| # | Name | Location | Type | Details | Index | Description |
|---|---|---|---|---|---|---|
| .01 | sequence | 0;1 | NUMERIC | B | Sequential number of ZII segment. | |
| .02 | place of service | 0;2 | POINTER | 353.1 | Place of service code. | |
| .03 | diagnosis | 0;3 | POINTER | 80 | Diagnosis code. | |
| .04 | qualifier | 0;4 | POINTER | 365.044 | Additional information qualifier. | |
| .05 | nature of injury code | 0;5 | POINTER | 365.045 | Code that represents the nature of the patient injury. | |
| .06 | nature of injury category | 0;6 | FREE TEXT | Specifies the situation or category to which the code applies. | ||
| .07 | nature of injury text | 0;7 | FREE TEXT | Describes the injured body part or parts. |
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