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Formal vs. Informal Help Informal Formal

Submitter

Suman de

Description

Where is Oxygen Therapy Certification submitted in the 5010 837 Professional Claim? The 4010A1 837P supported two types of certification in the 2400 CRC DMERC Condition segment; that is, DME Certification (CRC01 = 09) and Oxygen Therapy Certification (CRC01 = 11). However, the 5010 version of the 837P only supports DME Certification and no longer contains the code value in CRC01 for Oxygen Therapy Certification.

Submitter Assigned Keywords

Oxygen Certification

Response

In 4010, home oxygen therapy certification information was supported in several segments, in addition to Loop 2440 – Form Identification Code. The information in these segments is part of the Centers for Medicare & Medicaid Services (CMS) Durable Medical Equipment (DME) form number 484.03. To ensure that there is only one way to submit this information, the segments listed below were removed from the professional 5010 TR3. Loop 2440 should be used to report the information previously contained in these version 4010 Segments of the 837 professional.

CR5 – Home Oxygen Therapy Information

CRC – DMERC Condition Indicator

DTP – Oxygen Saturation/Arterial Blood Gas Test Date

MEA – Test Result

REF – Oxygen Flow Rate
Submission 7/22/2010
Status Date 11/19/2010
Status F - Final
Primary References
Document 005010X222
Section2
Page62
Set ID837P
Loop2400
Segment Position8
Segment IDCRC
Element Position1