COT.002.073

HEALTH-CARE-ACQUIRED-CONDITION-IND

Data Element

DE Number

COT073

System DE Number

COT.002.073

File Name

COT - CLAIM OTHER

File Segment Number

COT00002

File Segment Name

CLAIM-HEADER-RECORD-OT

Last updated

09/12/2024

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	This code indicates whether the claim has a Health Care Acquired Condition. For additional coding information refer to the following site : https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/index.html?redirect=/hospitalacqcond/05_Coding.asp#TopOfPage
Size	X(1)
FLF Start Position	404
FLF Stop Position	404
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be 1 character 2. Value must be in [0,1] or not populated 3. Value must be in Healthcare Acquired Condition Indicator List (VVL) 4. Conditional

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Valid Value Code Set	Valid Value Code	Valid Value Name	Valid Value Description	Effective Start Date	Effective End Date
HEALTH-CARE-ACQUIRED-CONDITION-IND	0	No		01/01/0001	12/31/9999
HEALTH-CARE-ACQUIRED-CONDITION-IND	1	Yes		01/01/0001	12/31/9999

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RULE ID	RULE Definition
RULE-1432	If the health care acquired condition indicator is populated on a non-denied claim from an OT file, then the health care acquired condition indicator reported must be found in the list of valid values.
RULE-6697	If a claim is a non-denied claim from an OT file, then the health care acquired condition indicator value reported must be compatible with specified T-MSIS picture format: X(1).

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Measure ID	Measure Name
No data available in table

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DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CIP139	CIP.002.139	HEALTH-CARE-ACQUIRED-CONDITION-IND	CIP00002	CLAIM-HEADER-RECORD-IP
CLT091	CLT.002.091	HEALTH-CARE-ACQUIRED-CONDITION-IND	CLT00002	CLAIM-HEADER-RECORD-LT

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
09/12/2024	3.29.0	COT.002.073	UPDATE	Coding requirement	1. Value must be 1 character2. Value must be in [0, 1] or not populated3. Value must be in Healthcare Acquired Condition Indicator List (VVL).4. Conditional	1. Value must be 1 character2. Value must be in [0,1] or not populated3. Value must be in Healthcare Acquired Condition Indicator List (VVL)4. Conditional
08/01/2023	3.11.0	COT.002.073	UPDATE	Coding requirement	1. Value must be 1 character2. Value must be in [0, 1] or not populated3. Value must be in Healthcare Acquired Condition Indicator List (VVL).4. Value must be 1 character5. Conditional	1. Value must be 1 character2. Value must be in [0, 1] or not populated3. Value must be in Healthcare Acquired Condition Indicator List (VVL).4. Conditional