Type : PSL.CONTENT |
Definition |
Segment Description: |
Elements | |||
![]() | Parent Segment: PSL Sequential Number: 1 Description: Provider Product/Service Line Item Number Data Type: EI Item ID: 1955 |
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PSL.2_Payer_Product_Service_Line_Item_Number | Parent Segment: PSL Sequential Number: 2 Description: Payer Product/Service Line Item Number Data Type: EI Item ID: 1956 |
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![]() | Parent Segment: PSL Sequential Number: 3 Description: Product/Service Line Item Sequence Number Data Type: SI Item ID: 1957 |
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PSL.4_Provider_Tracking_ID | Parent Segment: PSL Sequential Number: 4 Description: Provider Tracking ID Data Type: EI Item ID: 1958 |
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PSL.5_Payer_Tracking_ID | Parent Segment: PSL Sequential Number: 5 Description: Payer Tracking ID Data Type: EI Item ID: 1959 |
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![]() | Parent Segment: PSL Sequential Number: 6 Description: Product/Service Line Item Status Data Type: CWE Item ID: 1960 Table: 0559 |
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![]() | Parent Segment: PSL Sequential Number: 7 Description: Product/Service Code Data Type: CWE Item ID: 1961 Table: 0879 |
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![]() | Parent Segment: PSL Sequential Number: 8 Description: Product/Service Code Modifier Data Type: CWE Item ID: 1962 Table: 0880 |
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PSL.9_Product_Service_Code_Description | Parent Segment: PSL Sequential Number: 9 Description: Product/Service Code Description Data Type: ST Item ID: 1963 |
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PSL.10_Product_Service_Effective_Date | Parent Segment: PSL Sequential Number: 10 Description: Product/Service Effective Date Data Type: DTM Item ID: 1964 |
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PSL.11_Product_Service_Expiration_Date | Parent Segment: PSL Sequential Number: 11 Description: Product/Service Expiration Date Data Type: DTM Item ID: 1965 |
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PSL.12_Product_Service_Quantity | Parent Segment: PSL Sequential Number: 12 Description: Product/Service Quantity Data Type: CQ Item ID: 1966 Table: 0560 |
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PSL.13_Product_Service_Unit_Cost | Parent Segment: PSL Sequential Number: 13 Description: Product/Service Unit Cost Data Type: CP Item ID: 1967 |
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PSL.14_Number_of_Items_per_Unit | Parent Segment: PSL Sequential Number: 14 Description: Number of Items per Unit Data Type: NM Item ID: 1968 |
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PSL.15_Product_Service_Gross_Amount | Parent Segment: PSL Sequential Number: 15 Description: Product/Service Gross Amount Data Type: CP Item ID: 1969 |
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PSL.16_Product_Service_Billed_Amount | Parent Segment: PSL Sequential Number: 16 Description: Product/Service Billed Amount Data Type: CP Item ID: 1970 |
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![]() | Parent Segment: PSL Sequential Number: 17 Description: Product/Service Clarification Code Type Data Type: CWE Item ID: 1971 Table: 0561 |
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![]() | Parent Segment: PSL Sequential Number: 18 Description: Product/Service Clarification Code Value Data Type: ST Item ID: 1972 |
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![]() | Parent Segment: PSL Sequential Number: 19 Description: Health Document Reference Identifier Data Type: EI Item ID: 1973 |
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![]() | Parent Segment: PSL Sequential Number: 20 Description: Processing Consideration Code Data Type: CWE Item ID: 1974 Table: 0562 |
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![]() | Parent Segment: PSL Sequential Number: 21 Description: Restricted Disclosure Indicator Data Type: ID Item ID: 1975 Table: 0532 |
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PSL.22_Related_Product_Service_Code_Indicator | Parent Segment: PSL Sequential Number: 22 Description: Related Product/Service Code Indicator Data Type: CWE Item ID: 1976 Table: 0879 |
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PSL.23_Product_Service_Amount_for_Physician | Parent Segment: PSL Sequential Number: 23 Description: Product/Service Amount for Physician Data Type: CP Item ID: 1977 |
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PSL.24_Product_Service_Cost_Factor | Parent Segment: PSL Sequential Number: 24 Description: Product/Service Cost Factor Data Type: NM Item ID: 1978 |
