Medical Billing - GU0 Record Fields 54 Through 58

By: Michael Russell

In this maze of medical billing and the countless number of forms, specifications and red tape, the GU0 record ranks up near the top of the list of things that drive billers crazy. The number of fields alone that need to be filled are enough to make you pull your hair out of your head. Add to that the convoluting mapping of these forms and you're in for a two aspirin night after you've come home from work. Hopefully, this series of articles on the GU0 record will help make the biller's life a little easier. In this installment, we cover the GU0 record picking up with field number 54.

GU0 field 54, positions 159 - 166, is Reply ALN L08 N02. This is the response to the second question on any DMERC certification requiring an eight position response. This is another date field, similar to field number 53. This field is filled in under the following conditions: For form number 06, the date is filled in to show the start of a TENS trial. For form number 08, the date is filled in to show the date the patient was discharged from the hospital after transplant surgery. This date is ONLY filled in if the surgery was for a transplant of any kind, including heart, liver, etc.

GU0 field 55, positions 167 - 174, is Reply ALN L08 N03. This is the response to the third question on any DMERC certification requiring an eight position response. This is another date field, similar to field number 54. This field is filled in under the following conditions: For form number 06, the date is filled in to show the end of a TENS trial.

GU0 field 56, positions 175 - 182, is Reply ALN L08 N03. This is the response to the fourth question on any DMERC certification requiring an eight position response. This is another date field, similar to field number 55. This field is filled in under the following conditions: For form number 06, the date is filled in to show when the ordering physician saw and evaluated the patient following a TENS trial.

GU0 field 57, positions 183 - 202, is Reply ALN L20 N01. This is the response to the first question on any DMERC certification requiring a twenty position response. For form 05, this field is reserved for future use. For form 08, this applies to question 9, the city where the transplant facility was located. For form 09, this applies to question 3, name of drug with non specific HCPCS code. For form 10, this applies to question 10, the product name.

GU0 field 58, positions 203 - 262, is Reply ALN L60 N01. This is the response to the first question on any DMERC certification requiring a sixty position response. For form 08, this applies to question 8, the name of the transplant facility, which is limited to 30 characters. For form 10, this applies to question 15, which is additional information when required by the policy.

In the next installment of medical billing, we'll continue our review of the GU0 record.

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