837 Health Care Claim: Institutional - Louisiana Medicaid

06/30/2014 Health Care Claim: Institutional - 837HI Other Diagnosis InformationPos: 2310 Max: 1Detail - OptionalLoop: 2300 Elements: 12User Option (Usage): SituationalLA Medicaid:Louisiana Medicaid does not accept or use the following qualifiers:PR or APR – Patient’s Reason for VisitBN or ABN – External Cause of InjuryElement Summary:RefHI01HI01-01IdC0221270Element NameHealth Care Code InformationCode List Qualifier CodeLA Medicaid: For service/discharge dates before 10/1/2015, useBF. For service/discharge dates on or after 10/1/2015, use ABF.ReqMMTypeIDMin/MaxHI01-02 1271 Description X AN 1/80LA Medicaid: Use ICD-9 codes for service/discharge datesbefore 10/1/2015. Use ICD-10 codes for service/discharge dateson or after 10/1/2015, for other condition(s) that coexist ordevelop(s) subsequently during the patient's treatment.HI01-09 1073 Yes/No Condition or Response Code X AN 1/80LA Medicaid: Use the appropriate „ Present On Admission‟(POA) indicator for this element.Valid „ Present On Admission‟ indicators are:N – noU – unknownW – not applicableY - yes1/313