G12 Item Detail - Adjustment

To provide information relative to an adjustment for a line item

Position
Element
Name
Type
Requirement
Min
Max
Repeat
G1201
Adjustment Reason Code
Identifier (ID)
Mandatory
2
2
-
Code indicating reason for adjustment to invoice or payment.
If either G1203 or G1204 is present, then the other is required.
G1202
Credit/Debit Flag Code
Identifier (ID)
Mandatory
1
1
-
Code indicating whether unit price difference or amount of adjustment is a credit or debit amount.
At least one of G1206 or G1207 must be present.
G1203
Credit/Debit Quantity
Decimal number (R)
Optional
1
10
-
Number of supplier units credited or debited.
G1204
Unit of Measurement Code
Identifier (ID)
Conditional
2
2
-
Code identifying the basic unit of measurement.
At least one of G1207 or G1208 must be present.
G1205
Unit Price Difference
Decimal number (R)
Optional
1
9
-
Per unit (case) price or allowance/charge difference between original billing and corrected amount (may be unit full list price or allowance/charge where item was not on original billing or where full credit/debit amount is being transacted; i.e. - returns or contested quantities).
If either G1209 or G1210 is present, then the other is required.
G1206
UPC Case Code
Identifier (ID)
Conditional
12
12
-
Code (Universal Product Code - ``UPC'') including two high order digits identifying the ``system'' (U.S. Grocery = 00, 06 or 07; U.S. Drug = 03). Using the U.S. Grocery system, the next ten digits are: Manufacturer (5) Case Code (5).
At least one of G1205 or G1212 must be present.
G1207
Product/Service ID Qualifier
Identifier (ID)
Conditional
2
2
-
Code identifying the type/source of the descriptive number used in Product/Service ID (234).
G1208
Product/Service ID
String (AN)
Conditional
1
30
-
Identifying number for a product or service.
G1209
Product/Service ID Qualifier
Identifier (ID)
Optional
2
2
-
Code identifying the type/source of the descriptive number used in Product/Service ID (234).
G1210
Product/Service ID
String (AN)
Conditional
1
30
-
Identifying number for a product or service.
G1211
Price Bracket Identifier
String (AN)
Optional
1
3
-
Identifier assigned by the vendor for a specific price bracket.
G1212
Amount of Adjustment
N2
Conditional
2
10
-
Total amount of an adjustment involved in a credit or debit transaction for a line item (when debit or credit is not related to unit price) or at an invoice level (may also be used for credits and debits unrelated to any specific invoice).
G1213
Item List Cost - New
Decimal number (R)
Optional
1
9
-
Unit price within the appropriate price bracket for a line item on or after an effective price date.
Only use G1213 and G1214 when adjustment is because of price difference.
G1214
Item List Cost - Old
Decimal number (R)
Optional
1
9
-
Unit price within the appropriate price bracket for a line item before an effective date.

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