An official website of the United States government

Official websites use .gov
A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS
A lock () or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

TMSIS Dataguide Medicaid.gov
Version 3.27.0

REVENUE-CENTER-QUANTITY-ACTUAL

Data Element

DE Number

CLT202

System DE Number

CLT.003.202

File Name

CLT - CLAIM LONG-TERM CARE

File Segment Number

CLT00003

File Segment Name

CLAIM-LINE-RECORD-LT

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
CIP249 CIP.003.249 REVENUE-CENTER-QUANTITY-ACTUAL CIP00003 CLAIM-LINE-RECORD-IP