Segment
X12 EDI Release 00504
To identify a tooth by number and, if applicable, one or more tooth surfaces
Elements
  • TOO011270Code List Qualifier Code
    ID
    O可选(Optional)

    Code identifying a specific industry code list

    Codes (971)
  • TOO021271Industry Code
    AN
    O可选(Optional)
    Min 1 / Max 30

    Code indicating a code from a specific industry code list

  • TOO03C005Tooth SurfaceO可选(Optional)
    13691369136913691369
    • TOO03011369Tooth Surface Code
      ID
      M必须(Mandatory)

      Code identifying the area of the tooth that was treated

      Codes (7)
    • TOO03021369Tooth Surface Code
      ID
      O可选(Optional)

      Code identifying the area of the tooth that was treated

      Codes (7)
    • TOO03031369Tooth Surface Code
      ID
      O可选(Optional)

      Code identifying the area of the tooth that was treated

      Codes (7)
    • TOO03041369Tooth Surface Code
      ID
      O可选(Optional)

      Code identifying the area of the tooth that was treated

      Codes (7)
    • TOO03051369Tooth Surface Code
      ID
      O可选(Optional)

      Code identifying the area of the tooth that was treated

      Codes (7)