External Codes External Other Source 8 - Other ICD Diagnosis Code - 7. If not Code ICD Other MC 49 Diagnosis 11/8/12 International varchar[7] applicable do not report any value All 3% C Source 8 Diagnosis Code - 7 Classification of here. - Text Diseases External External Source 8 - ICD Diagnosis Code - 8. If not Code ICD Other MC 50 Diagnosis 11/8/12 International varchar[7] applicable do not report any value All 2% C Source 8 Diagnosis Code - 8 Classification of here. - Text Diseases External Codes External Other Source 8 - Other ICD Diagnosis Code - 9. If not Code ICD Other MC 51 Diagnosis 11/8/12 International varchar[7] applicable do not report any value All 1% C Source 8 Diagnosis Code - 9 Classification of here. - Text Diseases External Codes External Other Source 8 - ICD Diagnosis Code - 10. If not Code ICD Other MC 52 Diagnosis 11/8/12 International varchar[7] applicable do not report any value All 1% C Source 8 Diagnosis Code - 10 Classification of here. - Text Diseases External External Other Source 8 - Other ICD Diagnosis Code - 11. If Code ICD Other MC 53 Diagnosis 11/8/12 International varchar[7] not applicable do not report any All 1% C Source 8 Diagnosis Code - 11 Classification of value here. - Text Diseases External Codes External Other Source 8 - Other ICD Diagnosis Code - 12. If Code ICD MC 54 Diagnosis 11/8/12 International varchar[7] not applicable do not report any All 1% C Source 8 Diagnosis Code - 12 Classification of value here. - Text Diseases External Report the valid National Uniform Required Code External Code Revenue Billing Committee Revenue Code when MC 55 11/8/12 Source Source 14 - char[4] Revenue Code 98% A0 Code here. Code using leading zeroes, MC094 = 14 - Revenue Code and four digits. 002 Numeric
MC 49 Other Diagnosis - 7 11/8/12 External Code Source 8 - Text External Codes Source 8 - International Classification of Diseases varchar[7] ICD Other Diagnosis Code Other ICD Diagnosis Code - 7. If not applicable do not report any value here. All 3% C MC 50 Diagnosis - 8 11/8/12 External Code Source 8 - Text External Source 8 - International Classification of Diseases varchar[7] ICD Other Diagnosis Code ICD Diagnosis Code - 8. If not applicable do not report any value here. All 2% C MC 51 Other Diagnosis - 9 11/8/12 External Code Source 8 - Text External Codes Source 8 - International Classification of Diseases varchar[7] ICD Other Diagnosis Code Other ICD Diagnosis Code - 9. If not applicable do not report any value here. All 1% C MC 52 Other Diagnosis - 10 11/8/12 External Code Source 8 - Text External Codes Source 8 - International Classification of Diseases varchar[7] ICD Other Diagnosis Code ICD Diagnosis Code - 10. If not applicable do not report any value here. All 1% C MC 53 Other Diagnosis - 11 11/8/12 External Code Source 8 - Text External Source 8 - International Classification of Diseases varchar[7] ICD Other Diagnosis Code Other ICD Diagnosis Code - 11. If not applicable do not report any value here. All 1% C MC 54 Other Diagnosis - 12 11/8/12 External Code Source 8 - Text External Codes Source 8 - International Classification of Diseases varchar[7] ICD Diagnosis Code Other ICD Diagnosis Code - 12. If not applicable do not report any value here. All 1% C MC 55 Revenue Code 11/8/12 External Code Source 14 - Numeric External Code Source 14 - Revenue Code char[4] Revenue Code Report the valid National Uniform Billing Committee Revenue Code here. Code using leading zeroes, and four digits. Required when MC094 = 002 98% A0
v3-1-apcd-medical-claim-file-submission-guide-2013-06.docx