This patch cleans up the X12 271 Service Type Codes to bring them in line with current use. This patch also includes
parsers for the 5010 versions of Professional (X222A1) and Institutional (X223A1) 837 transactions.
- Updates
enums.eligibility.service_type_codesto include new and missing Service Type Codes - Adds
enums.eligibility.deprecated_service_type_codes, a tuple of service type codes that have been deprecated by
X12 - Adds
X12_5010_X222A1andX12_5010_X223A1parsers for 837 5010 messages - This does NOT add or update any facades related to 837 transactions (existing 837 facades only function for 4010
messages)
The service_type_codes dict was last updated in June 2012. Since then, 21 Service Type Codes have been added,
7 of which have already been deprecated.
13 Service Type Codes have been deprecated by X12 (including 7 added in this patch). All 13 have been
preserved in service_type_codes, as this module may be used to parse existing/old 271 responses. The
deprecated_service_type_codes tuple has been added as a helper to identify which codes are considered inactive.
Note: the code EO ("ECHO-OSCAR") appears to have been added in error temporarily as a duplicate of E0
("ECHO-ZERO") for a 4-month span in 2017. The code has been added back in on the chance it made its way into
any production systems.
New Service Type Codes:
| Code | Label | Date Added | Date Deprecated |
|---|---|---|---|
| E29 | Technical Cardiac Rehabilitation Services Component | 09/30/2012 | 07/01/2016 |
| E30 | Professional Cardiac Rehabilitation Services Component | 09/30/2012 | 07/01/2016 |
| E31 | Professional Intensive Cardiac Rehabilitation Services Component | 09/30/2012 | 07/01/2016 |
| E32 | Intensive Cardiac Rehabilitation - Technical Component | 06/02/2013 | 05/01/2017 |
| E33 | Intensive Cardiac Rehabilitation | 06/02/2013 | |
| E34 | Pulmonary Rehabilitation - Technical Component | 06/02/2013 | 05/01/2017 |
| E35 | Pulmonary Rehabilitation - Professional Component | 06/02/2013 | 05/01/2017 |
| E36 | Convenience Care | 06/02/2013 | |
| E37 | Telemedicine | 07/01/2015 | |
| E38 | Pharmacist Services | 07/01/2015 | |
| E39 | Diabetic Education | 03/01/2016 | |
| E40 | Early Intervention | 11/01/2016 | |
| EO | Applied Behavioral Analysis Therapy | 03/01/2017 | 07/01/2017 |
| F1 | Medical Coverage | 11/01/2015 | |
| F2 | Social Work Coverage | 11/01/2015 | |
| F3 | Dental Coverage | 11/01/2015 | |
| F4 | Hearing Coverage | 11/01/2015 | |
| F5 | Prescription Drug Coverage | 11/01/2015 | |
| F6 | Vision Coverage | 11/01/2015 | |
| F7 | Orthodontia Coverage | 11/01/2015 | |
| F8 | Mental Health Coverage | 11/01/2015 |
More on service type codes on the official X12 website.
- Note: Use the
"Show All" filter to view current and deprecated codes (page only displays current codes by default.)