CLT.003.231

HCPCS-RATE

Data Element

DE Number

CLT231

System DE Number

CLT.003.231

File Name

CLT - CLAIM LONG-TERM CARE

File Segment Number

CLT00003

File Segment Name

CLAIM-LINE-RECORD-LT

Last updated

No Updates

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	This data element is expected to capture data from the HIPAA 837I claim loop 2400 SV206 or UB-04 FL 44.
Size	X(14)
FLF Start Position	884
FLF Stop Position	897
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be 14 characters or less 2. Value must not contain a pipe or asterisk symbols 3. Value must be in HCPCS Rate List (VVL) 4. 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.

HCPCS Rate List

Valid Value Code Set	Valid Value Code	Valid Value Name	Valid Value Description	Effective Start Date	Effective End Date

RULE ID	RULE Definition
RULE-1269	If the HCPCS rate is populated on a non-denied LT claim line, then the HCPCS rate reported must not contain any pipe or asterisk characters.
RULE-7002	If a claim line is a non-denied claim line from an LT file, then the HCPCS rate value reported must be compatible with specified T-MSIS picture format: X(14).

Measure ID	Measure Name

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CIP279	CIP.003.279	HCPCS-RATE	CIP00003	CLAIM-LINE-RECORD-IP