COT.003.169

PROCEDURE-CODE

Data Element

DE Number

COT169

System DE Number

COT.003.169

File Name

COT - CLAIM OTHER

File Segment Number

COT00003

File Segment Name

CLAIM-LINE-RECORD-OT

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	A field to capture the CPT or HCPCS code that describes a service or good rendered by the provider to an enrollee on the specified date of service.
Size	X(8)
FLF Start Position	187
FLF Stop Position	194
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. When populated, there must be a corresponding Procedure Code Flag 2. If associated Procedure Code Flag List (VVL) value indicates an CPT-4 encoding '01', then value must be a valid CPT-4 procedure code 3. If associated Procedure Code Flag List (VVL) value indicates an "Other" encoding '10-87', then State must provide T-MSIS system with State-specific procedure code list, and value must be a valid State-specific procedure code 4. If associated Procedure Code Flag List (VVL) value indicates an HCPCS encoding '06', then value must be a valid HCPCS code 5. Value must be 8 characters or less 6. Value must be in Procedure Code List (VVL) 7. 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 Code List

Dental Code List

CPT Code 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-1634	If the procedure code is populated on a non-denied, non-void claim line from an OT file, then the procedure code must be a valid value from the list of procedure code values corresponding to the procedure code flag.
RULE-6489	If a claim line is a non-denied claim line from an OT file, then the procedure code value reported must be compatible with specified T-MSIS picture format: X(8).
RULE-7293	#N/A
RULE-7349	If a non-denied claim line from an OT claim has a value populated for place of service and the type of claim is equal to '1','3','A','C', then the line procedure code must be populated.
RULE-7354	If a non-denied claim line from an OT file has the type of claim equal to '1','3','A','C', then the procedure code must be populated, or the claim revenue code must be populated.
RULE-7745	If a non-denied claim line from an OT claim has a value populated for place of service and has the type of claim Medicaid or Medicaid-expansion CHIP Managed Care Encounter or Separate CHIP Encounter, then the line procedure code must be populated.
RULE-7749	If a non-denied claim line from an OT file has the type of claim Medicaid or Medicaid-expansion CHIP Managed Care Encounter or Separate CHIP Encounter, then the procedure code must be populated or the claim line revenue code must be populated.
RULE-7811	If a non-denied claim line from an OT claim has a value populated for place of service and has the type of claim Medicaid or Medicaid-expansion CHIP Managed Care Fee-for-service or Separate CHIP Fee-for-service, then the line procedure code must be populated.
RULE-7815	If a non-denied claim line from an OT file has the type of claim Medicaid or Medicaid-expansion CHIP Managed Care Fee-for-service or Separate CHIP Fee-for-service, then the procedure code must be populated or the claim line revenue code must be populated.

