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CMNs for medical billing are some of the most important pieces of information that are sent. In this installment of our electronic medical billing series, using NSF 3.01 specifications, we'll be continuing with our review of the GD0 record, which is a generic CMN, picking up with field number 26.GD0 field 26, positions 69 - 71, is the insulin dependent indicator. This is a very strange field in the GD0 record. While the field is three characters long, it is still an indicator and each response is only one character in length. The field is used to tell the carrier if the patient is insulin dependent. The codes are as follows:A 1 is entered if the patient is dependent on insulin because of widely fluctuating blood sugars. A 2 is entered if the patient is dependent on insulin because the patient has frequent episodes of insulin reactions. A 3 is entered if the patient is dependent on insulin because the patient has significant ketosis. An N is entered if the patient is not insulin dependent.GD0 field 27, position 72, is the poor diabetic control indicator. This field tells the carrier if the patient has poor diabetic control, meaning that even with insulin, control is not easy. If true, a Y is entered. If not true, an N is entered.GD0 field 28, position 73, is the episodes of apnea indicator. Just a note. If it seems that these fields are all over the place, it is because this is a generic CMN and has to cover many areas. This field tells the carrier if during a 6 to 7 hour nocturnal study, at least 30 episodes of apnea were found that lasted more than 10 seconds. If so, this field is transmitted with a Y. If not, it is transmitted with an N.GD0 field 29, position 74, is the sugary alternative indicator. This field tells the carrier if the patient would need surgery if they weren't supplied with the equipment that they are billing for. If they would need surgery then a Y is sent. If not, then an N is sent.GD0 field 30, position 75, is the total knee replacement indicator. This field tells the carrier if the patient has had a total knee replacement. If the patient has, then this field is filled with a Y. If not, then the field is filled with an N.GD0 field 31, positions 76 - 83, is the date of sugary field for total knee replacement. If the patient has had a total knee replacement and the previous field is transmitted with a Y, then this field must be filled in with the date of that surgery. This can be in either yyyymmdd or mmddyyyy format depending on what is required by the carrier.In the next installment of our series of medical, using electronic transmission methods and NSF 3.01 specifications, we'll be continuing our review of the GD0 record, picking up with field number 32.
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Michael Russell Your Independent guide to Medical Billing
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