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PSL.25_Cost_Center | Parent Segment: PSL Sequential Number: 25 Description: Cost Center Data Type: CX Item ID: 1933 |
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PSL.26_Billing_Period | Parent Segment: PSL Sequential Number: 26 Description: Billing Period Data Type: DR Item ID: 1980 |
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PSL.27_Days_without_Billing | Parent Segment: PSL Sequential Number: 27 Description: Days without Billing Data Type: NM Item ID: 1981 |
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PSL.28_Session-No | Parent Segment: PSL Sequential Number: 28 Description: Session-No Data Type: NM Item ID: 1982 |
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PSL.29_Executing_Physician_ID | Parent Segment: PSL Sequential Number: 29 Description: Executing Physician ID Data Type: XCN Item ID: 1983 |
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PSL.30_Responsible_Physician_ID | Parent Segment: PSL Sequential Number: 30 Description: Responsible Physician ID Data Type: XCN Item ID: 1984 |
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PSL.31_Role_Executing_Physician | Parent Segment: PSL Sequential Number: 31 Description: Role Executing Physician Data Type: CWE Item ID: 1985 Table: 0881 |
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PSL.32_Medical_Role_Executing_Physician | Parent Segment: PSL Sequential Number: 32 Description: Medical Role Executing Physician Data Type: CWE Item ID: 1986 Table: 0882 |
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PSL.33_Side_of_body | Parent Segment: PSL Sequential Number: 33 Description: Side of body Data Type: CWE Item ID: 1987 Table: 0894 |
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PSL.34_Number_of_TP_s_PP | Parent Segment: PSL Sequential Number: 34 Description: Number of TP's PP Data Type: NM Item ID: 1988 |
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PSL.35_TP-Value_PP | Parent Segment: PSL Sequential Number: 35 Description: TP-Value PP Data Type: CP Item ID: 1989 |
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PSL.36_Internal_Scaling_Factor_PP | Parent Segment: PSL Sequential Number: 36 Description: Internal Scaling Factor PP Data Type: NM Item ID: 1990 |
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PSL.37_External_Scaling_Factor_PP | Parent Segment: PSL Sequential Number: 37 Description: External Scaling Factor PP Data Type: NM Item ID: 1991 |
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PSL.38_Amount_PP | Parent Segment: PSL Sequential Number: 38 Description: Amount PP Data Type: CP Item ID: 1992 |
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PSL.39_Number_of_TP_s_Technical_Part | Parent Segment: PSL Sequential Number: 39 Description: Number of TP's Technical Part Data Type: NM Item ID: 1993 |
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PSL.40_TP-Value_Technical_Part | Parent Segment: PSL Sequential Number: 40 Description: TP-Value Technical Part Data Type: CP Item ID: 1994 |
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PSL.41_Internal_Scaling_Factor_Technical_Part | Parent Segment: PSL Sequential Number: 41 Description: Internal Scaling Factor Technical Part Data Type: NM Item ID: 1995 |
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PSL.42_External_Scaling_Factor_Technical_Part | Parent Segment: PSL Sequential Number: 42 Description: External Scaling Factor Technical Part Data Type: NM Item ID: 1996 |
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PSL.43_Amount_Technical_Part | Parent Segment: PSL Sequential Number: 43 Description: Amount Technical Part Data Type: CP Item ID: 1997 |
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PSL.44_Total_Amount_Professional_Part__Technical_Part | Parent Segment: PSL Sequential Number: 44 Description: Total Amount Professional Part + Technical Part Data Type: CP Item ID: 1998 |
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PSL.45_VAT-Rate | Parent Segment: PSL Sequential Number: 45 Description: VAT-Rate Data Type: NM Item ID: 1999 |
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PSL.46_Main-Service | Parent Segment: PSL Sequential Number: 46 Description: Main-Service Data Type: ID Item ID: 2000 |
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PSL.47_Validation | Parent Segment: PSL Sequential Number: 47 Description: Validation Data Type: ID Item ID: 2001 Table: 0136 |
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PSL.48_Comment | Parent Segment: PSL Sequential Number: 48 Description: Comment Data Type: ST Item ID: 2002 |
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