Measure ID	Measure Name
MCR-10-015-15	% of records with TYPE-OF-SERVICE = 12, 25, 26 that have HCPCS (06) Procedure Code Flag and Procedure Code format W-Z + 4n
FFS-11-016-14	% of records with TYPE-OF-SERVICE = 12, 25, 26 that have HCPCS (06) Procedure Code Flag and Procedure Code format W-Z + 1c3n
FFS-11-017-13	% of records with TYPE-OF-SERVICE = 12, 25, 26 that have HCPCS (06) Procedure Code Flag and other Procedure Code format
FFS-9-011-4	% of records with TYPE-OF-SERVICE = 12, 25, 26 that have CPT (01) Procedure Code Flag and Procedure Code format 5n/4n1c
FFS-9-014-12	% of records with TYPE-OF-SERVICE = 12, 25, 26 that have HCPCS (06) Procedure Code Flag and Procedure Code format A-V + 4n
FFS-9-015-11	% of records with TYPE-OF-SERVICE = 12, 25, 26 that have HCPCS (06) Procedure Code Flag and Procedure Code format A-V + 1c3n
FFS-9-016-15	% of records with TYPE-OF-SERVICE = 12, 25, 26 that have HCPCS (06) Procedure Code Flag and Procedure Code format W-Z + 4n
FFS-9-017-14	% of records with TYPE-OF-SERVICE = 12, 25, 26 that have HCPCS (06) Procedure Code Flag and Procedure Code format W-Z + 1c3n
FFS-9-018-13	% of records with TYPE-OF-SERVICE = 12, 25, 26 that have HCPCS (06) Procedure Code Flag and other Procedure Code format
MCR-10-011-4	% of records with TYPE-OF-SERVICE = 12, 25, 26 that have CPT (01) Procedure Code Flag and Procedure Code format 5n/4n1c
MCR-10-013-12	% of records with TYPE-OF-SERVICE = 12, 25, 26 that have HCPCS (06) Procedure Code Flag and Procedure Code format A-V + 4n
MCR-10-014-11	% of records with TYPE-OF-SERVICE = 12, 25, 26 that have HCPCS (06) Procedure Code Flag and Procedure Code format A-V + 1c3n
FFS-11-015-15	% of records with TYPE-OF-SERVICE = 12, 25, 26 that have HCPCS (06) Procedure Code Flag and Procedure Code format W-Z + 4n
MCR-10-016-14	% of records with TYPE-OF-SERVICE = 12, 25, 26 that have HCPCS (06) Procedure Code Flag and Procedure Code format W-Z + 1c3n
MCR-10-017-13	% of records with TYPE-OF-SERVICE = 12, 25, 26 that have HCPCS (06) Procedure Code Flag and other Procedure Code format
MCR-14-011-4	% of records with TYPE-OF-SERVICE = 12, 25, 26 that have CPT (01) Procedure Code Flag and Procedure Code format 5n/4n1c
MCR-14-013-12	% of records with TYPE-OF-SERVICE = 12, 25, 26 that have HCPCS (06) Procedure Code Flag and Procedure Code format A-V + 4n
MCR-14-014-11	% of records with TYPE-OF-SERVICE = 12, 25, 26 that have HCPCS (06) Procedure Code Flag and Procedure Code format A-V + 1c3n
MCR-14-015-15	% of records with TYPE-OF-SERVICE = 12, 25, 26 that have HCPCS (06) Procedure Code Flag and Procedure Code format W-Z + 4n
MCR-14-016-14	% of records with TYPE-OF-SERVICE = 12, 25, 26 that have HCPCS (06) Procedure Code Flag and Procedure Code format W-Z + 1c3n
MCR-14-017-13	% of records with TYPE-OF-SERVICE = 12, 25, 26 that have HCPCS (06) Procedure Code Flag and other Procedure Code format
RULE-7349	% of claim lines with non-missing Place of Service that have missing Procedure Code
RULE-7354	% of claim lines missing Procedure Code and Revenue Code
MCR-14-002-23	% of records with Procedure Code
ALL-15-006-6	% of claim lines missing Procedure Code and Revenue Code
ALL-34-002-2	% of claim lines with non-missing Procedure Code and either HCBS Service Code or HCBS Taxonomy that have a Procedure Code format that indicates a CPT or CDT code
ALL-35-001-1	% of claim lines with a Procedure Code indicating a sealant, filling, or root canal that are missing Tooth Number
ALL-35-002-2	% of claim lines with a Procedure Code indicating a sealant, filling, or root canal that are missing Tooth Number
ALL-35-003-3	% of claim lines with non-missing Tooth Number that do not have a Procedure Code format that indicates a CDT code
ALL-35-004-4	% of claim lines with non-missing Tooth Number that do not have a Procedure Code format that indicates a CDT code
FFS-10-006-2	% of claim lines with Procedure Code or Revenue Code (Medicaid Paid Amount > $0)
FFS-11-002-23	% of records with Procedure Code
FFS-9-002-102	% of records with Procedure Code
MCR-10-002-23	% of records with Procedure Code
MCR-11-006-2	% of claim lines with Procedure Code or Revenue Code (Medicaid Paid Amount > $0)
ALL-15-001-1	% of claim lines with non-missing Place of Service that have missing Procedure Code
MIS-7-021-21	% missing: PROCEDURE-CODE (COT00003)
RULE-1634	% of claim lines with invalid Procedure Code
RULE-7294	% of claim lines with Procedure Code that are missing Procedure Code Flag
MIS-26-021-21	% missing: PROCEDURE-CODE (COT00003)
MIS-84-020-20	% missing: PROCEDURE-CODE (COT00003)
RULE-7564	% of claim headers with a Procedure Code indicating a dental claim and non-missing Diagnosis Code Flag 1 that have a missing Diagnosis Code 1
ALL-13-004-6	% of MSIS IDs with alien restricted benefits code status (RESTRICTED-BENEFITS-CODE = 2) with services that are not emergency room or pregnancy-related
FFS-11-011-4	% of records with TYPE-OF-SERVICE = 12, 25, 26 that have CPT (01) Procedure Code Flag and Procedure Code format 5n/4n1c
FFS-11-013-12	% of records with TYPE-OF-SERVICE = 12, 25, 26 that have HCPCS (06) Procedure Code Flag and Procedure Code format A-V + 4n
FFS-11-014-11	% of records with TYPE-OF-SERVICE = 12, 25, 26 that have HCPCS (06) Procedure Code Flag and Procedure Code format A-V + 1c3n

