Line Berenson-Eggers Type of Service (BETOS) Code
The Berenson-Eggers type of service (BETOS) for the procedure code based on generally agreed upon clinically meaningful groupings of procedures and services.
This field is included as a line item on the non-institutional claim.
This variable is coded, and will contain one of the following values.
| Value | Description |
|---|---|
M1A |
Office visits - new |
M1B |
Office visits - established |
M2A |
Hospital visit - initial |
M2B |
Hospital visit - subsequent |
M2C |
Hospital visit - critical care |
M3 |
Emergency room visit |
M4A |
Home visit |
M4B |
Nursing home visit |
M5A |
Specialist - pathology |
M5B |
Specialist - psychiatry |
M5C |
Specialist - ophthalmology |
M5D |
Specialist - other |
M6 |
Consultations |
P0 |
Anesthesia |
P1A |
Major procedure - breast |
P1B |
Major procedure - colectomy |
P1C |
Major procedure - cholecystectomy |
P1D |
Major procedure - turp |
P1E |
Major procedure - hysterectomy |
P1F |
Major procedure - explor/decompr/excisdisc |
P1G |
Major procedure - Other |
P2A |
Major procedure, cardiovascular-CABG |
P2B |
Major procedure, cardiovascular-Aneurysm repair |
P2C |
Major Procedure, cardiovascular-Thromboendarterectomy |
P2D |
Major procedure, cardiovascualr-Coronary angioplasty (PTCA) |
P2E |
Major procedure, cardiovascular-Pacemaker insertion |
P2F |
Major procedure, cardiovascular-Other |
P3A |
Major procedure, orthopedic - Hip fracture repair |
P3B |
Major procedure, orthopedic - Hip replacement |
P3C |
Major procedure, orthopedic - Knee replacement |
P3D |
Major procedure, orthopedic - other |
P4A |
Eye procedure - corneal transplant |
P4B |
Eye procedure - cataract removal/lens insertion |
P4C |
Eye procedure - retinal detachment |
P4D |
Eye procedure - treatment of retinal lesions |
P4E |
Eye procedure - other |
P5A |
Ambulatory procedures - skin |
P5B |
Ambulatory procedures - musculoskeletal |
P5C |
Ambulatory procedures - inguinal hernia repair |
P5D |
Ambulatory procedures - lithotripsy |
P5E |
Ambulatory procedures - other |
P6A |
Minor procedures - skin |
P6B |
Minor procedures - musculoskeletal |
P6C |
Minor procedures - other (Medicare fee schedule) |
P6D |
Minor procedures - other (non-Medicare fee schedule) |
P7A |
Oncology - radiation therapy |
P7B |
Oncology - other |
P8A |
Endoscopy - arthroscopy |
P8B |
Endoscopy - upper gastrointestinal |
P8C |
Endoscopy - sigmoidoscopy |
P8D |
Endoscopy - colonoscopy |
P8E |
Endoscopy - cystoscopy |
P8F |
Endoscopy - bronchoscopy |
P8G |
Endoscopy - laparoscopic cholecystectomy |
P8H |
Endoscopy - laryngoscopy |
P8I |
Endoscopy - other |
P9A |
Dialysis services (Medicare fee schedule) |
P9B |
Dialysis services (non-Medicare fee schedule) |
I1A |
Standard imaging - chest |
I1B |
Standard imaging - musculoskeletal |
I1C |
Standard imaging - breast |
I1D |
Standard imaging - contrast gastrointestinal |
I1E |
Standard imaging - nuclear medicine |
I1F |
Standard imaging - other |
I2A |
Advanced imaging - CAT/CT/CTA: brain/head/neck |
I2B |
Advanced imaging - CAT/CT/CTA: other |
I2C |
Advanced imaging - MRI/MRA: brain/head/neck |
I2D |
Advanced imaging - MRI/MRA: other |
I3A |
Echography/ultrasonography - eye |
I3B |
Echography/ultrasonography - abdomen/pelvis |
I3C |
Echography/ultrasonography - heart |
I3D |
Echography/ultrasonography - carotid arteries |
I3E |
Echography/ultrasonography - prostate, transrectal |
I3F |
Echography/ultrasonography - other |
I4A |
Imaging/procedure - heart including cardiac catheterization |
I4B |
Imaging/procedure - other |
T1A |
Lab tests - routine venipuncture (non-Medicare fee schedule) |
T1B |
Lab tests - automated general profiles |
T1C |
Lab tests - urinalysis |
T1D |
Lab tests - blood counts |
T1E |
Lab tests - glucose |
T1F |
Lab tests - bacterial cultures |
T1G |
Lab tests - other (Medicare fee schedule) |
T1H |
Lab tests - other (non-Medicare fee schedule) |
T2A |
Other tests - electrocardiograms |
T2B |
Other tests - cardiovascular stress tests |
T2C |
Other tests - EKG monitoring |
T2D |
Other tests - other |
D1A |
Medical/surgical supplies |
D1B |
Hospital beds |
D1C |
Oxygen and supplies |
D1D |
Wheelchairs |
D1E |
Other DME |
D1F |
Prosthetic/Orthotic devices |
D1G |
Drugs Administered through DME |
O1A |
Ambulance |
O1B |
Chiropractic |
O1C |
Enteral and parenteral |
O1D |
Chemotherapy |
O1E |
Other drugs |
O1F |
Hearing and speech services |
O1G |
Immunizations/Vaccinations |
Y1 |
Other - Medicare fee schedule |
Y2 |
Other - non-Medicare fee schedule |
Z1 |
Local codes |
Z2 |
Undefined codes |
Some additional information on this variable: