GP2
Grouping/Reimbursement - Procedure Line Item
This segment is used for items that pertain to each HCPC/CPT line item.
The GP2 segment is specific to the US and may not be implemented in non-US systems.
RRequiredOOptionalCConditionalWWithdrawn|#Date/Time*Backward compat.+Filler
14
| C.Len | Element | v2.8.1 | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| 1 | - | - | CWE | O | 1 | 0456 | 01600 | GP2-1 | Revenue Code | |
| 2 | - | 7# | NM | O | 1 | - | 01604 | GP2-2 | Number of Service Units | Conf Length |
| 3 | - | - | CP | O | 1 | - | 01605 | GP2-3 | Charge | |
| 4 | - | - | CWE | O | 1 | 0459 | 01606 | GP2-4 | Reimbursement Action Code | |
| 5 | - | - | CWE | O | 1 | 0460 | 01607 | GP2-5 | Denial or Rejection Code | |
| 6 | - | - | CWE | O | * | 0458 | 01608 | GP2-6 | OCE Edit Code | |
| 7 | - | - | CWE | O | 1 | 0466 | 01609 | GP2-7 | Ambulatory Payment Classification Code | |
| 8 | - | - | CWE | O | * | 0467 | 01610 | GP2-8 | Modifier Edit Code | |
| 9 | - | - | CWE | O | 1 | 0468 | 01611 | GP2-9 | Payment Adjustment Code | |
| 10 | - | - | CWE | O | 1 | 0469 | 01617 | GP2-10 | Packaging Status Code | |
| 11 | - | - | CP | O | 1 | - | 01618 | GP2-11 | Expected CMS Payment Amount | |
| 12 | - | - | CWE | O | 1 | 0470 | 01619 | GP2-12 | Reimbursement Type Code | |
| 13 | - | - | CP | O | 1 | - | 01620 | GP2-13 | Co-Pay Amount | |
| 14 | - | 4= | NM | O | 1 | - | 01621 | GP2-14 | Pay Rate per Service Unit | Conf Length |
Used In Message Structures