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TMSIS Dataguide Medicaid.gov
Version 3.27.0

PROCEDURE-CODE-FLAG-1

Data Element

DE Number

CIP072

System DE Number

CIP.002.072

File Name

CIP - CLAIM INPATIENT

File Segment Number

CIP00002

File Segment Name

CLAIM-HEADER-RECORD-IP

Last updated

No Updates

Overview Valid Values Related Rules Related DQ Measures Other Instances
Definition A flag that identifies the coding system used for an associated procedure code.
Size X(2)
FLF Start Position 315
FLF Stop Position 316
Segment Key Field Identifier Not Applicable
Coding Requirements 1. When populated, there must be a corresponding Procedure Code
2. Value must be in Procedure Code Flag List (VVL)
3. Value must be 2 characters
4. Conditional
5. If Procedure Code 1 (CIP.002.070) is populated, Procedure Code Flag 1 (CIP.002.072) must be '02' (ICD-9 CM) or '07' (ICD-10 - CM PCS).
Valid Value Code Set Valid Value Code Valid Value Name Valid Value Description Effective Start Date Effective End Date
DE Number System DE Number DE Name File Segment Number File Segment Name