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TMSIS Dataguide Medicaid.gov
Version 3.28.0

ORIGINATION-STATE

Data Element

DE Number

COT202

System DE Number

COT.003.202

File Name

COT - CLAIM OTHER

File Segment Number

COT00003

File Segment Name

CLAIM-LINE-RECORD-OT

Last updated

Definition The ANSI numeric code of the origination state in which a patient is transported either from home or a long term care facility to a health care provider to a health care provider for healthcare services or vice versa.
Size X(2)
FLF Start Position 545
FLF Stop Position 546
Segment Key Field Identifier Not Applicable
Coding Requirements 1. Value must be in State Code List (VVL)
2. Value must be 2 characters
3. Conditional
Valid Value Code Set Valid Value Code Valid Value Name Valid Value Description Effective Start Date Effective End Date
DE Number System DE Number DE Name File Segment Number File Segment Name