Configure Crosswalks
Clinical Edits Module for XEServer provides you with a set of empty crosswalk tables with pre-defined columns that you should fill in with the required codes for appropriate code transformations. To fill in the crosswalk, use the Crosswalk Browser in Edifecs SpecBuilder that allows you to edit crosswalk tables and navigate through crosswalk files.
To edit crosswalk in the Crosswalk Browser:
- Open SpecBuilder.
- On the Advanced tab, click the Crosswalk Browser.
- On the left pane, select the required crosswalk. Click here to view the list of available crosswalks.
- On the right pane, add the codes you require. You can refer to the crosswalks in the Samples folder for examples based on CMS edits.
- Save the crosswalk.
The following section contains the detailed descriptions of crosswalks' columns that will help you edit the crosswalks based on your requirements.
 HCPCS-ICD10CM
| Source |
HCPCS |
The only Source column that contains a single HCPCS Code. |
|
| Target 0 |
EditCategory |
A user-specific field that is used to define the category of an edit. The value is output to an error object as a parameter. |
|
| Target 1 |
AppliedToTransactionID |
Either an empty or a comma-separated string with the transaction IDs (837P, 837I, 837D) that are applicable.
When the cell is empty, then applicable to any transaction. |
837P
837P,837I
|
| Target 2 |
AppliedToProfile |
Either an empty or a comma-separated string with profile values that are applicable.
When the cell is empty, it is applicable to any profile. |
|
| Target 3 |
NotAppliedToProfile |
Either an empty or a comma-separated string with profile values that are applicable.
When the cell is empty, it is applicable to any profile. |
|
| Target 4 |
277CAReporting |
Either an empty or a comma-separated string with the values for reporting in 277CA (Category Code, Status Code, Entity Code separated by a colon) that are applicable. |
A3:101,A3:53:FA |
| Target 5 |
RequiredDiagnosisCodes |
Either an empty or a comma-separated string with the diagnosis codes that are applicable. |
|
| Target 6 |
NotAllowedDiagnosisCodes |
Either an empty or a comma-separated string with the diagnosis codes that are not applicable. |
|
| Target 7 |
User Notes |
Any string value. |
|
HCPCS-Modifier
| Source |
HCPCS |
The only Source column that contains a single HCPCS Code. |
|
| Target 0 |
EditCategory |
A user-specific field that is used to define the category of an edit. The value is output to an error object as a parameter. |
|
| Target 1 |
AppliedToTransactionID |
Either an empty or a comma-separated string with the transaction IDs (837P, 837I, 837D) that are applicable.
When the cell is empty, then applicable to any transaction. |
837P
837P,837I
|
| Target 2 |
AppliedToProfile |
Either an empty or a comma-separated string with profile values that are applicable.
When the cell is empty, it is applicable to any profile. |
|
| Target 3 |
NotAppliedToProfile |
Either an empty or a comma-separated string with profile values that are applicable.
When the cell is empty, it is applicable to any profile. |
|
| Target 4 |
277CAReporting |
Either an empty or a comma-separated string with the values for reporting in 277CA (Category Code, Status Code, Entity Code separated by a colon) that are applicable. |
A3:101,A3:53:FA |
| Target 5 |
Covered |
Indicates whether a code is covered (1) or not covered (0). |
0 |
| Target 6 |
RequiredModifiers |
Either an empty or a comma-separated string with the Modifier values that are applicable. |
RR,NU |
| Target 7 |
NotAllowedModifiers |
Either an empty or a comma-separated string with the Modifier values that are not applicable. |
RR,NU |
| Target 8 |
User Notes |
Any string value. |
|
HCPCS-POS
| Source |
HCPCS |
The only Source column that contains a single HCPCS Code. |
|
| Target 0 |
EditCategory |
A user-specific field that is used to define the category of an edit. The value is output to an error object as a parameter. |
|
| Target 1 |
AppliedToTransactionID |
Either an empty or a comma-separated string with the transaction IDs (837P, 837I, 837D) that are applicable.
When the cell is empty, then applicable to any transaction. |
837P
837P,837I
|
| Target 2 |
AppliedToProfile |
Either an empty or a comma-separated string with profile values that are applicable.
When the cell is empty, it is applicable to any profile. |
|
| Target 3 |
NotAppliedToProfile |
Either an empty or a comma-separated string with the profile values that are applicable.
When the cell is empty, the value is applicable to any profile. |
|
| Target 4 |
277CAReporting |
Either an empty or a comma-separated string with the values for reporting in 277CA (Category Code, Status Code, Entity Code separated by a colon) that are applicable. |
A3:101,A3:53:FA |
| Target 5 |
AllowedPOS |
Either an empty or a comma-separated string with the Place of Service codes that are applicable. |
11,12 |
| Target 6 |
NotAllowedPOS |
Either an empty or a comma-separated string with the Place of Service codes that are not applicable. |
11,12 |
| Target 7 |
User Notes |
Any string value. |
|
HCPCS-Patient
| Source |
HCPCS |
The only Source column that contains a single HCPCS Code. |
|
| Target 0 |
EditCategory |
A user-specific field. Used to define a category of an edit. The value is output to the error object as a parameter. |
|
| Target 1 |
AppliedToTransactionID |
Either an empty or a comma-delimited string with the transaction IDs (837P, 837I, 837D) that are applicable.
When the cell is empty, applicable to any transaction. |
837P
837P,837I
|
| Target 2 |
AppliedToProfile |
Either an empty or a comma-delimited string with the profile values that are applicable.
When the cell is empty, it is applicable to any profile. |
|
| Target 3 |
NotAppliedToProfile |
Either an empty or a comma-delimited string with the profile values that are not applicable.
