COT.003.195

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TMSIS Dataguide

Medicaid.gov

Version 3.27.0

TOOTH-DESIGNATION-SYSTEM

Data Element

DE Number

COT195

System DE Number

COT.003.195

File Name

COT - CLAIM OTHER

File Segment Number

File Segment Name

CLAIM-LINE-RECORD-OT

Last updated

No Updates

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	A code to identify the tooth numbering system being used.
Size	X(2)
FLF Start Position	390
FLF Stop Position	391
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be in Tooth Designation System List (VVL) 2. Value must not contain a pipe symbol 3. Value must be 2 characters 4. Conditional

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

RULE ID	RULE Definition
RULE-1674	If the tooth designation system is populated on a non-denied claim line from an OT file, then the tooth designation system value reported must be in the list of valid values.
RULE-6431	If a claim line is a non-denied claim line from an OT file, then the tooth designation system value reported must be compatible with specified T-MSIS picture format: X(2).

Measure ID	Measure Name

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

Published Date	Data Guide Version	Data Element	Action	Field	Before	After