CIP.002.092

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TMSIS Dataguide

Medicaid.gov

Version 3.27.0

PROCEDURE-CODE-FLAG-6

Data Element

DE Number

CIP092

System DE Number

CIP.002.092

File Name

CIP - CLAIM INPATIENT

File Segment Number

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	405
FLF Stop Position	406
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

Valid Value Code Set	Valid Value Code	Valid Value Name	Valid Value Description	Effective Start Date	Effective End Date

RULE ID	RULE Definition
RULE-478	If the sixth procedure code is populated on a non-denied claim from an IP file, then the sixth procedure code must be a valid value from the list of procedure code values corresponding to the sixth procedure code flag.
RULE-484	If the procedure code flag 6 is populated on a non-denied IP claim, then the procedure code flag 6 reported must be found in the list of valid values.
RULE-6241	If a claim is a non-denied claim from an IP file, then the procedure code flag 6 value reported must be compatible with specified T-MSIS picture format: X(2).
RULE-7292	#N/A

Measure ID	Measure Name

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name

Published Date	Data Guide Version	Data Element	Action	Field	Before	After