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The Patient Charge Cost Center Exception segment identifies the Patient Price associated with Cost Center and Patient Charge Identifier combinations that should be used in an instance that the item is billed to a patient. The grouping of Cost Center accounts, Patient Charge Identifier, and Patient Price is unique.

HL7 Attribute Table - PCE - Patient Charge Cost Center Exception Segment

Seq#	DataElement	Description	Must Implement	Flags	Cardinality	Length	C.LEN	Vocabulary	DataType
PCE
1	02228	Set ID – PCE	SHALL		[1..1]	[1..4]			SI
2	00281	Cost Center Account Number		O	[0..1]			0319	CX
3	00361	Transaction Code			[0..1]			0132	CWE
4	00366	Transaction Amount - Unit			[0..1]				CP

Definition: This field contains a sequential number that identifies this segment within a given material item segment group. For the first occurrence of the segment in a given group, the sequence number shall be one; for the second occurrence, the sequence number shall be two; etc.

(Definition from RQD.7 in Ch. 4)

Definition: This field contains the general ledger cost center account number associated with a department that may issue or charge for this item. Refer to HL7 Table 0319 – Department Cost Centerin Chapter 2C, Code Tables, for valid values.

(Definition from PCE.2 in Ch. 17)

Definition: This field would contain the specific general ledger cost center account number associated with a department that may issue or charge for this item. Refer to HL7 Table 0319 – Department Cost Center in Chapter 2C, Code Tables, for valid values.

(Definition from FT1.7 in Ch. 6)

Definition: This field contains the code assigned by the institution for the purpose of uniquely identifying the transaction based on the Transaction Type (FT1-6). For example, this field would be used to uniquely identify a procedure, supply item, or test for charges, or to identify the payment medium for payments. Refer to User-defined Table 0132 - Transaction Code in Chapter 2C, Code Tables, for suggested values. See Chapter 7 for a discussion of the universal service ID for charges.

(Definition from ITM.12 in Ch. 17)

Definition: This field contains the code assigned by the institution for the purpose of uniquely identifying a patient billing code specific for a supply item. In the context of this message, this is a code that is a cross-reference to the Item Code/Id. This field would be used to uniquely identify a procedure, supply item, or test for charges; or to identify the payment medium for payments. It can reference, for example, a CBC (a lab charge), or an Elastic Bandage 3'' (supply charge), or Chest 1 View (radiology charge). For instance the code would be 300-0001, with a description of CBC.

Refer to User-defined Table 0132 - Transaction Code in Chapter 2C, Code Tables, for suggested values. See Chapter 7 for a discussion of the universal service ID for charges.

(Definition from PCE.3 in Ch. 17)

Definition: This field contains a code that is used by a billing system to charge for the inventory supply item, the descriptive name of the patient charge for that system (as it may appear on a patient's bill or charge labels) and the name of the coding system that assigned the charge code. Refer to User-defined Table 0132 – Transaction Codes in Chapter 6, Financial Management, for suggested values.

(Definition from IVT.12 in Ch. 17)

Definition: This field contains a code that is used by a billing system to charge for the inventory supply item, the descriptive name of the patient charge for that system (as it may appear on a patient's bill or charge labels) and the name of the coding system that assigned the charge code. Refer to User-defined Table 0132 – Transaction Codes in Chapter 2C, Code Tables, for suggested values.

(Definition from FT1.12 in Ch. 6)

Definition: This field contains the unit price of a transaction. Price of a single item.

(Definition from ITM.13 in Ch. 17)

Definition: Unit price of transaction. Price of a single item. This field contains the dollar amount charged to patients for this item.

(Definition from PCE.4 in Ch. 17)

Definition: The price that a department charges to a patient for this inventory supply item when using the Patient Charge Billing code present in this segment.

(Definition from IVT.13 in Ch. 17)

Definition: This field contains the dollar amount charged to patients for this single inventory supply item.