| # | Name | Location | Type | Details | Index | Description |
|---|---|---|---|---|---|---|
| .01 | dur counter | 0;1 | NUMERIC | B | This is the counter that will be used for field 473-7E of the claim | |
| 1 | dur professional service code | 0;2 | FREE TEXT | This will be used for field 439-E4 of the claim | ||
| 2 | dur reason for service code | 0;3 | FREE TEXT | This will be used for field 440-E5 of the claim | ||
| 3 | dur result of service code | 0;4 | FREE TEXT | This will be used for field 441-E6 of the claim |
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