COT.003.203

ORIGINATION-ZIP-CODE

Data Element

DE Number

COT203

System DE Number

COT.003.203

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	The zip code of the origination city from which a patient is transported either from home or long term care facility to a health care provider for healthcare services or vice versa.
Size	X(9)
FLF Start Position	547
FLF Stop Position	555
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value may only be 5 digits (0-9) (Example: 91320) or 9 digits (0-9) (Example: 913200011) 3. Value must be in ZIP Code List (VVL) 2. 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.

Zip 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-1682	If a claim is a non-denied claim from an OT file, then the origination zip-code value reported must submitted as either 9(5) or 9(9).
RULE-6177	If a claim line is a non-denied claim line from an OT file, then the origination zip code value reported must be compatible with specified T-MSIS picture format: X(9).

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
09/12/2024	3.29.0	COT.003.203	UPDATE	Coding requirement	1. Value may only be 5 digits (0-9) (Example: 91320) or 9 digits (0-9) (Example: 913200011)2. Conditional	1. Value may only be 5 digits (0-9) (Example: 91320) or 9 digits (0-9) (Example: 913200011)3. Value must be in ZIP Code List (VVL)2. Conditional
09/21/2023	3.13.0	COT.003.203	UPDATE	Medicaid valid value info		Zip Code List