
