STANDARD DATA DICTIONARY #356.021 -- X12 278 HCS DECISION REASON CODES FILE                                       9/29/25    PAGE 1
STORED IN ^IBT(356.021,  (50 ENTRIES)   SITE: WWW.BMIRWIN.COM   UCI: VISTA,VISTA                                   (VERSION 2.0)   

DATA          NAME                  GLOBAL        DATA
ELEMENT       TITLE                 LOCATION      TYPE
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This file contains all of the corresponding X.12 codes for the Health Care Services Decision Reason Codes according to the ASC X12
External Code Source 886.  
 
Per VHA Directive 10-93-142, this file definition should not be modified.  


              DD ACCESS: @
              RD ACCESS:  
              WR ACCESS:  
             DEL ACCESS: @
           LAYGO ACCESS: @
           AUDIT ACCESS:  
IDENTIFIED BY: DESCRIPTION (#.02)

POINTED TO BY: REVIEW DECISION REASON CODE field (#103.03) of the HCS REVIEW TRANSMISSION File (#356.22) 
               UMO DENIAL REASON #1 field (#.03) of the OTHER UMO sub-field (#356.2215) of the HCS REVIEW TRANSMISSION File 
                   (#356.22) 
               UMO DENIAL REASON #2 field (#.04) of the OTHER UMO sub-field (#356.2215) of the HCS REVIEW TRANSMISSION File 
                   (#356.22) 
               UMO DENIAL REASON #3 field (#.05) of the OTHER UMO sub-field (#356.2215) of the HCS REVIEW TRANSMISSION File 
                   (#356.22) 
               UMO DENIAL REASON #4 field (#.06) of the OTHER UMO sub-field (#356.2215) of the HCS REVIEW TRANSMISSION File 
                   (#356.22) 
               REVIEW DECISION REASON CODE field (#11.03) of the SERVICE LINE sub-field (#356.2216) of the HCS REVIEW TRANSMISSION 
                   File (#356.22) 
               

CROSS
REFERENCED BY: DECISION REASON CODE(B)

INDEXED BY:    DESCRIPTION (C)


    LAST MODIFIED: SEP 2,2016@13:49:11

356.021,.01   DECISION REASON CODE   0;1 FREE TEXT (Required)

              INPUT TRANSFORM:  K:$L(X)>2!($L(X)<1)!'(X'?1P.E) X
              LAST EDITED:      MAY 13, 2014 
              HELP-PROMPT:      Answer must be 1-2 characters in length. 
              DESCRIPTION:
                                This is the Health Care Services Decision Reason Code in an X.12 message.  

              CROSS-REFERENCE:  356.021^B 
                                1)= S ^IBT(356.021,"B",$E(X,1,30),DA)=""
                                2)= K ^IBT(356.021,"B",$E(X,1,30),DA)


356.021,.02   DESCRIPTION            0;2 FREE TEXT

              INPUT TRANSFORM:  K:$L(X)>120!($L(X)<1) X
              LAST EDITED:      MAR 30, 2015 
              HELP-PROMPT:      Answer must be 1-120 characters in length. 
              DESCRIPTION:
                                This fields describes what the Decision Reason Code represents.  

              FIELD INDEX:      C (#454)    REGULAR    IR    LOOKUP & SORTING
                  Short Descr:  Convert to Upper Case for lookups
                    Set Logic:  S ^IBT(356.021,"C",$E(X,1,30),DA)=""
                   Kill Logic:  K ^IBT(356.021,"C",$E(X,1,30),DA)
                   Whole Kill:  K ^IBT(356.021,"C")
                         X(1):  DESCRIPTION  (356.021,.02)  (Subscr 1)  (Len 30)  (forwards)
                                  Transform (Storage):  S X=$$UP^XLFSTR($E(X,1,30))


356.021,.03   INACTIVE?              0;3 SET

                                '0' FOR NO; 
                                '1' FOR YES; 
              LAST EDITED:      SEP 19, 2014 
              HELP-PROMPT:      Set this to YES in order to deactivate the code. 
              DESCRIPTION:
                                This field will be marked inactive if a code is determined to be no longer used by X.12.  



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