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Back  RFI # 1366: SV107 Duplicate Pointers

Formal vs. Informal Help Informal Formal

Submitter

Kim Perry

Description

For 837P-5010 are duplicate Diagnosis Code Pointers Allowed? i.e. Within SV107-1 through SV107-4 can they contain the same value? Our interpretation of the TR3 guide is that you can not have duplicate values, however we have a trading partner where their interpretation is that the values within the SV107-1 through SV107-4 can equal.

Submitter Assigned Keywords

Duplicate SV107

Response

The usage rules for the subsequent diagnosis pointers reads:

SITUATIONAL RULE: Required when it is necessary to point to a second diagnosis related to this service line. Acceptable values are the same as SV107-1. If not required by this implementation guide, do not send.

Since a duplicate pointer would not be reporting an additional diagnosis, it must not be sent.
Submission 7/26/2011
Status Date 10/4/2011
Status F - Final
Primary References
Document 005010X222
SectionSV1
Page356
Set ID837P
Table2
Loop2400
Segment Position3700
Segment IDSV1
Element Position07
Component Position1
Industry NameDiagnosis Code Pointer
External Code List1328