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Back  RFI # 146: 837 Principal Procedure Info

Formal vs. Informal Help Informal Formal

Submitter

David Foulke

Description

Can the 837 2300 HI Principal Procedure Information segment be required on Institutional outpatient claims?

Submitter Assigned Keywords

837 principal procedure outpatient institutional

Response

The HI Principal Procedure Information segment is required on Home IV therapy claims or encounters when surgery was performed during the inpatient stay from which the course of therapy was initiated. The HI Principal Procedure Information segment is also required on inpatient claims or encounters when a procedure was performed.

Therefore the answer is no. Submitters are not prohibited from sending the segment for outpatient claims however a receiver cannot require the segment for outpatient claims.
Submission 11/15/2004
Status Date 3/1/2005
Status F - Final
Primary References
Document 004010X096
Section3
Page242
Set ID837I
Table2
Loop2300
Segment Position231
Segment IDHI
Industry NamePrincipal Procedure Information