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NHIC, Corp. has adopted the following list of abbreviations to assist the supplier community when submitting additional documentation information electronically in the HIPAA-compliant format. The data elements in the HIPAA-compliant electronic formats only hold 80 characters for additional documentation notations. As a result, DME MAC Jurisdiction A has adopted the following "suggested list" of abbreviations for suppliers to use in order to maximize the effectiveness of the limited space in the note segments. These abbreviations may be used in the NTE 2400 or NTE 2300 segments in the American National Standard Institute (ANSI X12N version 4010A1) format, and the National Council of Prescription Drug Program (NCPDP) field 498-PP.

This "suggested list" of abbreviations contains the most common types of documentation and notations submitted to Jurisdiction A.

NOTE: Suppliers should always enter the most pertinent documentation information for the equipment/service being provided.


Abbreviation Definition Abbreviation Definition
ABN Advance Beneficiary Notice MISC K0108 or E1399
AD Added Documentation Sent MS Maintenance/Service
ADMC Advanced Determination of Medical Coverage MWC Manual Wheelchair
ADMD Admit Date NDX New Diagnosis Code
ANND Anniversary Date ODX Old Diagnosis Code
BIS Break In Service PUR Purchased
BBR Broken Beyond Repair PO Patient Owned
DISD Discharge Date PUD Pick Up Date
DLD Delivery Date PWC Power Wheelchair
DOP Date of Purchase RPL Replacement
DOS Date of Service RPR Repair
EQ Equipment SD Surgery Date
FFS Fee-For-Service SRL Serial Number
GT CL BE Greater Clinical Benefit TENS 2L or 4L TENS 2 Leads or 4 Leads
IC Requesting Individual Consideration UTS Units
MDL Model Number WC Wheelchair
MFG Manufacturer Number