EDI Dictionary
Schedule demo
EDI Dictionary
Transaction Sets
Segments
Elements
X12 Release 4030
X12 Release
4010
4010
4030
4050
5010
5030
5050
6020
6040
7010
7030
7050
8010
4020
4040
4060
5020
5040
6010
6030
6050
7020
7040
7060
Schedule demo
X12 Release 4030
X12 Release
4010
4010
4030
4050
5010
5030
5050
6020
6040
7010
7030
7050
8010
4020
4040
4060
5020
5040
6010
6030
6050
7020
7040
7060
Transaction Sets
Segments
Elements
EDI-Dictionary
4030
837 Health Care Claim
SV4-3850
1330-14
1330
Dosage Form Code
Code indicating the form in which the drug is dispensed
Batch
Element Details
Type
ID
Length
Min 2 / Max 2
Codes
<>
84
Aerosol Spray
<>
51
Ophthalmic Liquid
<>
73
Vaginal Cream
<>
15
Soluble Tablet
<>
61
Suspension
<>
07
Dosepak
<>
96
Soap
<>
25
Enteric Coated Capsule
<>
78
Vaginal Ointment
<>
43
Injectable Lyophilized Powder
<>
82
Dental Product
<>
75
Urethral Suppository
<>
13
Buccal or Sublingual Tablet
<>
31
Internal Powder
<>
14
Chewable Tablet
<>
85
External Liquid
<>
50
Ophthalmic
<>
72
Vaginal Tablet
<>
22
Capsule Unspecified
<>
66
Pediatric Liquid
<>
91
Gargle
<>
88
Inhalant (Refill Canister Only)
<>
83
Aerosol Powder
<>
74
Vaginal Foam
<>
12
Sustained Release Tablet
<>
30
Lozenge or Troche
<>
86
External Powder
<>
53
Ophthalmic Liquid (Compliance Cap)
<>
71
Vaginal Suppository
<>
68
Oral, Liquid and Sustained Release
<>
67
Liquid
<>
01
Combination Forms
<>
90
Irrigant
<>
89
External Powder
<>
23
Tablet 21 Day Supply
<>
40
Injection
<>
62
Syrup
<>
04
Devices
<>
95
Otic
<>
52
Ophthalmic or Otic
<>
70
Rectal Suppository
<>
16
Tablet Unspecified
<>
34
Swabs
<>
69
Rectal Cream or Ointment
<>
87
Dental Mouth Rinse
<>
20
Capsule
<>
64
Emulsion
<>
02
Test Kits
<>
93
Nasal
<>
94
Inhalant
<>
41
Sustained Release Injection
<>
63
Solution
<>
05
Patch or Disc
<>
99
Miscellaneous Unspecified
<>
80
External Ointment
<>
77
Douche
<>
11
Enteric Coated Tablet
<>
33
Granules
<>
65
Drops
<>
03
Contraceptive Devices
<>
92
Throat Spray and Swabs
<>
21
Sustained Release Capsule
<>
24
Tablet 28 Day Supply
<>
79
Contraceptive Sponge
<>
42
Injectable Unspecified
<>
60
Elixir
<>
06
Chewable (candy) Bar
<>
97
Stick
<>
76
Enema
<>
10
Tablet
<>
32
Chewing Gum
<>
98
Dressing or Bandage
<>
81
External Cream