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Segment
in
X12 Release 008010

HI Health Care Information Codes

To supply information related to the delivery of health care
Sequence
Element
Name
Type
Requirement
Min
Max
Repeat
01
C022
Health Care Code Information
Composite (composite)
Mandatory
1
01
Code List Qualifier Code
Identifier (ID)
Mandatory
1
3
-
Code identifying a specific industry code list
C022-01 qualifies C022-02, C022-04, C022-05, C022-06, C022-08 and C022-10.
Codes (1056)
02
Industry Code
String (AN)
Mandatory
1
30
-
Code indicating a code from a specific industry code list
If C022-08 is used, then C022-02 represents the beginning value in a range of codes.
03
Date Time Period Format Qualifier
Identifier (ID)
Conditional
2
3
-
Code indicating the date format, time format, or date and time format
P0304
C022-03 is the date format that will appear in C022-04.
Codes (42)
04
Date Time Period
String (AN)
Conditional
1
35
-
Expression of a date, a time, or range of dates, times or dates and times
05
Monetary Amount
Decimal number (R)
Optional
1
18
-
Monetary amount
06
Quantity
Decimal number (R)
Optional
1
15
-
Numeric value of quantity
07
Version Identifier
String (AN)
Optional
1
30
-
Revision level of a particular format, program, technique or algorithm
C022-07 qualifies C022-01.
08
Industry Code
String (AN)
Conditional
1
30
-
Code indicating a code from a specific industry code list
E0809
C022-08 represents the ending value in a range of codes.
09
Industry Code
String (AN)
Conditional
1
30
-
Code indicating a code from a specific industry code list
C022-09 is a value from Code Source 959 for the Present on Admission Indicator.
C022-09 would only need to be reported when C022-02 is a Diagnosis Code and range of diagnosis codes were NOT given in C022-08.
10
Industry Code
String (AN)
Optional
1
30
-
Code indicating a code from a specific industry code list
C022-10 is the attribute of the code in C022-02 from the same code list.
02
Health Care Code Information
Composite (composite)
Optional
1
01
Code List Qualifier Code
Identifier (ID)
Mandatory
1
3
-
Code identifying a specific industry code list
C022-01 qualifies C022-02, C022-04, C022-05, C022-06, C022-08 and C022-10.
Codes (1056)
02
Industry Code
String (AN)
Mandatory
1
30
-
Code indicating a code from a specific industry code list
If C022-08 is used, then C022-02 represents the beginning value in a range of codes.
03
Date Time Period Format Qualifier
Identifier (ID)
Conditional
2
3
-
Code indicating the date format, time format, or date and time format
P0304
C022-03 is the date format that will appear in C022-04.
Codes (42)
04
Date Time Period
String (AN)
Conditional
1
35
-
Expression of a date, a time, or range of dates, times or dates and times
05
Monetary Amount
Decimal number (R)
Optional
1
18
-
Monetary amount
06
Quantity
Decimal number (R)
Optional
1
15
-
Numeric value of quantity
07
Version Identifier
String (AN)
Optional
1
30
-
Revision level of a particular format, program, technique or algorithm
C022-07 qualifies C022-01.
08
Industry Code
String (AN)
Conditional
1
30
-
Code indicating a code from a specific industry code list
E0809
C022-08 represents the ending value in a range of codes.
09
Industry Code
String (AN)
Conditional
1
30
-
Code indicating a code from a specific industry code list
C022-09 is a value from Code Source 959 for the Present on Admission Indicator.
C022-09 would only need to be reported when C022-02 is a Diagnosis Code and range of diagnosis codes were NOT given in C022-08.
10
Industry Code
String (AN)
Optional
1
30
-
Code indicating a code from a specific industry code list
C022-10 is the attribute of the code in C022-02 from the same code list.
03
Health Care Code Information
Composite (composite)
Optional
1
01
Code List Qualifier Code
Identifier (ID)
Mandatory
1
3
-
Code identifying a specific industry code list
C022-01 qualifies C022-02, C022-04, C022-05, C022-06, C022-08 and C022-10.
Codes (1056)
02
Industry Code
String (AN)
Mandatory
1
30
-
Code indicating a code from a specific industry code list
If C022-08 is used, then C022-02 represents the beginning value in a range of codes.
