Indicator - Lookup Report the value that defines the element. Medicare Medicare PC 89 11/8/12 Table - tlkpFlagIndicators int[1] EXAMPLE: 1 = Yes, Medicare paid for All 100% A0 Indicator Payment Integer part or all of services Applied Description 1 Yes 2 No 3 Unknown 4 Other 5 Not Applicable Lookup Report the value that defines the element. Required Pregnancy Indicator - PC 90 Table - tlkpFlagIndicators int[1] EXAMPLE: 1 = Yes, the patient is when 98% A2 Indicator Pregnancy Integer pregnant PC012=F Description 1 Yes 2 No 3 Unknown 4 Other 5 Not Applicable External Code External Source 8 - Diagnosis Code ICD Diagnosis Report the ICD Diagnosis Code when PC 91 11/8/12 International varchar[7] All 1% B Code Source Code applicable Classification of 8 - Text Disease International Required Lookup Report the value that defines whether the ICD Classification of when PC 92 11/8/12 Table - tlkpICDIndicator int[1] diagnoses on claim are ICD9 or ICD10. 100% B Indicator Diseases PC114 is Integer EXAMPLE: 9 = ICD9 version populated Value Description 9 ICD-9 0 ICD-10 Lookup Report the value that defines the element. Required Denied Denied PC 93 11/8/12 Table - tlkpFlagIndicators int[1] EXAMPLE: 1 = Yes, Claim Line was when 100% A0 Flag Line Indicator Integer denied. = 04 Value Description 1 Yes 2 No 3 Unknown 4 Other 5 Not Applicable
PC 89 Medicare Indicator 11/8/12 Lookup Table - Integer tlkpFlagIndicators int[1] Indicator - Medicare Payment Applied Report the value that defines the element. EXAMPLE: 1 = Yes, Medicare paid for part or all of services All 100% A0 Description 1 Yes 2 No 3 Unknown 4 Other 5 Not Applicable PC 90 Pregnancy Indicator Lookup Table - Integer tlkpFlagIndicators int[1] Indicator - Pregnancy Report the value that defines the element. EXAMPLE: 1 = Yes, the patient is pregnant Required when PC012=F 98% A2 Description 1 Yes 2 No 3 Unknown 4 Other 5 Not Applicable PC 91 Diagnosis Code 11/8/12 External Code Source 8 - Text External Code Source 8 - International Classification of Disease varchar[7] ICD Diagnosis Code Report the ICD Diagnosis Code when applicable All 1% B PC 92 ICD Indicator 11/8/12 Lookup Table - Integer tlkpICDIndicator int[1] International Classification of Diseases version Report the value that defines whether the diagnoses on claim are ICD9 or ICD10. EXAMPLE: 9 = ICD9 Required when PC114 is populated 100% B Value Description 9 ICD-9 0 ICD-10 PC 93 Denied Flag 11/8/12 Lookup Table - Integer tlkpFlagIndicators int[1] Denied Line Indicator Report the value that defines the element. EXAMPLE: 1 = Yes, Claim Line was denied. Required when = 04 100% A0 Value Description 1 Yes 2 No 3 Unknown 4 Other 5 Not Applicable