1136 Code Category

Specifies the situation or category the code applies to

Type
Identifier (ID)
Length
Min 2 / Max 2
Codes
CodeDescription
01Pre-existing Conditions
Disease that existed prior to a person's effective date of coverage
02Diagnosis
Cause of the patient complaint
03Condition
Diagnosis for which the patient will be confined in a health care facility
04Occurrence
Episode defining a significant event
05Occurrence Span
Several episodes over a period of time
06Value
07Ambulance Certification
08Chiropractic Certification
Reasons why chiropractic care is just and appropriate treatment
09Durable Medical Equipment Certification
Prescription describing the need for durable medical equipment; usually included are the diagnosis and estimated duration of need
10Enteral or Parenteral Therapy Certification
11Oxygen Therapy Certification
12Admitting Diagnosis
Condition for which the patient will be confined in a health care facility
13Principal Diagnosis
Condition established after study to be chiefly responsible for the patient's complaint
14Pre-Existing Physical Condition
Any physical condition that exists prior to the effective date of coverage under a contract
15Pre-Existing Mental Condition
Any mental condition that exists prior to the effective date of coverage under a contract
16Routine Foot Care Class Finding
17Systemic Condition for Routine Foot Care
18Co-op Advertising
19Commercial Advertising
20Specimen Kit Type Code
21Laboratory Test Condition Code
22Automobile Loss
23Laboratory Results Identification Code
24Line of Business Code
25United States Department of Vital Statistics E-Code
A code used to identify conditions related to this bill that may affect payor processing
26Employment Status Information
27Income
28Loan Information
29Injury or Illness
30Benefit Adjustment
31Claimant
32Contractholder Branch
33Contractholder
34Secondary Claim Administrator
35Primary Claim Administrator
36Reporting Agency
37Process
38Hazardous Material
39Activity
40Accident
41Initial Treatment
42Cause of Injury
43Part of Body
44Nature of Injury
45Source of Injury

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