CIP.002.148

OCCURRENCE-CODE-09

Data Element

DE Number

CIP148

System DE Number

CIP.002.148

File Name

CIP - CLAIM INPATIENT

File Segment Number

CIP00002

File Segment Name

CLAIM-HEADER-RECORD-IP

Last updated

02/27/2025

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	A code to describe specific event(s) relating to this billing period covered by the claim. (These are Form Locators 31, 32, 33, 34, 35, and 36 - Occurrence Codes on the UB04.) These fields can be used for either occurrences or occurrence spans.
Size	X(2)
FLF Start Position	687
FLF Stop Position	688
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be in Occurrence Code List (VVL) 2. Value must be 2 characters 3. Conditional

This data element's valid value code set is maintained by a Code Set Maintenance Organization (CSMO), the official licensing organization for specific valid value code sets. The CSMO is the system of record for those specific valid value code sets. While T-MSIS endeavors to be in-sync with CMSO's updates, minor delays may occur but that shouldn't block T-MSIS data submissions using the CSMO's latest version.

Occurrence Codes

Valid Value Code Set	Valid Value Code	Valid Value Name	Valid Value Description	Effective Start Date	Effective End Date
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RULE ID	RULE Definition
RULE-588	If the occurrence code 09 is populated on a non-denied claim from an IP file, then the occurrence code 09 value reported must be in the list of valid values for 'occurrence code'.
RULE-6688	If a claim line is a non-denied claim line from an IP file, then the occurrence code 09 value reported must be compatible with specified T-MSIS picture format: X(2).

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Measure ID	Measure Name
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DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CLT100	CLT.002.100	OCCURRENCE-CODE-09	CLT00002	CLAIM-HEADER-RECORD-LT
COT082	COT.002.082	OCCURRENCE-CODE-09	COT00002	CLAIM-HEADER-RECORD-OT