| Parent File | Name | Number | Package | 
|---|---|---|---|
| PROSTHETICS PATIENT(#665) | HOME OXYGEN ITEM | 665.194 | Prosthetics | 
| Field # | Name | Loc | Type | Details | 
|---|---|---|---|---|
| .01 | ITEM | 0;1 | POINTER TO PROS ITEM MASTER FILE (#661) | ************************REQUIRED FIELD************************ PROS ITEM MASTER(#661)
  | 
| 1 | VENDOR | 0;2 | POINTER TO VENDOR FILE (#440) | VENDOR(#440)
  | 
| 2 | QUANTITY | 0;3 | NUMBER | ************************REQUIRED FIELD************************ 
  | 
| 3 | UNIT COST | 0;4 | NUMBER | 
  | 
| 4 | UNIT OF ISSUE | 0;5 | POINTER TO UNIT OF ISSUE FILE (#420.5) | UNIT OF ISSUE(#420.5)
  | 
| 5 | FUND CONTROL POINT | 0;6 | FREE TEXT | 
  | 
| 6 | HCPCS CODE | 0;7 | POINTER TO PROSTHETIC HCPCS FILE (#661.1) | ************************REQUIRED FIELD************************ PROSTHETIC HCPCS(#661.1)
  | 
| 7 | ICD CODE | 0;8 | POINTER TO ICD DIAGNOSIS FILE (#80) | ICD DIAGNOSIS(#80)
  | 
| 8 | REMARKS | 0;9 | FREE TEXT | 
  | 
| 9 | ITEM TYPE | 0;10 | SET | 
 
  | 
| 10 | PRIMARY ITEM | 0;11 | SET | 
 
  | 
| 11 | HOME OXYGEN RENTAL FLAG | 0;12 | SET | 
 
  | 
| 12 | HOME OXYGEN CONSERVING FLAG | 0;13 | SET | 
 
  | 
| 100 | PFSS ACCOUNT FLAG | PFSS;1 | SET | 
 
  | 
| 101 | PFSS ACCOUNT REFERENCE | PFSS;2 | POINTER TO PFSS ACCOUNT FILE (#375) | PFSS ACCOUNT(#375)
  |