Optional_Optional_Applicable diagnoses
Optional_Price scaling factor
Optional_Applicable exception and supporting information
Optional_Applicable note numbers
Optional_Applicable procedures
Optional_Item instance identifier
Optional_Date or dates of service or product delivery
OptionaladjudicationAdjudication details
OptionalbodyAnatomical location
OptionalcareApplicable care team members
OptionalcategoryBenefit classification
OptionaldetailAdditional items
OptionaldiagnosisApplicable diagnoses
OptionalencounterEncounters related to this billed item
OptionalextensionAdditional content defined by implementations
OptionalfactorPrice scaling factor
OptionalidUnique id for inter-element referencing
OptionalinformationApplicable exception and supporting information
OptionallocationPlace of service or where product was supplied
OptionallocationPlace of service or where product was supplied
OptionallocationPlace of service or where product was supplied
OptionalmodifierProduct or service billing modifiers
OptionalmodifierExtensions that cannot be ignored even if unrecognized
OptionalnetTotal item cost
OptionalnoteApplicable note numbers
OptionalprocedureApplicable procedures
Billing, service, product, or drug code
OptionalprogramProgram the product or service is provided under
OptionalquantityCount of products or services
OptionalrevenueRevenue or cost center code
Item instance identifier
OptionalservicedDate or dates of service or product delivery
OptionalservicedDate or dates of service or product delivery
OptionalsubAnatomical sub-location
OptionaludiUnique device identifier
OptionalunitFee, charge or cost per item
Applicable care team members