The 5010 Claim Code tab contains a field called Attached Paperwork Type. However, the descriptions were too long to include in a dropdown list.
The following list will give a full description of all “types”:
Type Description
03 Report Justifying Treatment Beyond Utilization Guidelines
04 Drugs Administered
05 Treatment Diagnosis
06 Initial Assessment
07 Functional Goals
08 Plan of Treatment
09 Progress Report
10 Continued Treatment
11 Chemical Analysis
13 Certified Test Report
15 Justification for Admission
21 Recovery Plan
A3 Allergies/Sensitivities Document
A4 Autopsy Report
AM Ambulance Certification
BR Benchmark Testing Results
BS Baseline
BT Blanket Test Results
CB Chiropractic Justification
CK Consent Form(s)
D2 Drug Profile Document
DB Durable Medical Equipment Prescription
DJ Discharge Monitoring Report
HC Health Certificate
HR Health Clinic Records
I5 Immunization Record
IR State School Immunization Records
LA Laboratory Results
M1 Medical Record Attachment
OC Oxygen Content Averaging Report
OD Orders and Treatments Document
OE Objective Physical Examination (including vital signs) Document
OX Oxygen Therapy Certification
P4 Pathology Report
P5 Patient Medical History Document
PE Parenteral or Enteral Certification
PQ Paramedical Results
PY Physician’s Report
RX Renewable Oxygen Content Averaging Report
SG Symptoms Document
V5 Death Notification
XP Photographs
FT File Transfer