STANDARD DATA DICTIONARY #509850.4 -- A&SP PROCEDURE CODE FILE                                                    3/24/25    PAGE 1
STORED IN ^ACK(509850.4,  (182 ENTRIES)   SITE: WWW.BMIRWIN.COM   UCI: VISTA,VISTA                                 (VERSION 3.0)   

DATA          NAME                  GLOBAL        DATA
ELEMENT       TITLE                 LOCATION      TYPE
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The A&SP PROCEDURE CODE file (#509850.4) contains pointers to a small subset of CPT-4 codes which pertain to Audiology and Speech
Pathology.  Entries in this file are pointed to by the PROCEDURE CODE field in the A&SP CLINIC VISIT file (#509805.6).  
  
Before using the QUASAR package, the supervisor must enter cost data for each procedure code in the A&SP PROCEDURE CODE file. This
can be done using the Enter Cost Information for Procedures option.  
  
This file arrives at the VAMC with data.  This file SHOULD NOT be altered through the use of VA FileMan; input should take place
ONLY through the QUASAR menu options.  
  
Per VHA Directive 10-93-142, this file definition SHOULD NOT be modified.  


              DD ACCESS: @
              WR ACCESS: @
             DEL ACCESS: @
           LAYGO ACCESS: @
           AUDIT ACCESS: @
IDENTIFIED BY: 

POINTED TO BY: PROCEDURE CODE field (#.01) of the PROCEDURE CODE sub-field (#509850.61) of the A&SP CLINIC VISIT File (#509850.6) 
               

CROSS
REFERENCED BY: MODIFIERS ALLOWED(AC), CODE(B)



509850.4,.01  CODE                   0;1 POINTER TO CPT FILE (#81) (Required)

              Code   
              INPUT TRANSFORM:  K:'$$ACKCPT^ACKQUT1(X) X S:$D(X) DINUM=X
              LAST EDITED:      APR 14, 2003 
              HELP-PROMPT:      Enter the CPT code number. 
              DESCRIPTION:
                                The CODE field contains the pointer to the CPT-4 procedure code for Audiology and Speech Pathology.  

              EXECUTABLE HELP:  W !?5,"Input should take place ONLY through the QUASAR menu options.",!
              LAYGO TEST:       1,0)= W:'$D(ACKLAYGO) !!?5,"Input should take place ONLY through the QUASAR menu options.",!! I $D(
                                ACKLAYGO)

              WRITE AUTHORITY:  ^
              NOTES:            XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER

              CROSS-REFERENCE:  509850.4^B 
                                1)= S ^ACK(509850.4,"B",$E(X,1,30),DA)=""
                                2)= K ^ACK(509850.4,"B",$E(X,1,30),DA)


509850.4,.02  CLINIC STOP            0;2 SET

              Clinic Stop   
                                'S' FOR SPEECH; 
                                'A' FOR AUDIOLOGY; 
                                'SA' FOR EITHER; 
              LAST EDITED:      JUL 25, 1995 
              HELP-PROMPT:      Enter the clinic stop for this CPT CODE. 
              DESCRIPTION:      The CLINIC STOP field contains A for AUDIOLOGY, S for SPEECH PATHOLOGY, or SA for EITHER Speech or
                                Audiology.  The CPT CODE is used for one of these clinic stops.  

              WRITE AUTHORITY:  ^

509850.4,.03  *CARD CODE             0;3 NUMBER

              Card Code   
              INPUT TRANSFORM:  K:+X'=X!(X>60)!(X<1)!(X?.E1"."1N.N) X
              LAST EDITED:      AUG 14, 1995 
              HELP-PROMPT:      Enter a number between 1 and 60 with 0 decimal digits. 
              DESCRIPTION:      The CARD CODE field has been marked for deletion.  Card code capability was not implemented in
                                QUASAR V. 1.0.  Eighteen months after the release of QUASAR V. 2.0, this field can be removed.  

              WRITE AUTHORITY:  ^

509850.4,.04  ACTIVE                 0;4 SET

              Active?   
                                '0' FOR INACTIVE; 
                                '1' FOR ACTIVE; 
              LAST EDITED:      JUL 25, 1995 
              HELP-PROMPT:      Enter 0 for INACTIVE or 1 for ACTIVE. 
              DESCRIPTION:      The ACTIVE field contains 0 for INACTIVE or 1 for ACTIVE.  Because entries in the A&SP PROCEDURE
                                CODE file are pointed to by the PROCEDURE CODE field in the A&SP CLINIC VISIT file, entries should
                                not be deleted.  
                                  
                                Periodically, CPT-4 codes are inactivated by the code developers, the Department of Veterans
                                Affairs, or the Director, Audiology and Speech Pathology Service (VAHQ).  Procedure codes which are
                                not to be used are marked as inactive.  

