| # | Name | Location | Type | Details | Index | Description |
|---|---|---|---|---|---|---|
| .01 | revenue code(+) | 0;1 | POINTER | 399.2 | B | This is a Revenue Code that is required to be used when billing a certain type of care. |
| .02 | group(+) | 0;2 | POINTER | 363.32 | C | This group defines which Billing Rates the revenue code link should be applied to. |
| .03 | procedure 1(+) | 0;3 | POINTER | 81 | This is a procedure that requires a specific revenue code on a certain type of bill. If there is a range of procedures for a particular revenue code then enter the first procedure in the range. | |
| .04 | procedure 2 | 0;4 | POINTER | 81 | This is the last procedure in a range of procedures that require a specific revenue code when billed. |
Not Referenced