| Code | Description | Version |
| ... | Use NUBC codes | added v2.5.1 |
| 01 | Auto accident | added v2.3.1, removed after v2.4 |
| 02 | No fault insurance involved-including auto accident/other | added v2.3.1, removed after v2.4 |
| 03 | Accident/tort liability | added v2.3.1, removed after v2.4 |
| 04 | Accident/employment related | added v2.3.1, removed after v2.4 |
| 05 | Other accident | added v2.3.1, removed after v2.4 |
| 06 | Crime victim | added v2.3.1, removed after v2.4 |
| 09 | Start of infertility treatment cycle | added v2.3.1, removed after v2.4 |
| 10 | Last menstrual period | added v2.3.1, removed after v2.4 |
| 11 | Onset of symptoms/illness | added v2.3.1, removed after v2.4 |
| 12 | Date of onset for a chronically dependent individual | added v2.3.1, removed after v2.4 |
| 17 | Date outpatient occupational therapy plan established or last reviewed | added v2.3.1, removed after v2.4 |
| 18 | Date of retirement patient/beneficiary | added v2.3.1, removed after v2.4 |
| 19 | Date of retirement spouse | added v2.3.1, removed after v2.4 |
| 20 | Guarantee of payment began | added v2.3.1, removed after v2.4 |
| 21 | UR notice received | added v2.3.1, removed after v2.4 |
| 22 | Date active care ended | added v2.3.1, removed after v2.4 |
| 24 | Date insurance denied | added v2.3.1, removed after v2.4 |
| 25 | Date benefits terminated by primary payor | added v2.3.1, removed after v2.4 |
| 26 | Date SNF bed available | added v2.3.1, removed after v2.4 |
| 27 | Date home health plan established | added v2.3.1, removed after v2.4 |
| 28 | Spouse's date of birth | added v2.3.1, removed after v2.4 |
| 29 | Date outpatient physical therapy plan established or last reviewed | added v2.3.1, removed after v2.4 |
| 30 | Date outpatient speech pathology plan established or last reviewed | added v2.3.1, removed after v2.4 |
| 31 | Date beneficiary notified of intent to bill (accommodations) | added v2.3.1, removed after v2.4 |
| 32 | Date beneficiary notified of intent to bill (procedures or treatments) | added v2.3.1, removed after v2.4 |
| 33 | First day of the Medicare coordination period for ESRD beneficiaries covered by EGHP | added v2.3.1, removed after v2.4 |
| 34 | Date of election of extended care facilities | added v2.3.1, removed after v2.4 |
| 35 | Date treatment started for P.T. | added v2.3.1, removed after v2.4 |
| 36 | Date of inpatient hospital discharge for covered transplant patients | added v2.3.1, removed after v2.4 |
| 37 | Date of inpatient hospital discharge for non-covered transplant patient | added v2.3.1, removed after v2.4 |
| 40 | Scheduled date of admission | added v2.3.1, removed after v2.4 |
| 41 | Date of first test for pre-admission testing | added v2.3.1, removed after v2.4 |
| 42 | Date of discharge | added v2.3.1, removed after v2.4 |
| 43 | Scheduled date of canceled surgery | added v2.3.1, removed after v2.4 |
| 44 | Date treatment started for O.T. | added v2.3.1, removed after v2.4 |
| 45 | Date treatment started for S.T. | added v2.3.1, removed after v2.4 |
| 46 | Date treatment started for cardiac rehab. | added v2.3.1, removed after v2.4 |
| 47 | Payer codes | added v2.3.1, removed after v2.4 |
| 47 ... 49 | Payer codes | added v2.3.1, removed after v2.4 |
| 48 | Payer codes | added v2.3.1, removed after v2.4 |
| 49 | Payer codes | added v2.3.1, removed after v2.4 |
| 50 | Date lien released | added v2.3.1, removed after v2.4 |
| 51 | Date treatment started for psychiatric care | added v2.3.1, removed after v2.4 |
| 70 | Occurrence span codes and dates | added v2.3.1, removed after v2.4 |
| 70 ... 99 | Occurrence span codes and dates | added v2.3.1, removed after v2.4 |
| 71 | Occurrence span codes and dates | added v2.3.1, removed after v2.4 |
| 72 | Occurrence span codes and dates | added v2.3.1, removed after v2.4 |
| 73 | Occurrence span codes and dates | added v2.3.1, removed after v2.4 |
| 74 | Occurrence span codes and dates | added v2.3.1, removed after v2.4 |
| 75 | Occurrence span codes and dates | added v2.3.1, removed after v2.4 |
| 76 | Occurrence span codes and dates | added v2.3.1, removed after v2.4 |
| 77 | Occurrence span codes and dates | added v2.3.1, removed after v2.4 |
| 78 | Occurrence span codes and dates | added v2.3.1, removed after v2.4 |
| 79 | Occurrence span codes and dates | added v2.3.1, removed after v2.4 |
| 80 | Occurrence span codes and dates | added v2.3.1, removed after v2.4 |
| 81 | Occurrence span codes and dates | added v2.3.1, removed after v2.4 |
| 82 | Occurrence span codes and dates | added v2.3.1, removed after v2.4 |
| 83 | Occurrence span codes and dates | added v2.3.1, removed after v2.4 |
| 84 | Occurrence span codes and dates | added v2.3.1, removed after v2.4 |
| 85 | Occurrence span codes and dates | added v2.3.1, removed after v2.4 |
| 86 | Occurrence span codes and dates | added v2.3.1, removed after v2.4 |
| 87 | Occurrence span codes and dates | added v2.3.1, removed after v2.4 |
| 88 | Occurrence span codes and dates | added v2.3.1, removed after v2.4 |
| 89 | Occurrence span codes and dates | added v2.3.1, removed after v2.4 |
| 90 | Occurrence span codes and dates | added v2.3.1, removed after v2.4 |
| 91 | Occurrence span codes and dates | added v2.3.1, removed after v2.4 |
| 92 | Occurrence span codes and dates | added v2.3.1, removed after v2.4 |
| 93 | Occurrence span codes and dates | added v2.3.1, removed after v2.4 |
| 94 | Occurrence span codes and dates | added v2.3.1, removed after v2.4 |
| 95 | Occurrence span codes and dates | added v2.3.1, removed after v2.4 |
| 96 | Occurrence span codes and dates | added v2.3.1, removed after v2.4 |
| 97 | Occurrence span codes and dates | added v2.3.1, removed after v2.4 |
| 98 | Occurrence span codes and dates | added v2.3.1, removed after v2.4 |
| 99 | Occurrence span codes and dates | added v2.3.1, removed after v2.4 |
| A1 | Birthdate - insured A | added v2.3.1, removed after v2.4 |
| A2 | Effective date - insured A policy | added v2.3.1, removed after v2.4 |
| A3 | Benefits exhausted payer A | added v2.3.1, removed after v2.4 |
| … | Use NUBC codes | added v2.7.1, removed after v2.7.1 |
. Page versions: R4 R3 R2
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