03
Date Time Period Format Qualifier
Identifier (ID)
Conditional
2
3
-
Code indicating the date format, time format, or date and time format
P0304
C022-03 is the date format that will appear in C022-04.
Codes (42)
04
Date Time Period
String (AN)
Conditional
1
35
-
Expression of a date, a time, or range of dates, times or dates and times
05
Monetary Amount
Decimal number (R)
Optional
1
18
-
Monetary amount
06
Quantity
Decimal number (R)
Optional
1
15
-
Numeric value of quantity
07
Version Identifier
String (AN)
Optional
1
30
-
Revision level of a particular format, program, technique or algorithm
C022-07 qualifies C022-01.
08
Industry Code
String (AN)
Conditional
1
30
-
Code indicating a code from a specific industry code list
E0809
C022-08 represents the ending value in a range of codes.
09
Industry Code
String (AN)
Conditional
1
30
-
Code indicating a code from a specific industry code list
C022-09 is a value from Code Source 959 for the Present on Admission Indicator.
C022-09 would only need to be reported when C022-02 is a Diagnosis Code and range of diagnosis codes were NOT given in C022-08.
10
Industry Code
String (AN)
Optional
1
30
-
Code indicating a code from a specific industry code list
C022-10 is the attribute of the code in C022-02 from the same code list.
04
Health Care Code Information
Composite (composite)
Optional
1
01
Code List Qualifier Code
Identifier (ID)
Mandatory
1
3
-
Code identifying a specific industry code list
C022-01 qualifies C022-02, C022-04, C022-05, C022-06, C022-08 and C022-10.
Codes (1056)
02
Industry Code
String (AN)
Mandatory
1
30
-
Code indicating a code from a specific industry code list
If C022-08 is used, then C022-02 represents the beginning value in a range of codes.
03
Date Time Period Format Qualifier
Identifier (ID)
Conditional
2
3
-
Code indicating the date format, time format, or date and time format
P0304
C022-03 is the date format that will appear in C022-04.
Codes (42)
04
Date Time Period
String (AN)
Conditional
1
35
-
Expression of a date, a time, or range of dates, times or dates and times
05
Monetary Amount
Decimal number (R)
Optional
1
18
-
Monetary amount
06
Quantity
Decimal number (R)
Optional
1
15
-
Numeric value of quantity
07
Version Identifier
String (AN)
Optional
1
30
-
Revision level of a particular format, program, technique or algorithm
C022-07 qualifies C022-01.
08
Industry Code
String (AN)
Conditional
1
30
-
Code indicating a code from a specific industry code list
E0809
C022-08 represents the ending value in a range of codes.
09
Industry Code
String (AN)
Conditional
1
30
-
Code indicating a code from a specific industry code list
C022-09 is a value from Code Source 959 for the Present on Admission Indicator.
C022-09 would only need to be reported when C022-02 is a Diagnosis Code and range of diagnosis codes were NOT given in C022-08.
10
Industry Code
String (AN)
Optional
1
30
-
Code indicating a code from a specific industry code list
C022-10 is the attribute of the code in C022-02 from the same code list.
05
Health Care Code Information
Composite (composite)
Optional
1
01
Code List Qualifier Code
Identifier (ID)
Mandatory
1
3
-
Code identifying a specific industry code list
C022-01 qualifies C022-02, C022-04, C022-05, C022-06, C022-08 and C022-10.
Codes (1056)
02
Industry Code
String (AN)
Mandatory
1
30
-
Code indicating a code from a specific industry code list
If C022-08 is used, then C022-02 represents the beginning value in a range of codes.
03
Date Time Period Format Qualifier
Identifier (ID)
Conditional
2
3
-
Code indicating the date format, time format, or date and time format
P0304
C022-03 is the date format that will appear in C022-04.
Codes (42)
04
Date Time Period
String (AN)
Conditional
1
35
-
Expression of a date, a time, or range of dates, times or dates and times
05
Monetary Amount
Decimal number (R)
Optional
1
18
-
Monetary amount
06
Quantity
Decimal number (R)
Optional
1
15
-
Numeric value of quantity
07
Version Identifier
String (AN)
Optional
1
30
-
Revision level of a particular format, program, technique or algorithm
C022-07 qualifies C022-01.
08
Industry Code
String (AN)
Conditional
1
30
-
Code indicating a code from a specific industry code list
E0809
C022-08 represents the ending value in a range of codes.
