Segment: HI

Loop: 2300 Segment: HI

Element: HI01-1 (Health Care Diagnosis Code Qualifier 1)

Hard Coded to 'BK'

Element: HI01-2 (Health Care Diagnosis Code 1)

Aggregated from charges

Element: HI02-1 (Health Care Diagnosis Code Qualifier 2)

Hard Coded to 'BF'

Element: HI02-2 (Health Care Diagnosis Code 2)

Aggregated from charges

Element: HI03-1 (Health Care Diagnosis Code Qualifier 3)

Hard Coded to 'BF'

Element: HI03-2 (Health Care Diagnosis Code 3)

Aggregated from charges

Element: HI04-1(Health Care Diagnosis Code Qualifier 4)

Hard Coded to 'BF'

Element: HI04-2 (Health Care Diagnosis Code 4)

Aggregated from charges

Element: HI05-1 (Health Care Diagnosis Code Qualifier 5)

Hard Coded to 'BF'

Element: HI05-2 (Health Care Diagnosis Code 5)

Aggregated from charges

Element: HI06-1 (Health Care Diagnosis Code Qualifier 6)

Hard Coded to 'BF'

Element: HI06-2 (Health Care Diagnosis Code 6)

Aggregated from charges

Element: HI07-1 (Health Care Diagnosis Code Qualifier7)

Hard Coded to 'BF'

Element: HI07-2 (Health Care Diagnosis Code 7)

Aggregated from charges

Element: HI08-1 (Health Care Diagnosis Code Qualifier 8)

Hard Coded to 'BF'

Element: HI08-2 (Health Care Diagnosis Code 8)

Aggregated from charges

Element: HI09-1 (Health Care Diagnosis Code Qualifier 9)

Hard Coded to 'BF'

Element: HI09-2 (Health Care Diagnosis Code 9)

Aggregated from charges

Element: HI10-1 (Health Care Diagnosis Code Qualifier 10)

Hard Coded to 'BF'

Element: HI10-2 (Health Care Diagnosis Code 10)

Aggregated from charges

Element: HI11-1 (Health Care Diagnosis Code Qualifier 11)

Hard Coded to 'BF'

Element: HI11-2 (Health Care Diagnosis Code 11)

Aggregated from charges

Element: HI12-1 (Health Care Diagnosis Code Qualifier 12)

Hard Coded to 'BF'

Element: HI12-2 (Health Care Diagnosis Code 12)

Aggregated from charges