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Back  RFI # 638: Send tooth information in K3

Formal vs. Informal Help Informal Formal

Submitter

Tom Drinkard

Description

Dental providers need the ability to send tooth and oral cavity information
associated with a single procedure in the Professional Claim. Due to the
Minnesota legislation requiring all claims to be electronic, there needs to be a
standard solution to this issue in the 4010A1 version of the 837P. The NUCC has
modified the CMS-1500 to accomodate tooth and oral cavity information, but an
electronic solution is also required. Note that multiple teeth may be submitted
associated with a single procedure.

Tooth information would be sent with a single 'JP' prefix and one or more tooth codes from the Universal/National System (code source 135). Multiple teeth would be separated by spaces as follows:

K3*JP 1 16 17 32~

Oral cavity information would be sent with a single 'JO' prefix and one or more codes from the ISO 3950 Dentistry Designation System for Tooth and Areas of the Oral Cavity System (code source 135). Multiple codes would be separated by spaces as follows:

K3*JO 10 40~

Submitter Assigned Keywords

tooth 837P

Response

The Workgroup approves the use of the K3 segment in the 4010 for tooth information. Tooth information is sent with a single 'JP' prefix and one or more tooth codes from the Universal/National System (code source 135). Multiple teeth would be separated by spaces as follows: K3*JP1 16 17 32~ Oral cavity information would be sent with a single 'JO' prefix and one or more codes from the ISO 3950 Dentistry Designation System for Tooth and Areas of the Oral Cavity System (code source 135). Multiple codes would be separated by spaces as follows: K3*JO10 40~
Submission 3/25/2008
Status Date 6/17/2008
Status F - Final
Primary References
Document 004010X098A1
Section3
Page487
Set ID837
Table2
Loop2400
Segment Position480
Segment IDK3