CIP.002.139

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TMSIS Dataguide

Medicaid.gov

Version 3.27.0

HEALTH-CARE-ACQUIRED-CONDITION-IND

Data Element

DE Number

CIP139

System DE Number

CIP.002.139

File Name

CIP - CLAIM INPATIENT

File Segment Number

File Segment Name

CLAIM-HEADER-RECORD-IP

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	This code indicates whether the claim has a Health Care Acquired Condition. For additional coding information refer to the following site : https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/index.html?redirect=/hospitalacqcond/05_Coding.asp#TopOfPage
Size	X(1)
FLF Start Position	670
FLF Stop Position	670
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be 1 character 2. Value must be in [0, 1] or not populated 3. Value must be in Healthcare Acquired Condition Indicator List (VVL). 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-579	If the health care acquired condition indicator is populated on a non-denied claim from an IP file, then the health care acquired condition indicator reported must be found in the list of valid values.
RULE-6281	If a claim is a non-denied claim from an IP file, then the health care acquired condition indicator value reported must be compatible with specified T-MSIS picture format: X(1).

Measure ID	Measure Name
MIS-2-028-28	% missing: HEALTH-CARE-ACQUIRED-CONDITION-IND (CIP00002)
MIS-21-029-29	% missing: HEALTH-CARE-ACQUIRED-CONDITION-IND (CIP00002)
MIS-79-029-29	% missing: HEALTH-CARE-ACQUIRED-CONDITION-IND (CIP00002)

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CLT091	CLT.002.091	HEALTH-CARE-ACQUIRED-CONDITION-IND	CLT00002	CLAIM-HEADER-RECORD-LT
COT073	COT.002.073	HEALTH-CARE-ACQUIRED-CONDITION-IND	COT00002	CLAIM-HEADER-RECORD-OT

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
08/01/2023	3.11.0	CIP.002.139	UPDATE	Coding requirement	1. Value must be 1 character2. Value must be in [0, 1] or not populated3. Value must be in Healthcare Acquired Condition Indicator List (VVL).4. Value must be 1 character5. Conditional	1. Value must be 1 character2. Value must be in [0, 1] or not populated3. Value must be in Healthcare Acquired Condition Indicator List (VVL).4. Conditional