Segment: CRC
Loop: 2400 Element: CRC
Element: CRC01 (Ambulance Certification Code Category)
Hard coded to '07'.
Element: CRC02 (Ambulance Certification Condition Indicator)
'N' or 'Y'.
Element: CRC03 (Ambulance Certification Condition Code)
Edit Charge->Ambulance Tab->Ambulance Certification section
01 Patient was admitted to a hospital
04 Patient was moved by stretcher
05 Patient was unconscious or in shock
06 Patient was transported in an emergency situation
07 Patient had to be physically restrained
08 Patient had visible hemorrhaging
09 Ambulance service was medically necessary
12 Patient is confined to a bed or chair. (Use code 12 to indicate patient was bedridden during transport.)
Element: CRC04 (Ambulance Certification Condition Code 2)
Edit Charge->Ambulance Tab->Ambulance Certification section
01 Patient was admitted to a hospital
04 Patient was moved by stretcher
05 Patient was unconscious or in shock
06 Patient was transported in an emergency situation
07 Patient had to be physically restrained
08 Patient had visible hemorrhaging
09 Ambulance service was medically necessary
12 Patient is confined to a bed or chair. (Use code 12 to indicate patient was bedridden during transport.)
Element: CRC05 (Ambulance Certification Condition Code 3)
Edit Charge->Ambulance Tab->Ambulance Certification section
01 Patient was admitted to a hospital
04 Patient was moved by stretcher
05 Patient was unconscious or in shock
06 Patient was transported in an emergency situation
07 Patient had to be physically restrained
08 Patient had visible hemorrhaging
09 Ambulance service was medically necessary
12 Patient is confined to a bed or chair. (Use code 12 to indicate patient was bedridden during transport.)
Element: CRC06 (Ambulance Certification Condition Code 4)
Edit Charge->Ambulance Tab->Ambulance Certification section
01 Patient was admitted to a hospital
04 Patient was moved by stretcher
05 Patient was unconscious or in shock
06 Patient was transported in an emergency situation
07 Patient had to be physically restrained
08 Patient had visible hemorrhaging
09 Ambulance service was medically necessary
12 Patient is confined to a bed or chair. (Use code 12 to indicate patient was bedridden during transport.)
Element: CRC07 (Ambulance Certification Condition Code 5)
Edit Charge->Ambulance Tab->Ambulance Certification section
01 Patient was admitted to a hospital
04 Patient was moved by stretcher
05 Patient was unconscious or in shock
06 Patient was transported in an emergency situation
07 Patient had to be physically restrained
08 Patient had visible hemorrhaging
09 Ambulance service was medically necessary
12 Patient is confined to a bed or chair. (Use code 12 to indicate patient was bedridden during transport.)
Element: CRC01 (Hospice Employee Indicator Code Category)
Hard coded to '70'.
Element: CRC02 (Hospice Employed Provider Indicator)
Edit Charge->Misc Tab->Hospice
Element: CRC03 (Hospice Employee Condition Indicator)
Hard coded to '65'.
Element: CRC01 (Condition Indicator/Durable Medical Equipment Code Category)
Hard coded to '09', if Certification Type is defined.
Element: CRC02 (Condition Indicator/Durable Medical Equipment Certification Condition Indicator)
Charges->DME Tab->Certification Condition
Element: CRC03 (Condition Indicator/Durable Medical Equipment Condition)
Charges->DME Tab->Signed Certification on file with supplier/Replacement item
38 Certification signed by the physician is on file at the supplier’s office
ZV Replacement Item
Element: CRC04 (Condition Indicator/Durable Medical Equipment Condition 2)
Charges->DME Tab->Signed Certification on file with supplier/Replacement item
38 Certification signed by the physician is on file at the supplier’s office
ZV Replacement Item