1321 Certification Condition Code

Code indicating a condition related to a certification

Type
Identifier (ID)
Length
Min 2 / Max 2
Codes
CodeDescription
01Patient was admitted to a hospital
02Patient was bed confined before the ambulance service
03Patient was bed confined after the ambulance service
04Patient was moved by stretcher
05Patient was unconcious or in shock
06Patient was transported in an emergency situation
07Patient had to be physically restrained
08Patient had visible hemorrhaging
09Ambulance service was medically necessary
10Patient is ambulatory
11Ambulation is Impaired and Walking Aid is Used for Therapy or Mobility
12Patient is confined to a bed or chair
13Patient is Confined to a Room or an Area Without Bathroom Facilities
14Ambulation is Impaired and Walking Aid is Used for Mobility
15Patient Condition Requires Positioning of the Body or Attachments Which Would Not be Feasible With the Use of an Ordinary Bed
16Patient needs a trapeze bar to sit up due to respiratory condition or change body positions for other medical reasons
17Patient's Ability to Breathe is Severely Impaired
18Patient condition requires frequent and/or immediate changes in body positions
19Patient can operate controls
20Siderails Are to be Attached to a Hospital Bed Owned by the Beneficiary
21Patient owns equipment
22Mattress or Siderails are Being Used with Prescribed Hospital Bed Owned by the Beneficiary
23Patient Needs Lift to Get In or Out of the Bed or to Assist in Transfer from Bed to Wheelchair
24Patient has an orthopedic impairment requiring traction equipment which prevents ambulation during period of use
25Item has been prescribed as part of a planned regimen of treatment in patient home
26Patient is highly susceptible to decubitus ulcers
27Patient or a care-giver has been instructed in use of equipment
28Patient has poor diabetic control
29A 6-7 hour nocturnal study documents 30 episodes of apnea each lasting more than 10 seconds
30Without the equipment, the patient would require surgery
31Patient has had a total knee replacement
32Patient has intractable lymphedema of the extremities
33Patient is in a nursing home
34Patient is concious
35This feeding is not the only form of nutritional intake for this patient
36Patient was administered premix
37Oxygen delivery equipment is stationary
38Certification signed by the physician is on file at the supplier's office
39Patient Has Mobilizing Respiratory Tract Secretions
40Patient or Caregiver is Capable of Using the Equipment Without Technical or Professional Supervision
41Patient or Caregiver is Unable to Propel or Lift a Standard Weight Wheelchair
42Patient Requires Leg Elevation Edema or Body Alignment
43Patient Weight or Usage Needs Necessitate a Heavy Duty Wheelchair
44Patient Requires Reclining Function of a Wheelchair
45Patient is Unable to Operate a Wheelchair Manually
46Patient or Caregiver Requires Side Transfer into Wheelchair, Commode or Other

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