| # | Name | Location | Type | Details | Index | Description |
|---|---|---|---|---|---|---|
| .01 | code(+) | 0;1 | FREE TEXT | B | The CODE is in the format "01 A" where the first two characters are numeric (the AMIS line number) followed by one space and then alphabetic characters. CODE is needed for sorting in the proper sequence on reports, since the computer sorts 1A, 1B, 2, 3 as 2, 3, 1A, 1B. | |
| 1 | ratio | 0;2 | FREE TEXT | This is the national ratio set by VACO for AMIS calculations. | ||
| 2 | line description | 0;3 | FREE TEXT | C | This is the AMIS Line Item Description. | |
| 3 | issue/repair code | 0;4 | SET OF CODES | A:ADMINISTRATIVE ISSUE AR:ADMINISTRATIVE REPAIR O:ORTHOTIC LAB R:RESTORATION LAB OR:ORTHOTIC LAB REPAIR RR:RESTORATION LAB REPAIR | D | This is a code defining what group within prosthetics the AMIS code will be counted. |
| 3.5 | amis segment no | 0;5 | NUMERIC | E | This fields contains the segment number for the related disability codes. Used for the Generation of Generic Code Sheets. |