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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