              WRITE AUTHORITY:  ^

509850.4,.05  MODIFIERS ALLOWED      0;5 SET

              Modifiers Allowed   
                                '1' FOR YES; 
                                '0' FOR NO; 
              LAST EDITED:      OCT 29, 1999 
              HELP-PROMPT:      Does this CODE contain modifiers? 
              DESCRIPTION:      No longer used after the installation of Quasar Version 3.0.  The MODIFIERS ALLOWED field activates
                                or inactivates CPT-4 code modifiers (i.e., 0 for NO or 1 for YES).  CPT-4 codes for Audiology and
                                Speech Pathology may not adequately describe the scope or variety of procedures seen by
                                audiologists and speech pathologists.  Recognizing this deficiency, modifiers have been developed
                                for certain codes to clarify procedures or to provide codes for procedures where no codes now
                                exist.  

              WRITE AUTHORITY:  ^
              CROSS-REFERENCE:  509850.4^AC^MUMPS 
                                1)= S:X ^ACK(509850.4,"AC",X,DA)=""
                                2)= K:X ^ACK(509850.4,"AC",X,DA)
                                3)= DO NOT DELETE!
                                This cross-reference is used to identify those CPT-4 codes which are distributed with modifiers.  



509850.4,.06  COST                   0;6 NUMBER

              Cost   
              INPUT TRANSFORM:  S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>9999)!(X<0) X
              LAST EDITED:      JUL 25, 1995 
              HELP-PROMPT:      Enter a dollar amount between 0 and 9999 with 2 decimal digits. 
              DESCRIPTION:      The COST field contains the current unit cost for each CPT-4 procedure.  You can use average
                                community costs from private sector hospitals and clinics, Medicare reimbursement rates, or
                                insurance UCRs. You can also enter real costs, if these are known.  

              WRITE AUTHORITY:  ^

509850.4,1    ALLOWABLE MODIFIERS    1;0 Multiple #509850.41

              DESCRIPTION:      The ALLOWABLE MODIFIERS field is a multiple field containing the letter, description, and cost for
                                a CPT-4 procedure code.  

              WRITE AUTHORITY:  ^

509850.41,.01   ALLOWABLE MODIFIERS    0;1 FREE TEXT (Multiply asked)

                Allowable Modifiers   
                INPUT TRANSFORM:  K:$L(X)>30!($L(X)<1) X
                LAST EDITED:      AUG 24, 1995 
                HELP-PROMPT:      Enter a modifier code for this CPT procedure code. 
                DESCRIPTION:      The ALLOWABLE MODIFIERS field contains the letter modifiers for a CPT procedure code.  CPT-4
                                  codes for Audiology and Speech Pathology may not adequately describe the scope or variety of
                                  procedures seen by audiologists and speech pathologists.  Recognizing this deficiency, modifiers
                                  have been developed for certain codes to clarify procedures or to provide codes for procedures
                                  where no codes now exist.  New modifiers should only be added at the direction of the Director,
                                  Audiology and Speech Pathology Service (VAHQ).  

                EXECUTABLE HELP:  W !?5,"Input should take place ONLY through the QUASAR menu options.",!
                NOTES:            XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER

                CROSS-REFERENCE:  509850.41^B 
                                  1)= S ^ACK(509850.4,DA(1),1,"B",$E(X,1,30),DA)=""
                                  2)= K ^ACK(509850.4,DA(1),1,"B",$E(X,1,30),DA)


509850.41,.02   DESCRIPTION            0;2 FREE TEXT

                Description   
                INPUT TRANSFORM:  K:$L(X)>30!($L(X)<3) X
                LAST EDITED:      JUL 25, 1995 
                HELP-PROMPT:      Your answer must be 3 to 30 characters in length. 
                DESCRIPTION:      The DESCRIPTION field contains the descriptor for the modifier of the CPT-4 procedure code.  This
                                  descriptor should only be edited at the direction of the Director, Audiology and Speech Pathology
                                  Service (VAHQ).  


509850.41,.03   COST                   0;3 NUMBER

                Cost   
                INPUT TRANSFORM:  S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>9999)!(X<0) X
                LAST EDITED:      JUL 25, 1995 
                HELP-PROMPT:      Enter a dollar amount between 0 and 9999 with 2 decimal digits. 
                DESCRIPTION:      The COST field contains the current unit cost for each CPT-4 procedure modifier.  You can use
                                  average community costs from private sector hospitals and clinics, Medicare reimbursement rates,
                                  or insurance UCRs. You can also enter real costs, if these are known.  


509850.41,.04   *CARD CODE             0;4 NUMBER

                Card Code   
                INPUT TRANSFORM:  K:+X'=X!(X>60)!(X<1)!(X?.E1"."1N.N) X
                LAST EDITED:      AUG 14, 1995 
                HELP-PROMPT:      Enter a number between 1 and 60 with 0 decimal digits. 
                DESCRIPTION:      The CARD CODE field has been marked for deletion.  Card code capability was not implemented in
                                  QUASAR V. 1.0.  Eighteen months after the release of QUASAR V. 2.0, this field can be removed.  





      FILES POINTED TO                      FIELDS

CPT (#81)                         CODE (#.01)



INPUT TEMPLATE(S):

PRINT TEMPLATE(S):

SORT TEMPLATE(S):

FORM(S)/BLOCK(S):