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 is 2 Value Code - 2 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 - 3 Source If not applicable do not report any Value Codes 14 - Text value here. Report the appropriate amount that corresponds to the 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 MC195 is 3 Code - 3 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 - 4 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 MC197 is 4 Value Code - 4 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 - 5 Source If not applicable do not report any Value Codes 14 - Text value here.
MC Value Amount - 2 11/8/12 Integer Currency Amount that corresponds to Value Code - 2 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 is populated 100% B MC Value Code - 3 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 - 3 11/8/12 Integer Currency Amount that corresponds to Code - 3 Report the appropriate amount that corresponds to the 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 MC195 is populated 100% B MC Value Code - 4 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 - 4 11/8/12 Integer Currency Amount that corresponds to Value Code - 4 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 MC197 is populated 100% B MC Value Code - 5 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
apcd-medical-claim-file-submission-guide.docx