External External Code Report the appropriate value that Condition Code Source 14 - defines a condition of the claim or MC 11/8/12 char[2] Condition Code All 1% B Code - 8 Source Condition patient. If not applicable do not 14 - Text Codes report any value here External External Code Report the appropriate that Condition Code Source 14 - defines a condition of the claim or MC 11/8/12 char[2] Condition Code All 1% B Code - 9 Source Condition patient. If not applicable do not 14 - Text Codes report any value here. External Report the appropriate value that External Code Condition Code defines a condition of the claim or MC 11/8/12 Source 14 - char[2] Condition Code All 1% B Code - 10 Source patient. If not applicable do not Condition 14 - Text report any value here. External External Code Report the appropriate value that Condition Code Source 14 - defines a condition of the claim or MC 11/8/12 char[2] Condition Code All 1% B Code - 11 Source Condition patient. If not applicable do not 14 - Text Codes report any value here.. External External Code Report the appropriate value that Condition Code Source 14 - defines a condition of the claim or MC 11/8/12 char[2] Condition Code All 1% B Code - 12 Source Condition patient. If not applicable do not 14 - Text Codes report any value here. External Report the appropriate value that External Code Value Code defines a value category of the claim. MC 11/8/12 Source 14 - char[2] Value Code All 1% B Code - 1 Source If not applicable do not report any Value Codes 14 - Text value here. Report the appropriate amount that corresponds to the value code. Only code 0 when 0 is an applicable Required Value Amount that amount for the Value Code Set. Do when MC Amount - 11/8/12 Integer Currency corresponds to not code decimal or round up / down 100% B MC191 is 1 Value Code - 1 to whole dollars, code zero cents (00) populated when applicable. EXAMPLE: 150.00 is reported as 15000; 150.70 is reported as 15070 External Report the appropriate value that External Code Value Code defines a value category of the claim. MC 11/8/12 Source 14 - char[2] Value Code All 1% B Code - 2 Source If not applicable do not report any Value Codes 14 - Text value here.
MC Condition Code - 8 11/8/12 External Code Source 14 - Text External Code Source 14 - Condition Codes char[2] Condition Code Report the appropriate value that defines a condition of the claim or patient. If not applicable do not report any value here All 1% B MC Condition Code - 9 11/8/12 External Code Source 14 - Text External Code Source 14 - Condition Codes char[2] Condition Code Report the appropriate that defines a condition of the claim or patient. If not applicable do not report any value here. All 1% B MC Condition Code - 10 11/8/12 External Code Source 14 - Text External Code Source 14 - Condition char[2] Condition Code Report the appropriate value that defines a condition of the claim or patient. If not applicable do not report any value here. All 1% B MC Condition Code - 11 11/8/12 External Code Source 14 - Text External Code Source 14 - Condition Codes char[2] Condition Code Report the appropriate value that defines a condition of the claim or patient. If not applicable do not report any value here.. All 1% B MC Condition Code - 12 11/8/12 External Code Source 14 - Text External Code Source 14 - Condition Codes char[2] Condition Code Report the appropriate value that defines a condition of the claim or patient. If not applicable do not report any value here. All 1% B MC Value Code - 1 11/8/12 External Code Source 14 - Text External Code Source 14 - Value Codes char[2] Value Code Report the appropriate value that defines a value category of the claim. If not applicable do not report any value here. All 1% B MC Value Amount - 1 11/8/12 Integer Currency Amount that corresponds to Value Code - 1 Report the appropriate amount that corresponds to the value code. Only code 0 when 0 is an applicable amount for the Value Code Set. Do not code decimal or round up / down to whole dollars, code zero cents (00) when applicable. EXAMPLE: 150.00 is reported as 15000; 150.70 is reported as 15070 Required when MC191 is populated 100% B MC Value Code - 2 11/8/12 External Code Source 14 - Text External Code Source 14 - Value Codes char[2] Value Code Report the appropriate value that defines a value category of the claim. If not applicable do not report any value here. All 1% B