CR3 Durable Medical Equipment Certification

Opt
AtMax 1

To supply information regarding a physician's certification for durable medical equipment

Elements

PositionElementNameTypeMin/MaxRepeat
1
1322
Certification Type CodeOptID1/1AtMax 1
2
355
Unit or Basis for Measurement CodeRelID2/2AtMax 1
3
380
QuantityRelDecimal1/15AtMax 1
4
1335
Insulin Dependent CodeOptID1/1AtMax 1
5
352
DescriptionOptAlphanumeric1/80AtMax 1

Element Details

ID1322
NameCertification Type Code
LengthMin 1 / Max 1
Position1
RequirementOpt
Codes
  • <>7
    Add-on
  • <>N
    Reconsideration
  • <>A
    Certification of Current Cost and Pricing Data
  • <>1
    Appeal - Immediate
  • <>D
    Final
  • <>4
    Extension
  • <>B
    Certification of Overhead
  • <>2
    Appeal - Standard
  • <>R
    Renewal
  • <>E
    Recertification
  • <>5
    Notification
  • <>8
    Replacement
  • <>C
    Certification Not Required
  • <>3
    Cancel
  • <>S
    Revised
  • <>6
    Verification
  • <>I
    Initial