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)
|