EDI Dictionary
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X12 Release 4010
X12 Release
4010
4020
4030
4040
4050
4060
5010
5020
5030
5040
5050
6010
6020
6030
6040
6050
7010
7020
7030
7040
7050
7060
8010
Transaction Sets
Segments
Elements
EDI-Dictionary
4010
SV6
SV6
Anesthesia Service
Batch
To specify the claim service detail for anesthesia
Elements
Position
Element
Name
Type
Min/Max
Repeat
C003
Composite Medical Procedure Identifier
Mandatory
1
2
1332
Facility Code Qualifier
Rel
ID
1/2
1
3
1331
Facility Code Value
Rel
Alphanumeric
1/2
1
4
782
Monetary Amount
Opt
Decimal
1/18
1
C004
Composite Diagnosis Code Pointer
Opt
1
6
380
Quantity
Opt
Decimal
1/15
1
7
1073
Yes/No Condition or Response Code
Opt
ID
1/1
1
Element Details
ID
1332
Name
Facility Code Qualifier
Length
Min 1 / Max 2
Position
2
Requirement
Rel
Codes
<>
A
Uniform Billing Claim Form Bill Type
<>
B
Place of service code from the FAO record of the Electronic Media Claims National Standard Format
