{
    "id": "FT1.26",
    "type": "Field",
    "position": "FT1.26",
    "name": "Procedure Code Modifier",
    "length": 250,
    "usage": "O",
    "rpt": "*",
    "dataType": "CE",
    "dataTypeName": "Coded Element",
    "tableId": "0340",
    "tableName": "Procedure code modifier",
    "description": "This field contains the procedure code modifier to the procedure code reported in FT1-25 - Procedure Code, when applicable. Procedure code modifiers are defined by regulatory agencies such as CMS and the AMA. Multiple modifiers may be reported. The modifiers are sequenced in priority according to user entry. This is a requirement of the UB and the 1500 claim forms. Multiple modifiers are allowed and the order placed on the form affects reimbursement. Refer to User-defined Table 0340 - Procedure Code Modifier for suggested values.",
    "sample": "",
    "fields": [
        {
            "id": "FT1.26.1",
            "type": "Component",
            "position": "FT1.26.1",
            "length": 20,
            "dataType": "ST",
            "dataTypeName": "String Data",
            "usage": "O",
            "rpt": "1",
            "tableId": null,
            "tableName": null,
            "name": "Identifier",
            "description": "Sequence of characters (the code) that uniquely identifies the item being referenced. Different coding schemes will have different elements here."
        },
        {
            "id": "FT1.26.2",
            "type": "Component",
            "position": "FT1.26.2",
            "length": 199,
            "dataType": "ST",
            "dataTypeName": "String Data",
            "usage": "O",
            "rpt": "1",
            "tableId": null,
            "tableName": null,
            "name": "Text",
            "description": "The descriptive or textual name of the identifier, e.g., myocardial infarction or X-ray impression."
        },
        {
            "id": "FT1.26.3",
            "type": "Component",
            "position": "FT1.26.3",
            "length": 20,
            "dataType": "ID",
            "dataTypeName": "Coded values for HL7 tables",
            "usage": "O",
            "rpt": "1",
            "tableId": "0396",
            "tableName": "Coding system",
            "name": "Name Of Coding System",
            "description": "Identifies the coding scheme being used in the identifier component. The combination of the identifier and name of coding system components will be a unique code for a data item. Each system has a unique identifier."
        },
        {
            "id": "FT1.26.4",
            "type": "Component",
            "position": "FT1.26.4",
            "length": 20,
            "dataType": "ST",
            "dataTypeName": "String Data",
            "usage": "O",
            "rpt": "1",
            "tableId": null,
            "tableName": null,
            "name": "Alternate Identifier",
            "description": "An alternate sequence of characters (the code) that uniquely identifies the item being referenced. See usage note in section introduction."
        },
        {
            "id": "FT1.26.5",
            "type": "Component",
            "position": "FT1.26.5",
            "length": 199,
            "dataType": "ST",
            "dataTypeName": "String Data",
            "usage": "O",
            "rpt": "1",
            "tableId": null,
            "tableName": null,
            "name": "Alternate Text",
            "description": "The descriptive or textual name of the alternate identifier. See usage note in section introduction."
        },
        {
            "id": "FT1.26.6",
            "type": "Component",
            "position": "FT1.26.6",
            "length": 20,
            "dataType": "ID",
            "dataTypeName": "Coded values for HL7 tables",
            "usage": "O",
            "rpt": "1",
            "tableId": "0396",
            "tableName": "Coding system",
            "name": "Name Of Alternate Coding System",
            "description": "Identifies the coding scheme being used in the alternate identifier component."
        }
    ]
}