| Code ID | Code Name | Data Element |
|---|---|---|
| states | US State or Province Codes | 156 |
| AA AB AE AK AL AP AR AS AZ BC CA CO CT DC DE FL FM GA GU HI IA ID IL IN KS KY LA MA MB MD ME MH MI MN MO MP MS MT NB NC ND NE NF NH NJ NM NS NT NV NY OH OK ON OR PA PE PQ PR RI SC SD SK TN TX UT VA VI VT WA WI WV WY YT |
| Code ID | Code Name | Data Element |
|---|---|---|
| country | Country Codes | 26 |
| AF AL DZ AS AD AO AI AQ AG AR AM AW AU AT AZ BS BH BD BB BY BE BZ BJ BM BT BO BA BW BV BR IO BN BG BF BI KH CM CA CV KY CF TD CL CN CX CC CO KM CG CD CK CR CI HR CU CY CZ DK DJ DM DO TP EC EG SV GQ ER EE ET FK FO FJ FI FR GF PF TF GA GM GE DE GH GI GR GL GD GP GU GT GN GW GY HT HM VA HN HK HU IS IN ID IR IQ IE IL IT JM JP JO KZ KE KI KP KR KW KG LA LV LB LS LR LY LI LT LU MO MK MG MW MY MV ML MT MH MQ MR MU YT MX FM MD MC MN MS MA MZ MM NA NR NP NL AN NC NZ NI NE NG NU NF MP NO OM PK PW PS PA PG PY PE PH PN PL PT PR QA RE RO RU RW SH KN LC PM VC WS SM ST SA SN SC SL SG SK SI SB SO ZA GS ES LK SD SR SJ SZ SE CH SY TW TJ TZ TH TG TK TO TT TN TR TM TC TV UG UA AE GB US UM UY UZ VU VE VN VG VI WF EH YE YU ZM ZW |
| Code ID | Code Name | Data Element |
|---|---|---|
| currency | Currency Code | 100 |
| ADP AED AFA ALL ANG AOK ARA ATS AUD AWG BBD BDT BEF BGL BHD BIF BMD BND BOB BRC BSD BTN BUK BWP BZD CAD CHF CLF CLP CNY COP CRC CSK CUP CVE CYP DDM DEM DJF DKK DOP DZD ECS EGP ESP ETB EUR FIM FJD FKP FRF GBP GHC GIP GMD GNF GRD GTQ GWP GYD HKD HNL HTG HUF IDR IEP ILS INR IQD IRR ISK ITL JMD JOD JPY KES KHR KMF KPW KRW KWD KYD LAK LBP LKR LRD LSL LUF LYD MAD MGF MNT MOP MRO MTL MUR MVR MWK MXP MYR MZM NGN NIC NLG NOK NPR NZD OMR PAB PEI PGK PHP PKR PLZ PTE PYG QAR ROL RWF SAR SBD SCR SDP SEK SGD SHP SLL SOS SRG STD SUR SVC SYP SZL THB TND TOP TPE TRL TTD TWD TZS UGS USD UYP VEB VND VUV WST YDD YER YUD ZAR ZMK ZRZ ZWD |
| Code ID | Code Name | Data Element |
|---|---|
| entity_id | Entity Identifier Code |
| 13 17 1E 1G 1H 1I 1O 1P 1Q 1R 1S 1T 1U 1V 1W 1X 1Y 1Z 28 2A 2B 2E 2I 2K 2P 2Q 2S 2Z 30 36 3A 3C 3D 3E 3F 3G 3H 3I 3J 3K 3L 3M 3N 3O 3P 3Q 3R 3S 3T 3U 3V 3W 3X 3Y 3Z 40 43 44 4A 4B 4C 4D 4E 4F 4G 4H 4I 4J 4L 4M 4N 4O 4P 4Q 4R 4S 4U 4V 4W 4X 4Y 4Z 5A 5B 5C 5D 5E 5F 5G 5H 5I 5J 5K 5L 5M 5N 5O 5P 5Q 5R 5S 5T 5U 5V 5W 5X 5Y 5Z 61 6A 6B 6C 6D 6E 6F 6G 6H 6I 6J 6K 6L 6M 6N 6O 6P 6Q 6R 6S 6U 6V 6W 6X 6Y 71 72 73 74 77 7C 80 82 84 85 87 95 CK CZ D2 DD DJ DK DN DO DQ E1 E2 E7 E9 FA FD FE G0 G3 GB GD GI GJ GK GM GY HF HH I3 IJ IL IN LI LR MR OB OD OX P0 P2 P3 P4 P6 P7 PT PV PW QA QB QC QD QE QH QK QL QN QO QS QV QY RC RW S4 SJ SU T4 TQ TT TU UH X3 X4 X5 ZZ |
| Code ID | Code Name | Data Element |
|---|---|---|
| adjustment_reason | Adjustment Reason Code | 1034 |
| 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 A0 A1 A2 A3 A4 A5 A6 A7 A8 B1 B2 B3 B4 B5 B6 B7 B8 B9 B10 B11 B12 B13 B14 B15 B16 B17 B18 B19 B20 B21 B22 B23 D1 D2 D3 D4 D5 D6 D7 D8 D9 D10 D11 D12 D13 D14 D15 D16 D17 D18 D19 D20 D21 W1 |
| Code ID | Code Name | Data Element |
|---|---|---|
| remark_code | Remark Code | 127 |