09
Industry Code
String (AN)
Conditional
1
30
-
Code indicating a code from a specific industry code list
C022-09 is a value from Code Source 959 for the Present on Admission Indicator.
C022-09 would only need to be reported when C022-02 is a Diagnosis Code and range of diagnosis codes were NOT given in C022-08.
10
Industry Code
String (AN)
Optional
1
30
-
Code indicating a code from a specific industry code list
C022-10 is the attribute of the code in C022-02 from the same code list.
06
Health Care Code Information
Composite (composite)
Optional
1
01
Code List Qualifier Code
Identifier (ID)
Mandatory
1
3
-
Code identifying a specific industry code list
C022-01 qualifies C022-02, C022-04, C022-05, C022-06, C022-08 and C022-10.
Codes (1056)
02
Industry Code
String (AN)
Mandatory
1
30
-
Code indicating a code from a specific industry code list
If C022-08 is used, then C022-02 represents the beginning value in a range of codes.
03
Date Time Period Format Qualifier
Identifier (ID)
Conditional
2
3
-
Code indicating the date format, time format, or date and time format
P0304
C022-03 is the date format that will appear in C022-04.
Codes (42)
04
Date Time Period
String (AN)
Conditional
1
35
-
Expression of a date, a time, or range of dates, times or dates and times
05
Monetary Amount
Decimal number (R)
Optional
1
18
-
Monetary amount
06
Quantity
Decimal number (R)
Optional
1
15
-
Numeric value of quantity
07
Version Identifier
String (AN)
Optional
1
30
-
Revision level of a particular format, program, technique or algorithm
C022-07 qualifies C022-01.
08
Industry Code
String (AN)
Conditional
1
30
-
Code indicating a code from a specific industry code list
E0809
C022-08 represents the ending value in a range of codes.
09
Industry Code
String (AN)
Conditional
1
30
-
Code indicating a code from a specific industry code list
C022-09 is a value from Code Source 959 for the Present on Admission Indicator.
C022-09 would only need to be reported when C022-02 is a Diagnosis Code and range of diagnosis codes were NOT given in C022-08.
10
Industry Code
String (AN)
Optional
1
30
-
Code indicating a code from a specific industry code list
C022-10 is the attribute of the code in C022-02 from the same code list.
07
Health Care Code Information
Composite (composite)
Optional
1
01
Code List Qualifier Code
Identifier (ID)
Mandatory
1
3
-
Code identifying a specific industry code list
C022-01 qualifies C022-02, C022-04, C022-05, C022-06, C022-08 and C022-10.
Codes (1056)
02
Industry Code
String (AN)
Mandatory
1
30
-
Code indicating a code from a specific industry code list
If C022-08 is used, then C022-02 represents the beginning value in a range of codes.
03
Date Time Period Format Qualifier
Identifier (ID)
Conditional
2
3
-
Code indicating the date format, time format, or date and time format
P0304
C022-03 is the date format that will appear in C022-04.
Codes (42)
04
Date Time Period
String (AN)
Conditional
1
35
-
Expression of a date, a time, or range of dates, times or dates and times
05
Monetary Amount
Decimal number (R)
Optional
1
18
-
Monetary amount
06
Quantity
Decimal number (R)
Optional
1
15
-
Numeric value of quantity
07
Version Identifier
String (AN)
Optional
1
30
-
Revision level of a particular format, program, technique or algorithm
C022-07 qualifies C022-01.
08
Industry Code
String (AN)
Conditional
1
30
-
Code indicating a code from a specific industry code list
E0809
C022-08 represents the ending value in a range of codes.
09
Industry Code
String (AN)
Conditional
1
30
-
Code indicating a code from a specific industry code list
C022-09 is a value from Code Source 959 for the Present on Admission Indicator.
C022-09 would only need to be reported when C022-02 is a Diagnosis Code and range of diagnosis codes were NOT given in C022-08.
10
Industry Code
String (AN)
Optional
1
30
-
Code indicating a code from a specific industry code list
C022-10 is the attribute of the code in C022-02 from the same code list.
08
Health Care Code Information
Composite (composite)
Optional
1
01
Code List Qualifier Code
Identifier (ID)
Mandatory
1
3
-
Code identifying a specific industry code list
C022-01 qualifies C022-02, C022-04, C022-05, C022-06, C022-08 and C022-10.
