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Segment
in
X12 Release 003030

PC Procedure Codes

To specify a procedure code and the date associated with it
Sequence
Element
Name
Type
Requirement
Min
Max
Repeat
01
235
Product/Service ID Qualifier
Identifier (ID)
Mandatory
2
2
-
Code identifying the type/source of the descriptive number used in Product/Service ID (234).
Codes (275)
02
Medical Code Value
String (AN)
Mandatory
1
15
-
Code value for describing a medical condition
03
Date Time Period Format Qualifier
Identifier (ID)
Conditional
2
3
-
Code indicating the date format, time format, or date and time format.
P0304
Codes (22)
04
Date Time Period
String (AN)
Conditional
1
35
-
Expression of a date, a time, or range of dates, times or dates and times.
PC04 is service date.
05
Description
String (AN)
Optional
1
80
-
A free-form description to clarify the related data elements and their content.
PC05 is procedure description.
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Stedi is a registered trademark of Stedi, Inc. Stedi's EDI Reference and Mapping Guides are provided for marketing purposes and are free of charge. All names, logos, and brands of third parties listed on our site are trademarks of their respective owners (including “X12”, which is a trademark of X12 Incorporated). Stedi, Inc. and its products and services are not endorsed by, sponsored by, or affiliated with these third parties. Our use of these names, logos, and brands is for identification purposes only, and does not imply any such endorsement, sponsorship, or affiliation.