CR6 Home Health Care Certification

To supply information related to the certification of a home health care patient

Position
Element
Name
Type
Requirement
Min
Max
Repeat
CR601
Prognosis Code
Identifier (ID)
Mandatory
1
1
1
Code indicating physician's prognosis for the patient
CR602
Date
Date (DT)
Mandatory
8
8
1
Date expressed as CCYYMMDD where CC represents the first two digits of the calendar year
CR602 is the date covered home health services began.
CR603
Date Time Period Format Qualifier
Identifier (ID)
Conditional
2
3
1
Code indicating the date format, time format, or date and time format
P0304: If either CR6-03 or CR6-04 is present, then the other is required
CR604
Date Time Period
String (AN)
Conditional
1
35
1
Expression of a date, a time, or range of dates, times or dates and times
CR604 is the certification period covered by this plan of treatment.
CR605
Date
Date (DT)
Optional
8
8
1
Date expressed as CCYYMMDD where CC represents the first two digits of the calendar year
CR605 is the date of onset or exacerbation of the principal diagnosis.
CR606
Yes/No Condition or Response Code
Identifier (ID)
Optional
1
1
1
Code indicating a Yes or No condition or response
A "Y" value indicates patient is receiving care in a 1861J1 (skilled nursing) facility. An "N" value indicates patient is not receiving care in a 1861J1 facility. A "U" value indicates it is unknown whether or not the patient is receiving care in a 1861J1 facility.
CR607
Yes/No Condition or Response Code
Identifier (ID)
Mandatory
1
1
1
Code indicating a Yes or No condition or response
CR607 indicates if the patient is covered by Medicare. A "Y" value indicates the patient is covered by Medicare; an "N" value indicates patient is not covered by Medicare.
CR608
Certification Type Code
Identifier (ID)
Mandatory
1
1
1
Code indicating the type of certification
CR609
Date
Date (DT)
Conditional
8
8
1
Date expressed as CCYYMMDD where CC represents the first two digits of the calendar year
P091011: If either CR6-09, CR6-10 or CR6-11 are present, then the others are required
CR609 is the date that the surgery identified in CR611 was performed.
CR610
Product/Service ID Qualifier
Identifier (ID)
Conditional
2
2
1
Code identifying the type/source of the descriptive number used in Product/Service ID (234)
CR610 qualifies CR611.
CR611
Medical Code Value
String (AN)
Conditional
1
15
1
Code value for describing a medical condition or procedure
CR611 is the surgical procedure most relevant to the care being rendered.
CR612
Date
Date (DT)
Optional
8
8
1
Date expressed as CCYYMMDD where CC represents the first two digits of the calendar year
CR612 is the date the agency received the verbal orders from the physician for start of care.
CR613
Date
Date (DT)
Optional
8
8
1
Date expressed as CCYYMMDD where CC represents the first two digits of the calendar year
CR613 is the date that the patient was last seen by the physician.
CR614
Date
Date (DT)
Optional
8
8
1
Date expressed as CCYYMMDD where CC represents the first two digits of the calendar year
CR614 is the date of the home health agency's most recent contact with the physician.
CR615
Date Time Period Format Qualifier
Identifier (ID)
Conditional
2
3
1
Code indicating the date format, time format, or date and time format
P151617: If either CR6-15, CR6-16 or CR6-17 are present, then the others are required
CR616
Date Time Period
String (AN)
Conditional
1
35
1
Expression of a date, a time, or range of dates, times or dates and times
CR616 is the date range of the most recent inpatient stay.
CR617
Patient Location Code
Identifier (ID)
Conditional
1
1
1
Code identifying the location where patient is receiving medical treatment
CR617 indicates the type of facility from which the patient was most recently discharged.
CR618
Date
Date (DT)
Optional
8
8
1
Date expressed as CCYYMMDD where CC represents the first two digits of the calendar year
CR618 is the date of onset or exacerbation of the first secondary diagnosis.
CR619
Date
Date (DT)
Optional
8
8
1
Date expressed as CCYYMMDD where CC represents the first two digits of the calendar year
CR619 is the date of onset or exacerbation of the second secondary diagnosis.
CR620
Date
Date (DT)
Optional
8
8
1
Date expressed as CCYYMMDD where CC represents the first two digits of the calendar year
CR620 is the date of onset or exacerbation of the third secondary diagnosis.
CR621
Date
Date (DT)
Optional
8
8
1
Date expressed as CCYYMMDD where CC represents the first two digits of the calendar year
CR621 is the date of onset or exacerbation of the fourth secondary diagnosis.

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