Medical Billing - GE0 Record Fields 15 Through 20

By: Michael Russell
Submitted: 2007-01-17 15:35:54
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Medical billing is hard enough. Throw into the mix enteral billing, which requires all kinds of calculations and conversions and it's enough to make anybody crazy. In this installment we're going to continue our review of the GE0 CMN, which needs to be sent with each enteral claim, picking up with field number 15.

GE0 field 15, position 63, is the ambulatory indicator. This indicator tells the carrier if the patient is able to move or not. There are only two valid responses to this field. The letter A is entered if the patient is ambulatory. The letter N is entered if the patient is non-ambulatory. The field is mandatory and must be filled in with something.

GE0 field 16, position 64, is the other forms of nutrient indicator. This field tells the carrier if the patient is receiving other forms of nutrition besides what this CMN is being prescribed for. This is needed because in some cases, if the patient is receiving other forms of nutrition, this claim may be only partially payable.

GE0 field 17, position 65, is the method of administration indicator. This field tells the carrier exactly how the patient is receiving the nutrition. There are only three valid responses for this field. If the patient is receiving the nutrition via a pump, a P is entered. If the patient is receiving the nutrition via a syringe, an S is entered. If the patient is receiving the nutrition via gravity, a G is entered.

GE0 field 18, position 66, is the administration technique indicator. This field tells the carrier exactly how the nutrition is being administered. There are only four valid responses for this field. If the patient is being administered via a nasogastric tube, an N is entered. If the patient is being administered via gastrostomy, a G is entered. If the patient is being administered via jejunostomy, a J is entered. If the patient is being administered via some other means, an O is entered.

GE0 field 19, positions 67 - 70, is the total calories per day field. This field tells the carrier how many calories per day the patient is required to have. This is not as easy as it sounds. This must be calculated based on how many cans per day the patient gets and how many calories are in a can. If the number is more than 2000 then a narrative explanation must be included in field 26, which will be covered in a future installment.

GE0 field 20, positions 71 - 85, is the product name for product 1. This is the actual legal name of the product being given to the patient. Nicknames or abbreviations are not allowed. The field has been made long enough to account for all current products on the market.

GE0 field 21, positions 86 - 89, is the calories for product 1. This tells the carrier the total number of calories per day the patient is to get from product 1.

In our next installment of medical billing, we'll pick up our review of the GE0 record with field number 21.

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