CLM_CMN_COND_INDIC
Description:
Condition indicator for External Infusion Pump Certificate of Medical Necessity (CMN) form. Code to print in the CRC-03 segment.
Primary Key
Column Name
Ordinal Position
CLAIM_ID
1
LINE
2
Column Information
Name
Type
Discontinued?
1
CLAIM_ID
NUMERIC
No
The unique identifier for the Claim Info record.
2
LINE
INTEGER
No
The line number for the information associated with this record. Multiple pieces of information can be associated with this record.
3
CMN_COND_INDIC_C_NAME
VARCHAR
No
Condition indicator for the External Infusion Pump Certificate of Medical Necessity (CMN) form.
May contain organization-specific values: No
Category Entries:
Oxygen delivery equipment is stationary
Certification signed by the physician is on file at the supplier's office
Ambulation limitations
Patient was discharged from the first facility
Replacement item