C022 Health Care Code Information
C022 Health Care Code Information
To send health care codes and their associated dates, amounts and quantities
Position
Element
Name
Type
Requirement
Min
Max
Repeat
C022-01
Code List Qualifier Code
Identifier (ID)
Mandatory
1
3
-
Code identifying a specific industry code list
C022-01 qualifies C022-02, C022-04, C022-05 and C022-06.
C022-02
Industry Code
String (AN)
Mandatory
1
20
-
Code indicating a code from a specific industry code list
C022-03
Date Time Period Format Qualifier
Identifier (ID)
Conditional
2
3
-
Code indicating the date format, time format, or date and time format.
C022-03 is the date format that will appear in C022-04.
C022-04
Date Time Period
String (AN)
Conditional
1
35
-
Expression of a date, a time, or range of dates, times or dates and times.
C022-05
Monetary Amount
Decimal number (R)
Optional
1
15
-
Monetary amount.
C022-06
Quantity
Decimal number (R)
Optional
1
15
-
Numeric value of quantity.