Field 15 - Other Date
The “Other Date” identifies additional date information about the patient’s condition or treatment.
NUCC INSTRUCTIONS: Enter another date related to the patient’s condition or treatment. Enter the date in the 6-digit (MM│DD│YY) or 8-digit (MM│DD│YYYY) format.
Enter the applicable qualifier to identify which date is being reported.
454 Initial Treatment
304 Latest Visit or Consultation
453 Acute Manifestation of a Chronic Condition
439 Accident
455 Last X-ray
471 Prescription
090 Report Start (Assumed Care Date)
091 Report End (Relinquished Care Date)
444 First Visit or Consultation
Enter the qualifier between the left-hand set of vertical, dotted lines.
MEDICARE INSTRUCTIONS - Leave blank.
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