Medical Billing - GU0 Record Fields 59 Through 61

By: Michael Russell

In this segment on medical billing, believe it or not, we're over 80% through our review of the GU0 record, or CMN. This is the longest CMN for electronic billing using NSF 3.01 specifications. In this installment we'll be picking up our review of the GU0 record with field number 59.

GU0 field 59, position 263, is Reply NUM L01 N01. This field refers back to the first question on any DMERC certification requiring a one position numeric response. The key here is the word numeric, as up until now, all the other responses were alpha or character responses, meaning they could be either numbers letters or spaces. The following forms are supported by this field. For form 01, the following responses are valid. A 1 for stage one, a 2 for stage 2, a 3 for stage 3, a 4 for stage four, or a 9 to designate that there was no ulcer or pressure area.

For form 08, the following responses are valid. A 1 for heart, a 2 for liver, a 3 for kidney, a 4 for bone marrow, or a 5 for lung. This is to designate the type of transplant. This field cannot be left blank if a transplant was done.

For form 09, the following responses are valid. A 1 for external infusion pump, a 3 for implantable infusion pump and a 4 for disposable infusion pump. This designates the type of pump used.

For form 10, any response 1 - 7, is valid. This is to designate the number of days infused.

GU0 field 60, position 264, is Reply NUM L01 N02. This field is the reply to the second question on any DMERC certification requiring a one position numeric response. The following forms are supported for this field. For form 01, the valid responses are 1 - 4. This shows the stage of the pressure area or ulcer. For form 08, the valid responses are the same as for field 59, form 08. This is in case there was a second transplanted organ. For form 09, the valid responses are 1, 3 or 4. These replies coincide with field 59, form 09. For form 10, the valid responses are 1 - 7, which also show the number of days administered in a week, similar to field 59, form 10.

GU0 field 61, position 265, is Reply NUM L01 N03. This field is the reply to the third question on any DMERC certification requiring a one position numeric response. The following forms are supported for this field. For form 01, the valid responses are 1 - 4. This shows the stage of the pressure area or ulcer. For form 08, the valid responses are the same as for field 60, form 08. This is in case there was a third transplanted organ. For form 09, the valid responses are 1, 3 or 4. These replies coincide with field 59, form 09. For form 10, the valid responses are 1 - 7, which also show the number of days administered in a week, similar to field 59, form 10.

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

Article Source: http://www.content.onlypunjab.com

Michael Russell Your Independent guide to Medical Billing
Michael Russell - Our Articles Expert Author