| M1 M2 M3 M4 M5 M6 M7 M8 M9 M10 M11 M12 M13 M14 M15 M16 M17 M18 M19 M20 M21 M22 M23 M24 M25 M26 M27 M28 M29 M30 M31 M32 M33 M34 M35 M36 M37 M38 M39 M40 M41 M42 M43 M44 M45 M46 M47 M48 M49 M50 M51 M52 M53 M54 M55 M56 M57 M58 M59 M60 M61 M62 M63 M64 M65 M66 M67 M68 M69 M70 M71 M72 M73 M74 M75 M76 M77 M78 M79 M80 M81 M82 M83 M84 M85 M86 M87 M88 M89 M90 M91 M92 M93 M94 M95 M96 M97 M98 M99 M100 M101 M102 M103 M104 M105 M106 M107 M108 M109 M110 M111 M112 M113 M114 M115 M116 M117 M118 M119 M120 M121 M122 M123 M124 M125 M126 M127 M128 M129 M130 M131 M132 M133 M134 M135 M136 M137 M138 M139 M140 M141 M142 M143 M144 MA01 MA02 MA03 MA04 MA05 MA06 MA07 MA08 MA09 MA10 MA11 MA13 MA14 MA16 MA17 MA18 MA19 MA25 MA29 MA30 MA31 MA32 MA33 MA34 MA35 MA36 MA37 MA38 MA40 MA41 MA42 MA43 MA44 MA45 MA47 MA48 MA49 MA50 MA51 MA52 MA53 MA54 MA55 MA56 MA57 MA58 MA59 MA60 MA61 MA62 MA63 MA64 MA65 MA66 MA67 MA68 MA69 MA70 MA71 MA72 MA73 MA74 MA75 MA76 MA77 MA78 MA79 MA80 MA81 MA82 MA83 MA84 MA85 MA86 MA87 MA88 MA89 MA90 MA92 MA93 MA94 MA95 MA96 MA97 MA98 MA99 MA100 MA101 MA102 MA103 MA104 MA105 MA106 MA107 MA108 MA109 MA110 MA111 MA112 MA113 MA114 MA115 MA116 MA117 MA118 MA119 MA120 MA121 MA122 MA123 MA124 MA125 MA126 MA128 MA129 MA130 MA131 MA132 MA133 MA134 N1 N2 N3 N4 N5 N6 N7 N8 N9 N10 N11 N12 N13 N14 N15 N16 N17 N18 N19 N20 N21 N22 N23 N24 N25 N26 N27 N28 N29 N30 N31 N32 N33 N34 N35 N36 N37 N38 N39 N40 N41 N42 N43 N44 N45 N46 N47 N48 N49 N50 N51 N52 N53 N54 N55 N56 N57 N58 N59 N60 N61 N62 N63 N64 N65 N66 N67 N68 N69 N70 N71 N72 N73 N74 N75 N76 N77 N78 N79 N80 N81 N82 N83 N84 N85 N86 N87 N88 N89 N90 N91 N92 N93 N94 |
| Code ID | Code Name | Data Element |
|---|---|
| service_type | Service Type Code |
| 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 30 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 7 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 A0 A1 A2 A3 A4 A5 A6 A7 A8 A9 AA AB AC AD AE AF AG AH AI AJ AK AL AM AN AO AQ AR BA BB BC BD BE BF BG BH BI BJ BK BL BM BN BP BQ BR BS |
| Code ID | Code Name | Data Element |
|---|---|---|
| claim_status_cat | Health Care Claim Status Category Code (Code Source 507) | 1271 |
| A0 A1 A2 A3 A4 D0 E0 E1 F0 F1 F2 F3 F3F F3N F4 F5 P0 P1 P2 P3 P4 R0 R1 R3 R4 R5 RQ X0 |
| Code ID | Code Name | Data Element |
|---|---|---|
| claim_status | Health Care Claim Status Code (Code Source 508) | 1271 |
| 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 37 38 39 40 41 42 44 45 46 47 48 49 50 51 52 53 54 55 56 57 59 60 61 64 65 66 67 68 69 70 71 72 73 78 81 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254 255 256 257 258 259 260 261 262 263 264 265 266 267 268 269 270 271 272 273 274 275 276 277 278 279 280 281 282 283 284 285 286 287 288 289 290 291 292 293 294 295 296 297 298 299 300 301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316 317 318 319 320 321 322 323 324 325 326 327 328 329 330 331 332 333 334 335 336 337 338 339 340 341 342 343 344 345 346 347 348 349 350 351 352 353 354 355 356 357 358 359 360 361 362 363 364 365 366 367 368 369 370 371 372 373 374 375 376 377 378 379 380 381 382 383 384 385 386 387 388 389 390 391 392 393 394 395 396 397 398 399 400 401 402 403 404 405 406 407 408 409 410 411 412 413 414 415 416 417 418 419 420 421 422 423 424 425 426 427 428 429 430 431 432 433 434 435 436 437 438 439 440 441 442 443 444 445 446 447 448 449 450 451 452 453 454 455 456 457 458 459 460 461 462 463 464 465 466 467 468 469 470 471 472 473 474 475 476 477 478 479 480 481 482 483 484 485 486 |
| Code ID | Code Name | Data Element |
|---|---|---|
| pos | Place of Service - code source 237 | 1331 |
| 01 03 04 05 06 07 08 09 11 12 13 14 15 16 20 21 22 23 24 25 26 31 32 33 34 41 42 49 50 51 52 53 54 55 56 57 60 61 62 65 71 72 81 99 |