To specify special conditions or services associated with the purchased product
| Position | Element | Name | Type | Min/Max | Repeat | |
|---|---|---|---|---|---|---|
| 1 | 248  | Allowance or Charge Indicator | Mandatory | ID | 1/1 | AtMax 1 | 
| 2 | 559  | Agency Qualifier Code | Mandatory | ID | 2/2 | AtMax 1 | 
| 3 | 560  | Special Services Code | Mandatory | ID | 2/10 | AtMax 1 | 
| 4 | 561  | Service Marks and Numbers | Opt | Alphanumeric | 1/45 | AtMax 1 | 
| 5 | 359  | Allowance or Charge Rate | Opt | Decimal | 1/15 | AtMax 1 | 
| 6 | 610  | Amount | Opt | Number | 1/15 | AtMax 1 | 
| 7 | 352  | Description | Opt | Alphanumeric | 1/80 | AtMax 1 | 
| 8 | 380  | Quantity | Opt | Decimal | 1/15 | AtMax 1 | 
| 9 | 822  | Source Subqualifier | Opt | Alphanumeric | 1/15 | AtMax 1 |