Codes (1056)
02
Industry Code
String (AN)
Mandatory
1
30
-
Code indicating a code from a specific industry code list
If C022-08 is used, then C022-02 represents the beginning value in a range of codes.
03
Date Time Period Format Qualifier
Identifier (ID)
Conditional
2
3
-
Code indicating the date format, time format, or date and time format
P0304
C022-03 is the date format that will appear in C022-04.
Codes (42)
04
Date Time Period
String (AN)
Conditional
1
35
-
Expression of a date, a time, or range of dates, times or dates and times
05
Monetary Amount
Decimal number (R)
Optional
1
18
-
Monetary amount
06
Quantity
Decimal number (R)
Optional
1
15
-
Numeric value of quantity
07
Version Identifier
String (AN)
Optional
1
30
-
Revision level of a particular format, program, technique or algorithm
C022-07 qualifies C022-01.
08
Industry Code
String (AN)
Conditional
1
30
-
Code indicating a code from a specific industry code list
E0809
C022-08 represents the ending value in a range of codes.
09
Industry Code
String (AN)
Conditional
1
30
-
Code indicating a code from a specific industry code list
C022-09 is a value from Code Source 959 for the Present on Admission Indicator.
C022-09 would only need to be reported when C022-02 is a Diagnosis Code and range of diagnosis codes were NOT given in C022-08.
10
Industry Code
String (AN)
Optional
1
30
-
Code indicating a code from a specific industry code list
C022-10 is the attribute of the code in C022-02 from the same code list.
09
Health Care Code Information
Composite (composite)
Optional
1
01
Code List Qualifier Code
Identifier (ID)
Mandatory
1
3
-
Code identifying a specific industry code list
C022-01 qualifies C022-02, C022-04, C022-05, C022-06, C022-08 and C022-10.
Codes (1056)
02
Industry Code
String (AN)
Mandatory
1
30
-
Code indicating a code from a specific industry code list
If C022-08 is used, then C022-02 represents the beginning value in a range of codes.
03
Date Time Period Format Qualifier
Identifier (ID)
Conditional
2
3
-
Code indicating the date format, time format, or date and time format
P0304
C022-03 is the date format that will appear in C022-04.
Codes (42)
04
Date Time Period
String (AN)
Conditional
1
35
-
Expression of a date, a time, or range of dates, times or dates and times
05
Monetary Amount
Decimal number (R)
Optional
1
18
-
Monetary amount
06
Quantity
Decimal number (R)
Optional
1
15
-
Numeric value of quantity
07
Version Identifier
String (AN)
Optional
1
30
-
Revision level of a particular format, program, technique or algorithm
C022-07 qualifies C022-01.
08
Industry Code
String (AN)
Conditional
1
30
-
Code indicating a code from a specific industry code list
E0809
C022-08 represents the ending value in a range of codes.
09
Industry Code
String (AN)
Conditional
1
30
-
Code indicating a code from a specific industry code list
C022-09 is a value from Code Source 959 for the Present on Admission Indicator.
C022-09 would only need to be reported when C022-02 is a Diagnosis Code and range of diagnosis codes were NOT given in C022-08.
10
Industry Code
String (AN)
Optional
1
30
-
Code indicating a code from a specific industry code list
C022-10 is the attribute of the code in C022-02 from the same code list.
10
Health Care Code Information
Composite (composite)
Optional
1
01
Code List Qualifier Code
Identifier (ID)
Mandatory
1
3
-
Code identifying a specific industry code list
C022-01 qualifies C022-02, C022-04, C022-05, C022-06, C022-08 and C022-10.
Codes (1056)
02
Industry Code
String (AN)
Mandatory
1
30
-
Code indicating a code from a specific industry code list
If C022-08 is used, then C022-02 represents the beginning value in a range of codes.
03
Date Time Period Format Qualifier
Identifier (ID)
Conditional
2
3
-
Code indicating the date format, time format, or date and time format
P0304
C022-03 is the date format that will appear in C022-04.
Codes (42)
04
Date Time Period
String (AN)
Conditional
1
35
-
Expression of a date, a time, or range of dates, times or dates and times
05
Monetary Amount
Decimal number (R)
Optional
1
18
-
Monetary amount
06
Quantity
Decimal number (R)
Optional
1
15
-
Numeric value of quantity
07
Version Identifier
String (AN)
Optional
1
30
-
Revision level of a particular format, program, technique or algorithm
C022-07 qualifies C022-01.