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
03/24/2023	3.5.0	COT.003.169	UPDATE	Medicaid valid value info	HCPCS Code ListDental Codes ListProcedure Codes	HCPCS Code ListDental Code ListCPT Code List
11/13/2020	2.4.0	PROCEDURE-CODE-MOD	UPDATE	Data Dictionary - Valid Values	\|Valid Value\|Effective Date\|End Date\|Value\|Name\|Description\| \|PROCEDURE-CODE-MOD\|20170101\|99991231\|PO\|Excepted off-campus service\|Excepted service provided at an off-campus, outpatient, provider-based department of a hospital\|	\|Valid Value\|Effective Date\|End Date\|Value\|Name\|Description\| \|PROCEDURE-CODE-MOD\|20150101\|99991231\|PO\|Excepted off-campus service\|Excepted service provided at an off-campus, outpatient, provider-based department of a hospital\|
01/27/2021	3.0.0	PROCEDURE-CODE-FLAG	UPDATE	Data Dictionary - Valid Values	ICD-10 - CM PCS	ICD-10 - PCS
04/30/2021	3.0.0	PROCEDURE-CODE-FLAG	UPDATE	Data Dictionary - Valid Values	\|VALUE_SET_ID\|EFFECTIVE_DATE\|END_DATE\|VALUE\|NAME\|DESCRIPTION\| \|PROCEDURE-CODE-FLAG\|00010101\|99991231\|06\|HCPCS (Both National and Regional HCPCS)\|	\|VALUE_SET_ID\|EFFECTIVE_DATE\|END_DATE\|VALUE\|NAME\|DESCRIPTION\| \|PROCEDURE-CODE-FLAG\|00010101\|99991231\|06\|HCPCS Level II and CDT\|
12/17/2021	3.0.0	PROCEDURE-CODE-MOD	UPDATE	Data Dictionary - Valid Values	\|Modifier\|Effective Date\|End Date\|Description\| \|DD\|20210101\|99991231\|FROM Diagnostic or therapeutic site TO Diagnostic or therapeutic site\| \|DE\|20210101\|99991231\|FROM Diagnostic or therapeutic site TO Residential, domiciliary, custodial facility (other than 1819 facility)\| \|DG\|20210101\|99991231\|FROM Diagnostic or therapeutic site TO Hospital based ESRD facility\| \|DH\|20210101\|99991231\|FROM Diagnostic or therapeutic site TO Hospital\| \|DI\|20210101\|99991231\|FROM Diagnostic or therapeutic site TO Site of transfer\| \|DJ\|20210101\|99991231\|FROM Diagnostic or therapeutic site TO Freestanding ESRD facility\| \|DN\|20210101\|99991231\|FROM Diagnostic or therapeutic site TO Skilled nursing facility\| \|DP\|20210101\|99991231\|FROM Diagnostic or therapeutic site TO Physician’s office\| \|DR\|20210101\|99991231\|FROM Diagnostic or therapeutic site TO Residence\| \|DS\|20210101\|99991231\|FROM Diagnostic or therapeutic site TO Scene of accident or acute event\| \|DX\|20210101\|99991231\|FROM Diagnostic or therapeutic site TO Intermediate stop at Physician’s office on way to Hospital\|	\|Modifier\|Effective Date\|End Date\|Description\| \|DD\|00010101\|99991231\|FROM Diagnostic or therapeutic site TO Diagnostic or therapeutic site\| \|DE\|00010101\|99991231\|FROM Diagnostic or therapeutic site TO Residential, domiciliary, custodial facility (other than 1819 facility)\| \|DG\|00010101\|99991231\|FROM Diagnostic or therapeutic site TO Hospital based ESRD facility\| \|DH\|00010101\|99991231\|FROM Diagnostic or therapeutic site TO Hospital\| \|DI\|00010101\|99991231\|FROM Diagnostic or therapeutic site TO Site of transfer\| \|DJ\|00010101\|99991231\|FROM Diagnostic or therapeutic site TO Freestanding ESRD facility\| \|DN\|00010101\|99991231\|FROM Diagnostic or therapeutic site TO Skilled nursing facility\| \|DP\|00010101\|99991231\|FROM Diagnostic or therapeutic site TO Physician’s office\| \|DR\|00010101\|99991231\|FROM Diagnostic or therapeutic site TO Residence\| \|DS\|00010101\|99991231\|FROM Diagnostic or therapeutic site TO Scene of accident or acute event\| \|DX\|00010101\|99991231\|FROM Diagnostic or therapeutic site TO Intermediate stop at Physician’s office on way to Hospital\|
