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TMSIS Dataguide Medicaid.gov
Version 3.27.0

REVENUE-CENTER-QUANTITY-ACTUAL

Data Element

DE Number

CIP249

System DE Number

CIP.003.249

File Name

CIP - CLAIM INPATIENT

File Segment Number

CIP00003

File Segment Name

CLAIM-LINE-RECORD-IP

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances
Definition On facility claim entries, this field is to capture the actual service quantity by revenue code category, e.g., number of days in a particular type of accommodation, pints of blood, etc. However, when HCPCS codes are required for services, the units are equal to the number of times the procedure/service being reported was performed. For CLAIMOT claims/encounter records use Service Quantity Actual and CLAIMRX claims/encounter records use the Prescription Quantity Actual field
Size S9(6)V999
FLF Start Position 189
FLF Stop Position 197
Segment Key Field Identifier Not Applicable
Coding Requirements 1. Value must be numeric
2. Value may include up to 6 digits to the left of the decimal point, and 3 digits to the right e.g. 123456.789
3. Mandatory
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
CLT202 CLT.003.202 REVENUE-CENTER-QUANTITY-ACTUAL CLT00003 CLAIM-LINE-RECORD-LT