SVC Service Information

To supply payment and control information to a provider for a particular service

Position: SVC-01 · Element: 235 · Name: Product/Service ID Qualifier · Type: Identifier (ID) · Requirement: Mandatory · Min: 2 · Max: 2 · Repeat: -

Code identifying the type/source of the descriptive number used in Product/Service ID (234).

For Medicare Part A claims SVC01 would be the Health Care Financing Administration (HCFA) Common Procedural Coding System (HCPCS) Code (see Code Source 130), SVC05 the Revenue Code (see Code Source 132) and SVC06, SVC07, and SVC08 would be HCPCS modifiers (see Code Source 130).

Position: SVC-02 · Element: 234 · Name: Product/Service ID · Type: String (AN) · Requirement: Mandatory · Min: 1 · Max: 30 · Repeat: -

Identifying number for a product or service.

Position: SVC-03 · Element: 782 · Name: Monetary Amount · Type: Decimal number (R) · Requirement: Mandatory · Min: 1 · Max: 15 · Repeat: -

Monetary amount.

SVC03 is the submitted service charge.

Position: SVC-04 · Element: 782 · Name: Monetary Amount · Type: Decimal number (R) · Requirement: Mandatory · Min: 1 · Max: 15 · Repeat: -

Monetary amount.

SVC04 is the amount paid this service.

Position: SVC-05 · Element: 234 · Name: Product/Service ID · Type: String (AN) · Requirement: Optional · Min: 1 · Max: 30 · Repeat: -

Identifying number for a product or service.

SVC05 is the National Uniform Billing Committee Revenue Code.

Position: SVC-06 · Element: 1339 · Name: Procedure Modifier · Type: String (AN) · Requirement: Optional · Min: 2 · Max: 2 · Repeat: -

This identifies special circumstances related to the performance of the service, as defined by trading partners

SVC06 modifies the value in SVC02.

Position: SVC-07 · Element: 1339 · Name: Procedure Modifier · Type: String (AN) · Requirement: Optional · Min: 2 · Max: 2 · Repeat: -

This identifies special circumstances related to the performance of the service, as defined by trading partners

SVC07 modifies the value in SVC02.

Position: SVC-08 · Element: 1339 · Name: Procedure Modifier · Type: String (AN) · Requirement: Optional · Min: 2 · Max: 2 · Repeat: -

This identifies special circumstances related to the performance of the service, as defined by trading partners

SVC08 modifies the value in SVC02.