COT.003.208

DESTINATION-ZIP-CODE

Data Element

DE Number

COT208

System DE Number

COT.003.208

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 destination city to which a patient is transported either from home or long term care facility to a health care provider for healthcare services or vice versa. For transportation claims only. Required if state has captured this information, otherwise it is conditional.
Size	X(9)
FLF Start Position	706
FLF Stop Position	714
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) 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-1688	If a claim is a non-denied claim from an OT file, then the destination zip-code value reported must be a valid submitted as either 9(5)or 9(9).
RULE-6898	The format for DESTINATION-ZIP-CODE on a non-denied OT claim line was expected to be submitted as 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
03/27/2024	3.22.0	COT.003.208	UPDATE	Medicaid valid value info		Zip Code List
06/24/2022	3.0.0	DESTINATION-ZIP-CODE	UPDATE	Data Dictionary	\|DE NO\| DATA ELEMENT NAME\| DEFINITION\| \|COT208\|DESTINATION-ZIP-CODE\|Description: U.S. ZIP Code component of an address associated with a given entity (e.g. person, organization, agency, etc.)\|	\|DE NO\| DATA ELEMENT NAME\| DEFINITION\| \|COT208\|DESTINATION-ZIP-CODE\|The zip code of the destination city to which a patient is transported either from home or long term care facility to a health care provider for healthcare services or vice versa. For transportation claims only. Required if state has captured this information, otherwise it is conditional.\|