12/17/2021	3.0.0	PROCEDURE-CODE-MOD	UPDATE	Data Dictionary - Valid Values	\|Modifier\|Effective Date\|End Date\|Description\| \|EG\|20210101\|99991231\|FROM Residential, domiciliary, custodial facility (other than 1819 facility) TO Hospital based ESRD facility\| \|EH\|20210101\|99991231\|FROM Residential, domiciliary, custodial facility (other than 1819 facility) TO Hospital\| \|EI\|20210101\|99991231\|FROM Residential, domiciliary, custodial facility (other than 1819 facility) TO Site of transfer\| \|EN\|20210101\|99991231\|FROM Residential, domiciliary, custodial facility (other than 1819 facility) TO Skilled nursing facility\| \|ES\|20210101\|99991231\|FROM Residential, domiciliary, custodial facility (other than 1819 facility) TO Scene of accident or acute event\| \|GI\|20210101\|99991231\|FROM Hospital based ESRD facility TO Site of transfer\| \|ID\|20210101\|99991231\|FROM Site of transfer TO Diagnostic or therapeutic site\| \|IE\|20210101\|99991231\|FROM Site of transfer TO Residential, domiciliary, custodial facility (other than 1819 facility)\| \|IG\|20210101\|99991231\|FROM Site of transfer TO Hospital based ESRD facility\| \|IH\|20210101\|99991231\|FROM Site of transfer TO Hospital\| \|II\|20210101\|99991231\|FROM Site of transfer TO Site of transfer\| \|IJ\|20210101\|99991231\|FROM Site of transfer TO Freestanding ESRD facility\| \|IN\|20210101\|99991231\|FROM Site of transfer TO Skilled nursing facility\| \|IP\|20210101\|99991231\|FROM Site of transfer TO Physician’s office\|	\|Modifier\|Effective Date\|End Date\|Description\| \|EG\|00010101\|99991231\|FROM Residential, domiciliary, custodial facility (other than 1819 facility) TO Hospital based ESRD facility\| \|EH\|00010101\|99991231\|FROM Residential, domiciliary, custodial facility (other than 1819 facility) TO Hospital\| \|EI\|00010101\|99991231\|FROM Residential, domiciliary, custodial facility (other than 1819 facility) TO Site of transfer\| \|EN\|00010101\|99991231\|FROM Residential, domiciliary, custodial facility (other than 1819 facility) TO Skilled nursing facility\| \|ES\|00010101\|99991231\|FROM Residential, domiciliary, custodial facility (other than 1819 facility) TO Scene of accident or acute event\| \|GI\|00010101\|99991231\|FROM Hospital based ESRD facility TO Site of transfer\| \|ID\|00010101\|99991231\|FROM Site of transfer TO Diagnostic or therapeutic site\| \|IE\|00010101\|99991231\|FROM Site of transfer TO Residential, domiciliary, custodial facility (other than 1819 facility)\| \|IG\|00010101\|99991231\|FROM Site of transfer TO Hospital based ESRD facility\| \|IH\|00010101\|99991231\|FROM Site of transfer TO Hospital\| \|II\|00010101\|99991231\|FROM Site of transfer TO Site of transfer\| \|IJ\|00010101\|99991231\|FROM Site of transfer TO Freestanding ESRD facility\| \|IN\|00010101\|99991231\|FROM Site of transfer TO Skilled nursing facility\| \|IP\|00010101\|99991231\|FROM Site of transfer TO Physician’s office\|
12/17/2021	3.0.0	PROCEDURE-CODE-MOD	UPDATE	Data Dictionary - Valid Values	\|Modifier\|Effective Date\|End Date\|Description\| \|IR\|20210101\|99991231\|FROM Site of transfer TO Residence\| \|IS\|20210101\|99991231\|FROM Site of transfer TO Scene of accident or acute event\| \|IX\|20210101\|99991231\|FROM Site of transfer TO Intermediate stop at Physician’s office on way to Hospital\| \|JH\|20210101\|99991231\|FROM Freestanding ESRD facility TO Hospital\| \|JI\|20210101\|99991231\|FROM Freestanding ESRD facility TO Site of transfer\| \|JJ\|20210101\|99991231\|FROM Freestanding ESRD facility TO Freestanding ESRD facility\| \|JN\|20210101\|99991231\|FROM Freestanding ESRD facility TO Skilled nursing