When the cell is empty, it is applicable to any profile. |
|
| Target 4 |
277CAReporting |
Either an empty or a comma-delimited string with the values for reporting in 277CA (Category Code, Status Code, Entity Code separated by colon) that are applicable. |
A3:101, A3:53:FA |
| Target 5 |
MinAgeYears |
Integer, from 0 to 9999. |
0 |
| Target 6 |
MinAgeMonths |
Integer, starting from 0. |
0 |
| Target 7 |
MinAgeDays |
Integer, starting from 0. |
0 |
| Target 8 |
MaxAgeYears |
Integer, from 0 to 9999. |
150 |
| Target 9 |
MaxAgeMonths |
Integer, starting from 0. |
1 |
| Target 10 |
MaxAgeDays |
Integer, starting from 0. |
29 |
| Target 11 |
Gender |
Either empty or F (female) / M (male). |
M |
| Target 12 |
User Notes |
Any string value. |
|
HCPCS-Modifier-Coverage
| Source |
Modifier |
The only Source column that contains a single HCPCS Modifier Code. |
|
| Target 0 |
EditCategory |
A user-specific field that is used to define the category of an edit. The value is output to an error object as a parameter. |
|
| Target 1 |
AppliedToTransactionID |
Either an empty or a comma-separated string with the transaction IDs (837P, 837I, 837D) that are applicable.
When the cell is empty, it is applicable to any transaction. |
837P
837P,837I
|
| Target 2 |
AppliedToProfile |
Either an empty or a comma-separated string with profile values that are applicable.
When the cell is empty, it is applicable to any profile. |
|
| Target 3 |
NotAppliedToProfile |
Either an empty or a comma-separated string with profile values that are applicable .
When the cell is empty, it is applicable to any profile. |
|
| Target 4 |
277CAReporting |
Either an empty or a comma-separated string with the values for reporting in 277CA (Category Code, Status Code, Entity Code separated by a colon) that are applicable. |
A3:101,A3:53:FA |
| Target 5 |
Covered |
Indicates whether a code is covered (1) or not covered (0). |
0 |
| Target 6 |
User Notes |
Any string value. |
|
ICD10CM-Patient
| Source |
ICD-10-CM |
The only Source column that contains a single ICD-10-CM Diagnosis Code. |
|
| Target 0 |
EditCategory |
A user-specific field that is used to define the category of an edit. The value is output to an error object as a parameter. |
|
| Target 1 |
AppliedToTransactionID |
Either an empty or a comma-separated string with the transaction IDs (837P, 837I, 837D) that are applicable.
When the cell is empty, it is applicable to any transaction. |
837P
837P,837I
|
| Target 2 |
AppliedToProfile |
Either an empty or a comma-separated string with profile values that are applicable.
When the cell is empty, it is applicable to any profile. |
|
| Target 3 |
NotAppliedToProfile |
Either an empty or a comma-separated string with profile values that are applicable.
When the cell is empty, it is applicable to any profile. |
|
| Target 4 |
277CAReporting |
Either an empty or a comma-separated string with the values for reporting in 277CA (Category Code, Status Code, Entity Code separated by a colon) that are applicable. |
A3:101,A3:53:FA |
| Target 5 |
PrimaryCode |
Indicates whether a code can be used as a Primary code (1) or cannot be used on its own and is required to be used in addition to a Primary code (0) on a claim. |
1 |
| Target 6 |
MinAgeYears |
Integer, 0 to 9999. |
0 |
| Target 7 |
MinAgeMonths |
Integer, starting from 0. |
0 |
| Target 8 |
MinAgeDays |
Integer, starting from 0. |
0 |
| Target 9 |
MaxAgeYears |
Integer, 0 to 9999. |
150 |
| Target 10 |
MaxAgeMonths |
Integer, starting from 0. |
1 |
| Target 11 |
MaxAgeDays |
Integer, starting from 0. |
29 |
| Target 12 |
Gender |
Empty or F (female) / M (male). |
M |
| Target 13 |
User Notes |
Any string value. |
|
Revenue-HCPCS
| Source |
RevenueCode |
The only Source column that contains a single NUBC Revenue Code. |
|
| Target 0 |
EditCategory |
A user-specific field that is used to define the category of an edit. The value is output to an error object as a parameter. |
|
| Target 1 |
AppliedToTransactionID |
Either an empty or a comma-separated string with the transaction IDs (837P, 837I, 837D) that are not applicable.
When the cell is empty, it is applicable to any transaction. |
837P
837P,837I
|
| Target 2 |
AppliedToProfile |
Either an empty or a comma-separated string with profile values that are applicable.
When the cell is empty, it is applicable to any profile. |
|
| Target 3 |
NotAppliedToProfile |
Either an empty or a comma-separated string with profile values that are applicable.
When the cell is empty, it is applicable to any profile. |
|
| Target 4 |
277CAReporting |
Either an empty or a comma-separated string with the values for reporting in 277CA (Category Code, Status Code, Entity Code separated by a colon) that are applicable. |
A3:101,A3:53:FA |
| Target 5 |
NeedHCPCS |
Indicates whether a code is not covered (0) or covered (1). |
1 |
| Target 6 |
RequiredHCPCS |
Either an empty or a comma-separated string with the HCPCS values that are applicable. |
|
| Target 7 |
NotAllowedHCPCS |
Either an empty or a comma-separated string with the HCPCS values that are not applicable. |
|
| Target 8 |
RequiredModifiers |
Eitheran empty or a comma-separated string with the HCPCS values that are applicable. |
RR,NU |
| Target 9 |
NotAllowedModifiers |
Either an empty or a comma-separated string with the HCPCS values that are not applicable. |
RR,NU |
| Target 10 |
User Notes |
Any string value. |
|
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