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UVC - UB value code and amount

HL7 Component Table - UVC - UB value code and amount
Seq# Description Implement Flags Cardinality Length C.LEN Vocabulary Data Type
UVC
1 Value Code [0..1]     0153 CWE
2 Value Amount [0..1]     MO
3 Non-Monetary Value Amount / Quantity [0..1]     NM
4 Non-Monetary Value Amount / Units [0..1]     CWE

Components: <Value Code (CWE)> & <Value Amount (MO)> & <Non-Monetary Value Amount / Quantity (NM)> & <Non-Monetary Value Amount / Units (CWE)>

Subcomponents for Value Code (CWE): <Identifier (ST)> ^ <Text (ST)> ^ <Name of Coding System (ID)> ^ <Alternate Identifier (ST)> ^ <Alternate Text (ST)> ^ <Name of Alternate Coding System (ID)> ^ <Coding System Version ID (ST)> ^ <Alternate Coding System Version ID (ST)> ^ <Original Text (ST)> ^ <Second Alternate Identifier (ST)> ^ <Second Alternate Text (ST)> ^ <Name of Second Alternate Coding System (ID)> ^ <Second Alternate Coding System Version ID (ST)> ^ <Coding System OID (ST)> ^ <Value Set OID (ST)> ^ <Value Set Version ID (DTM)> ^ <Alternate Coding System OID (ST)> ^ <Alternate Value Set OID (ST)> ^ <Alternate Value Set Version ID (DTM)> ^ <Second Alternate Coding System OID (ST)> ^ <Second Alternate Value Set OID (ST)> ^ <Second Alternate Value Set Version ID (DTM)>

Subcomponents for Value Amount (MO): <Quantity (NM)> ^ <Denomination (ID)>

Subcomponents for Non-Monetary Value Amount / Units (CWE): <Identifier (ST)> ^ <Text (ST)> ^ <Name of Coding System (ID)> ^ <Alternate Identifier (ST)> ^ <Alternate Text (ST)> ^ <Name of Alternate Coding System (ID)> ^ <Coding System Version ID (ST)> ^ <Alternate Coding System Version ID (ST)> ^ <Original Text (ST)> ^ <Second Alternate Identifier (ST)> ^ <Second Alternate Text (ST)> ^ <Name of Second Alternate Coding System (ID)> ^ <Second Alternate Coding System Version ID (ST)> ^ <Coding System OID (ST)> ^ <Value Set OID (ST)> ^ <Value Set Version ID (DTM)> ^ <Alternate Coding System OID (ST)> ^ <Alternate Value Set OID (ST)> ^ <Alternate Value Set Version ID (DTM)> ^ <Second Alternate Coding System OID (ST)> ^ <Second Alternate Value Set OID (ST)> ^ <Second Alternate Value Set Version ID (DTM)>

Definition: A code structure to relate amounts or values to identified data elements necessary to process this claim as qualified by the payer organization.

This data type is used to convey information defined by CMS or other regulatory agencies. It corresponds to UB fields 46A, 47A, 48A, 49A, 46B, 47B, 48B, and 49B and UB92 fields 39a, 39b, 39c, 39d, 40a, 40b, 40c, 40d, 41a, 41b, 41c, and 41d.

Note: Replaces the CM data type used in sections 6.5.10.10 UB1-10 and 6.5.11.6 UB2-6, as of v 2.5.


The most common semi-private room rate is used in instances where the patient is placed in a private room at their request but their insurance only covers a semi-private room rate, which can be calculated using the 01-most common semi-private room rate.

Example:

|01&most common semi private rate&NUBC^750&USD|

UVC-1: Value Code (CWE)

Definition: Specifies the National Uniform Billing Committee (NUBC) code itself.

Refer to External Table 0153 – Value Code for valid values. In the United States, values for this component need to come from National Uniform Billing Committee (NUBC); no extensions are allowed.

Other realms should determine the precise set appropriate for their realm.

UVC-2: Value Amount (MO)

Definition: Specifies the numeric amount when needed to pair with the value when it is monetary.

UVC-3: Non-Monetary Value Amount / Quantity (NM)

Definition: Specifies the numeric amount when needed to pair with the value when it is non-monetary.

UVC-4: Non-Monetary Value Amount / Units (CWE)

Definition: This component species the units in which the non-monetary quantity is expressed. Refer to the Unified Code for Units of Measure (UCUM) for valid values [http://aurora.rg.iupui.edu/UCUM].