CLT.003.203

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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

RULE ID	RULE Definition
RULE-1231	If a claim is a non-denied claim from an LT file, then the revenue center quantity allowed value reported must be a valid dollar amount that matches the specified T-MSIS picture format: S9(6)V999.

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

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
09/12/2024	3.29.0	CLT.003.203	UPDATE	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	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.
06/24/2022	3.0.0	CLT203/ REVENUE-CENTER-QUANTITY-ALLOWED	Rename DE	Data Dictionary - Record Layout	DE No\|Data Element Name CLT203\|IP-LT-QUANTITY-OF-SERVICE-ALLOWED	DE No\|Data Element Name CLT203\|REVENUE-CENTER-QUANTITY-ALLOWED
06/24/2022	3.0.0	CLT203	UPDATE	Data Dictionary	\|DE NO\| DATA ELEMENT NAME\|CODING REQUIREMENT CLT203\|IP-LT-QUANTITY-OF-SERVICE-ALLOWED\|For use with CLAIMIP and CLAIMLT claims. For CLAIMOT and CLAIMRX claims/encounter records, use the OT-RX-CLAIM-QUANTITY-ACTUAL field	\|DE NO\| DATA ELEMENT NAME\|CODING REQUIREMENT CLT203\|REVENUE-CENTER-QUANTITY-ALLOWED\|For use with CLAIMIP and CLAIMLT claims. For CLAIMOT claims/encounter records use SERVICE-QUANTITY-ACTUAL and CLAIMRX claims/encounter records use the PRESCRIPTION-QUANTITY-ACTUAL field

REVENUE-CENTER-QUANTITY-ALLOWED