Standard Source of Primary Payment Code indicating standard source of the primary payment. Number 26 indicates non-standard source. Type of Bill Provides specific information about the bill. First digit identifies the type of facility. Second digit classifies the type of care being billed.
Third digit indicates the sequence of the bill for a specific episode of care.
Code for the principal surgical or obstetrical procedure performed during the period covered by the bill. If Principal Surgical Procedure Code was provided as ICD-9 code, this code is the same. Other Surgical Procedure Code 2 Significant procedure, other than the principal procedure, important for the episode of care and closely related to the principal diagnosis. Other Surgical Procedure Code 4 Significant procedure, other than the principal procedure, important for the episode of care and closely related to the principal diagnosis. Other Surgical Procedure Code 5 Significant procedure, other than the principal procedure, important for the episode of care and closely related to the principal diagnosis.