To specify the service line item detail for a health care institution
Identifying number for a product or service
SV201 is the revenue code.
Monetary amount
SV203 is the submitted service line item amount.
Code specifying the units in which a value is being expressed, or manner in which a measurement has been taken
Numeric value of quantity
The rate per unit of associate revenue for hospital accommodation
Monetary amount
SV207 is a non-covered service amount.
Code indicating a Yes or No condition or response
SV208 is the detail service line indicator. A "Y" value indicates a detail service line; an "N" value indicates a summary service line.
Code specifying the status of a nursing home resident at the time of service
Code specifying the level of care provided by a nursing home facility