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GP2 - Grouping/Reimbursement - Procedure Line Item S (GP2)

Global Profile (Snapshot)
Seq#Data ElementDescriptionFlagsImplementCardinalityVocabularyData Type
GP2
101600Revenue Code MAY[0..1]US: RevenueCode (CD)
CWE

Coded with Exceptions

201604Number of Service Units
=

Truncation allowed.

MAY[0..1]
NM

Numeric

301605Charge MAY[0..1]
CP

Composite Price

401606Reimbursement Action Code MAY[0..1]ex.:ReimbursementActionCode (CD) hl7VS-reimbursementActionCode (VS) cms-OCEEditCode-cs (CS)
CWE

Coded with Exceptions

501607Denial or Rejection Code MAY[0..1]DenialOrRejectionCode (CD) hl7VS-denialOrRejectionCode (VS) denialOrRejectionType (CS)
CWE

Coded with Exceptions

601608OCE Edit Code MAY[0..*]OceEditCode (CD)
CWE

Coded with Exceptions

701609Ambulatory Payment Classification Code  MAY[0..1]AmbulatoryPaymentClassificationCode (CD) hl7VS-ambulatoryPaymentClassificationCode (VS) ambulatoryPaymentClassification (CS)
CWE

Coded with Exceptions

801610Modifier Edit Code MAY[0..*]ModifierEditCode (CD)
CWE

Coded with Exceptions

901611Payment Adjustment Code MAY[0..1]PaymentAdjustmentCode (CD) hl7VS-paymentAdjustmentCode (VS) paymentAdjustmentInformation (CS)
CWE

Coded with Exceptions

1001617Packaging Status Code MAY[0..1]ex.:PackagingStatusCode (CD) hl7VS-packagingStatusCode (VS) packagingStatus (CS)
CWE

Coded with Exceptions

1101618Expected CMS Payment Amount MAY[0..1]
CP

Composite Price

1201619Reimbursement Type Code MAY[0..1]ReimbursementTypeCode (CD) hl7VS-reimbursementTypeCode (VS) reimbursementType (CS)
CWE

Coded with Exceptions

1301620Co-Pay Amount MAY[0..1]
CP

Composite Price

1401621Pay Rate per Service Unit
=

Truncation not allowed!

MAY[0..1]
NM

Numeric