Element
X12 EDI Release 00404
SV4
1319Basis of Cost Determination Code
Code indicating the method by which the ingredient cost was calculated
属性
数据类型ID
必须?Optional
Codes (10)
  • 0Not specified
  • 1Average Wholesale Price (AWP)
  • 2Local Wholesaler
  • 3Direct
  • 4Estimated Acquisition Cost
  • 5Acquisition Cost
  • 6Maximum Allowable Cost (MAC)
  • 7Usual, Customary, and Reasonable (UCR)
  • 8Unit Dose
  • 9Brand Medically Necessary