BS HEMAT BLOOD FLG char(1) 0940 - 0940 BS BLOOD PERC decimal(3.0) 0941 - 0943 0944 - 0993 BS HEMAT BLOOD PARTS char(50) BS LOWER EXTREMITY FLG char(1) 0994 - 0994 BS LOWER EXTREMITY PERC decimal(3.0) 0995 - 0997 0998 - 1047 BS LOWER EXTREMITY PARTS char(50) L,R,B BS NERVOUS SYS FLG char(1) 1048 - 1048 BS NERVOUS SYS PERC decimal(3.0) 1049 - 1051 BS NERVOUS SYS char(50) 1052 - 1101 BS NIHL FLG char(1) 1102 - 1102 1103 - 1105 BS NIHL PERC decimal(3.0) BS PSYCH INJ PMH FLG char(1) 1106 - 1106 BS PSYCH INJ PMH PERC decimal(3.0) 1107 - 1109 1110 - 1110 BS RESPIRATORY FLG char(1) BS RESPIRATORY PERC decimal(3.0) 1111 - 1113 BS SKIN FLG char(1) 1114 - 1114 BS SKIN PERC decimal(3.0) 1115 - 1117 FILLER char(1) 1118 - 1118 1119 - 1121 FILLER decimal(3.0) BS SPINE FLG char(1) 1122 - 1122 BS SPINE PERC decimal(3.0) 1123 - 1125 1126 - 1175 BS SPINE PARTS char(50) BS UPPER EXTREMITY FLG char(1) 1176 - 1176 BS UPPER EXTREMITY PERC decimal(3.0) 1177 - 1179 BS EXTREMITY PARTS char(50) 1180 - 1229 BS URINARY AND REPR FLG char(1) 1230 - 1230 1231 - 1233 BS URINARY AND REPR PERC decimal(3.0) BS URINARY AND REPR PARTS char(50) 1234 - 1283
BS HEMAT BLOOD FLG char(1) 0940 - 0940 BS BLOOD PERC decimal(3.0) 0941 - 0943 BS HEMAT BLOOD PARTS char(50) 0944 - 0993 BS LOWER EXTREMITY FLG char(1) 0994 - 0994 BS LOWER EXTREMITY PERC decimal(3.0) 0995 - 0997 BS LOWER EXTREMITY PARTS char(50) 0998 - 1047 L,R,B BS NERVOUS SYS FLG char(1) 1048 - 1048 BS NERVOUS SYS PERC decimal(3.0) 1049 - 1051 BS NERVOUS SYS char(50) 1052 - 1101 BS NIHL FLG char(1) 1102 - 1102 BS NIHL PERC decimal(3.0) 1103 - 1105 BS PSYCH INJ PMH FLG char(1) 1106 - 1106 BS PSYCH INJ PMH PERC decimal(3.0) 1107 - 1109 BS RESPIRATORY FLG char(1) 1110 - 1110 BS RESPIRATORY PERC decimal(3.0) 1111 - 1113 BS SKIN FLG char(1) 1114 - 1114 BS SKIN PERC decimal(3.0) 1115 - 1117 FILLER char(1) 1118 - 1118 FILLER decimal(3.0) 1119 - 1121 BS SPINE FLG char(1) 1122 - 1122 BS SPINE PERC decimal(3.0) 1123 - 1125 BS SPINE PARTS char(50) 1126 - 1175 BS UPPER EXTREMITY FLG char(1) 1176 - 1176 BS UPPER EXTREMITY PERC decimal(3.0) 1177 - 1179 BS EXTREMITY PARTS char(50) 1180 - 1229 BS URINARY AND REPR FLG char(1) 1230 - 1230 BS URINARY AND REPR PERC decimal(3.0) 1231 - 1233 BS URINARY AND REPR PARTS char(50) 1234 - 1283
Self-Insurer-EDI-Technical-Specification-V14.docx