DHS 120.13(1)(a)11. 11. Laparoscopy and hysteroscopy.

DHS 120.13(1)(a)12. 12. Operations on the female genital system.

DHS 120.13(1)(a)13. 13. Maternity care and delivery.

DHS 120.13(1)(a)14. 14. Operations on the endocrine system.

DHS 120.13(1)(a)15. 15. Operations on the nervous system.

DHS 120.13(1)(a)16. 16. Operations on the eye and ocular adnexa.

DHS 120.13(1)(a)17. 17. Operations on the auditory system.

DHS 120.13(1)(b) (b) Data elements collected. Freestanding ambulatory surgery centers shall report information on specific ambulatory patient surgical procedures required under par. (a). The center shall submit the following data elements for each surgical procedure:

DHS 120.13(1)(b)1. 1. Federal tax number of the freestanding ambulatory surgery center.

DHS 120.13(1)(b)2. 2. Patient control number.

DHS 120.13(1)(b)3. 3. Patient medical record or chart number.

DHS 120.13(1)(b)4. 4. Date of principal procedure.

DHS 120.13(1)(b)5. 5. Patient zip code.

DHS 120.13(1)(b)6. 6. Patient birth date.

DHS 120.13(1)(b)7. 7. Patient gender.

DHS 120.13(1)(b)8. 8. Adjusted total charges and components of those charges.

DHS 120.13(1)(b)9. 9. Primary payer identifier and type.

DHS 120.13(1)(b)10. 10. Secondary payer identifier and type.

DHS 120.13(1)(b)11. 11. Principal and other diagnosis codes.

DHS 120.13(1)(b)12. 12. External cause of injury codes.

DHS 120.13(1)(b)13. 13. Principal and other procedure codes.

DHS 120.13(1)(b)14. 14. Attending physician license number, if applicable.

DHS 120.13(1)(b)15. 15. Other physician license number.

DHS 120.13(1)(b)16. 16. Patient race.

DHS 120.13(1)(b)17. 17. Patient ethnicity.

DHS 120.13(1)(b)18. 18. Type of bill.

DHS 120.13(1)(b)19. 19. Encrypted case identifier.

DHS 120.13(1)(b)20. 20. Insured’s policy number.

DHS 120.13(2) (2) Data submission procedures.