facility\| \|JP\|20210101\|99991231\|FROM Freestanding ESRD facility TO Physician’s office\| \|JR\|20210101\|99991231\|FROM Freestanding ESRD facility TO Residence\| \|JS\|20210101\|99991231\|FROM Freestanding ESRD facility TO Scene of accident or acute event\| \|JX\|20210101\|99991231\|FROM Freestanding ESRD facility TO Intermediate stop at Physician’s office on way to Hospital\| \|ND\|20210101\|99991231\|FROM Skilled nursing facility TO Diagnostic or therapeutic site\| \|NE\|20210101\|99991231\|FROM Skilled nursing facility TO Residential, domiciliary, custodial facility (other than 1819 facility)\| \|NG\|20210101\|99991231\|FROM Skilled nursing facility TO Hospital based ESRD facility\|	\|Modifier\|Effective Date\|End Date\|Description\| \|IR\|00010101\|99991231\|FROM Site of transfer TO Residence\| \|IS\|00010101\|99991231\|FROM Site of transfer TO Scene of accident or acute event\| \|IX\|00010101\|99991231\|FROM Site of transfer TO Intermediate stop at Physician’s office on way to Hospital\| \|JH\|00010101\|99991231\|FROM Freestanding ESRD facility TO Hospital\| \|JI\|00010101\|99991231\|FROM Freestanding ESRD facility TO Site of transfer\| \|JJ\|00010101\|99991231\|FROM Freestanding ESRD facility TO Freestanding ESRD facility\| \|JN\|00010101\|99991231\|FROM Freestanding ESRD facility TO Skilled nursing facility\| \|JP\|00010101\|99991231\|FROM Freestanding ESRD facility TO Physician’s office\| \|JR\|00010101\|99991231\|FROM Freestanding ESRD facility TO Residence\| \|JS\|00010101\|99991231\|FROM Freestanding ESRD facility TO Scene of accident or acute event\| \|JX\|00010101\|99991231\|FROM Freestanding ESRD facility TO Intermediate stop at Physician’s office on way to Hospital\| \|ND\|00010101\|99991231\|FROM Skilled nursing facility TO Diagnostic or therapeutic site\| \|NE\|00010101\|99991231\|FROM Skilled nursing facility TO Residential, domiciliary, custodial facility (other than 1819 facility)\| \|NG\|00010101\|99991231\|FROM Skilled nursing facility TO Hospital based ESRD facility\|
12/17/2021	3.0.0	PROCEDURE-CODE-MOD	UPDATE	Data Dictionary - Valid Values	\|Modifier\|Effective Date\|End Date\|Description\| \|NH\|20210101\|99991231\|FROM Skilled nursing facility TO Hospital\| \|NI\|20210101\|99991231\|FROM Skilled nursing facility TO Site of transfer\| \|NJ\|20210101\|99991231\|FROM Skilled nursing facility TO Freestanding ESRD facility\| \|NN\|20210101\|99991231\|FROM Skilled nursing facility TO Skilled nursing facility\| \|NP\|20210101\|99991231\|FROM Skilled nursing facility TO Physician’s office\| \|NS\|20210101\|99991231\|FROM Skilled nursing facility TO Scene of accident or acute event\| \|NX\|20210101\|99991231\|FROM Skilled nursing facility TO Intermediate stop at Physician’s office on way to Hospital\| \|PD\|20210101\|99991231\|FROM Physician’s office TO Diagnostic or therapeutic site\| \|PE\|20210101\|99991231\|FROM Physician’s office TO Residential, domiciliary, custodial facility (other than 1819 facility)\| \|PG\|20210101\|99991231\|FROM Physician’s office TO Hospital based ESRD facility\| \|PH\|20210101\|99991231\|FROM Physician’s office TO Hospital\| \|PI\|20210101\|99991231\|FROM Physician’s office TO Site of transfer\| \|PJ\|20210101\|99991231\|FROM Physician’s office TO Freestanding ESRD facility\| \|PN\|20210101\|99991231\|FROM Physician’s office TO Skilled nursing facility\| \|PP\|20210101\|99991231\|FROM Physician’s office TO Physician’s office\| \|PR\|20210101\|99991231\|FROM Physician’s office TO Residence\| \|PX\|20210101\|99991231\|FROM Physician’s office TO Intermediate stop at Physician’s office on way to Hospital \|RG\|20210101\|99991231\|FROM Residence TO Hospital based ESRD facility	\|Modifier\|Effective Date\|End Date\|Description\| \|NH\|00010101\|99991231\|FROM Skilled nursing facility TO Hospital\| \|NI\|00010101\|99991231\|FROM Skilled nursing facility TO Site of transfer\| \|NJ\|00010101\|99991231\|FROM Skilled nursing facility TO Freestanding ESRD facility\| \|NN\|00010101\|99991231\|FROM Skilled nursing facility TO Skilled nursing facility\| \|NP\|00010101\|99991231\|FROM Skilled nursing facility TO Physician’s office\| \|NS\|00010101\|99991231\|FROM Skilled nursing facility TO Scene of accident or acute event\| \|NX\|00010101\|99991231\|FROM Skilled nursing facility TO Intermediate stop at Physician’s office on way to Hospital\| \|PD\|00010101\|99991231\|FROM Physician’s office TO Diagnostic or therapeutic site\| \|PE\|00010101\|99991231\|FROM Physician’s office TO Residential, domiciliary, custodial facility (other than 1819 facility)\| \|PG\|00010101\|99991231\|FROM Physician’s office TO Hospital based ESRD facility\| \|PH\|00010101\|99991231\|FROM Physician’s office TO Hospital\| \|PI\|00010101\|99991231\|FROM Physician’s office TO Site of transfer\| \|PJ\|00010101\|99991231\|FROM Physician’s office TO Freestanding ESRD facility\| \|PN\|00010101\|99991231\|FROM Physician’s office TO Skilled nursing facility\| \|PP\|00010101\|99991231\|FROM Physician’s office TO Physician’s office\| \|PR\|00010101\|99991231\|FROM Physician’s office TO Residence\| \|PX\|00010101\|99991231\|FROM Physician’s office TO Intermediate stop at Physician’s office on way to Hospital \|RG\|00010101\|99991231\|FROM Residence TO Hospital based ESRD facility
12/17/2021	3.0.0	PROCEDURE-CODE-MOD	UPDATE	Data Dictionary - Valid Values	\|Modifier\|Effective Date\|End Date\|Description\| \|RN\|20210101\|99991231\|FROM Residence TO Skilled nursing facility\| \|RS\|20210101\|99991231\|FROM Residence TO Scene of accident or acute event\| \|RX\|20210101\|99991231\|FROM Residence TO Intermediate stop at Physician’s office on way to Hospital\| \|SI\|20210101\|99991231\|FROM Scene of accident or acute event TO Site of transfer\| \|SP\|20210101\|99991231\|FROM Scene of accident or acute event TO Physician’s office\| \|SR\|20210101\|99991231\|FROM Scene of accident or acute event TO Residence\| \|SX\|20210101\|99991231\|FROM Scene of accident or acute event TO Intermediate stop at Physician’s office on way to Hospital\|	\|Modifier\|Effective Date\|End Date\|Description\| \|RN\|00010101\|99991231\|FROM Residence TO Skilled nursing facility\| \|RS\|00010101\|99991231\|FROM Residence TO Scene of accident or acute event\| \|RX\|00010101\|99991231\|FROM Residence TO Intermediate stop at Physician’s office on way to Hospital\| \|SI\|00010101\|99991231\|FROM Scene of accident or acute event TO Site of transfer\| \|SP\|00010101\|99991231\|FROM Scene of accident or acute event TO Physician’s office\| \|SR\|00010101\|99991231\|FROM Scene of accident or acute event TO Residence\| \|SX\|00010101\|99991231\|FROM Scene of accident or acute event TO Intermediate stop at Physician’s office on way to Hospital\|
12/17/2021	3.0.0	PROCEDURE-CODE-MOD	ADD	Data Dictionary - Valid Values	add values to the PROCEDURE-CODE-MOD.psv	VALUE_SET_ID\|EFFECTIVE_DATE\|END_DATE\|VALUE\|NAME\|DESCRIPTION\| PROCEDURE-CODE-MOD\|20070701\|99991231\|1P\|Performance Measure Exclusion Modifier due to Medical Reasons\| PROCEDURE-CODE-MOD\|20070701\|99991231\|2P\|Performance Measure Exclusion Modifier due to Patient Reasons\| PROCEDURE-CODE-MOD\|20070701\|99991231\|3P\|Performance Measure Exclusion Modifier due to System Reasons \|