08
Industry Code
String (AN)
Conditional
1
30
-
Code indicating a code from a specific industry code list
E0809
C022-08 represents the ending value in a range of codes.
09
Industry Code
String (AN)
Conditional
1
30
-
Code indicating a code from a specific industry code list
C022-09 is a value from Code Source 959 for the Present on Admission Indicator.
C022-09 would only need to be reported when C022-02 is a Diagnosis Code and range of diagnosis codes were NOT given in C022-08.
10
Industry Code
String (AN)
Optional
1
30
-
Code indicating a code from a specific industry code list
C022-10 is the attribute of the code in C022-02 from the same code list.
11
Health Care Code Information
Composite (composite)
Optional
1
01
Code List Qualifier Code
Identifier (ID)
Mandatory
1
3
-
Code identifying a specific industry code list
C022-01 qualifies C022-02, C022-04, C022-05, C022-06, C022-08 and C022-10.
Codes (1056)
02
Industry Code
String (AN)
Mandatory
1
30
-
Code indicating a code from a specific industry code list
If C022-08 is used, then C022-02 represents the beginning value in a range of codes.
03
Date Time Period Format Qualifier
Identifier (ID)
Conditional
2
3
-
Code indicating the date format, time format, or date and time format
P0304
C022-03 is the date format that will appear in C022-04.
Codes (42)
04
Date Time Period
String (AN)
Conditional
1
35
-
Expression of a date, a time, or range of dates, times or dates and times
05
Monetary Amount
Decimal number (R)
Optional
1
18
-
Monetary amount
06
Quantity
Decimal number (R)
Optional
1
15
-
Numeric value of quantity
07
Version Identifier
String (AN)
Optional
1
30
-
Revision level of a particular format, program, technique or algorithm
C022-07 qualifies C022-01.
08
Industry Code
String (AN)
Conditional
1
30
-
Code indicating a code from a specific industry code list
E0809
C022-08 represents the ending value in a range of codes.
09
Industry Code
String (AN)
Conditional
1
30
-
Code indicating a code from a specific industry code list
C022-09 is a value from Code Source 959 for the Present on Admission Indicator.
C022-09 would only need to be reported when C022-02 is a Diagnosis Code and range of diagnosis codes were NOT given in C022-08.
10
Industry Code
String (AN)
Optional
1
30
-
Code indicating a code from a specific industry code list
C022-10 is the attribute of the code in C022-02 from the same code list.
12
Health Care Code Information
Composite (composite)
Optional
1
01
Code List Qualifier Code
Identifier (ID)
Mandatory
1
3
-
Code identifying a specific industry code list
C022-01 qualifies C022-02, C022-04, C022-05, C022-06, C022-08 and C022-10.
Codes (1056)
02
Industry Code
String (AN)
Mandatory
1
30
-
Code indicating a code from a specific industry code list
If C022-08 is used, then C022-02 represents the beginning value in a range of codes.
03
Date Time Period Format Qualifier
Identifier (ID)
Conditional
2
3
-
Code indicating the date format, time format, or date and time format
P0304
C022-03 is the date format that will appear in C022-04.
Codes (42)
04
Date Time Period
String (AN)
Conditional
1
35
-
Expression of a date, a time, or range of dates, times or dates and times
05
Monetary Amount
Decimal number (R)
Optional
1
18
-
Monetary amount
06
Quantity
Decimal number (R)
Optional
1
15
-
Numeric value of quantity
07
Version Identifier
String (AN)
Optional
1
30
-
Revision level of a particular format, program, technique or algorithm
C022-07 qualifies C022-01.
08
Industry Code
String (AN)
Conditional
1
30
-
Code indicating a code from a specific industry code list
E0809
C022-08 represents the ending value in a range of codes.
09
Industry Code
String (AN)
Conditional
1
30
-
Code indicating a code from a specific industry code list
C022-09 is a value from Code Source 959 for the Present on Admission Indicator.
C022-09 would only need to be reported when C022-02 is a Diagnosis Code and range of diagnosis codes were NOT given in C022-08.
10
Industry Code
String (AN)
Optional
1
30
-
Code indicating a code from a specific industry code list
C022-10 is the attribute of the code in C022-02 from the same code list.
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.
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.