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TMSIS Dataguide Medicaid.gov
Version 3.27.0

REVENUE-CENTER-QUANTITY-ALLOWED

Data Element

DE Number

CLT203

System DE Number

CLT.003.203

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 maximum allowable 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. This field is only applicable when the service being billed can be quantified in discrete units, e.g., a number of visits or the number of units of a prescription/refill that were filled. 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 198
FLF Stop Position 206
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. Conditional
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
CIP250 CIP.003.250 REVENUE-CENTER-QUANTITY-ALLOWED CIP00003 CLAIM-LINE-RECORD-IP