LOINC Code 52038-7: Subscriber Information including retroactive and presumptive eligibility

What is this code?

LOINC codes identify tests, measurements, observations, survey items, and clinical questions in a standardized way. It is associated with the component Subscriber Information including retroactive and presumptive eligibility attachment. It is commonly used with the system or sample type ^Patient.

When is it used?

• Used in lab systems, EHRs, and clinical data exchange.
• May identify a test, observation, survey item, or clinical document request rather than a diagnosis.
• Status: ACTIVE
• Order vs observation: Both

What it does not mean

• The code identifies the observation or test, not the actual result.

Key facts

• Subscriber Information including retroactive and presumptive eligibility
• Subscriber Information including retroactive and presumptive eligibility attachment
• This attachment providers supplemental subscriber information used to support retroactive eligibility activity and to support presumptive eligibility. Presumptive eligibility is documentation submitted with a claim and provided by the servicing provider. This documentation asserts specific statements needed to justify that the patient meets eligibility requirements and is presumed eligible.
• ADMIN; DOC.ADMIN; Document; Finding; Findings; Point in time; Random

Where you may see this code

You may see this code in lab systems, lab reports, EHR exports, interoperability feeds, or other structured clinical data exchanges.

Common synonyms

Frequently asked questions