SV5 Durable Medical Equipment Service
SV5 Durable Medical Equipment Service
To specify the claim service detail for durable medical equipment
Position
Element
Name
Type
Requirement
Min
Max
Repeat
SV5-01
Mandatory
-
SV5-02
Unit or Basis for Measurement Code
Identifier (ID)
Mandatory
2
2
-
Code specifying the units in which a value is being expressed, or manner in which a measurement has been taken
SV5-03
Quantity
Decimal number (R)
Mandatory
1
15
-
Numeric value of quantity
SV503 is the length of medical treatment required.
SV5-04
Monetary Amount
Decimal number (R)
Conditional
1
18
-
Monetary amount
SV504 is the rental price.
SV5-05
Monetary Amount
Decimal number (R)
Conditional
1
18
-
Monetary amount
SV505 is the purchase price.
SV5-06
Frequency Code
Identifier (ID)
Optional
1
1
-
Code indicating frequency or type of activities or actions being reported
SV506 is the frequency at which the rental equipment is billed.
SV5-07
Prognosis Code
Identifier (ID)
Optional
1
1
-
Code indicating physician's prognosis for the patient