COT.003.217

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TMSIS Dataguide

Medicaid.gov

Version 3.27.0

NATIONAL-DRUG-CODE

Data Element

DE Number

COT217

System DE Number

COT.003.217

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 following the National Drug Code format indicating the drug, device, or medical supply covered by this claim.
Size	X(12)
FLF Start Position	1241
FLF Stop Position	1252
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be 12 digits or less 2. Value must be a valid National Drug Code 3. 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-1702	If the national drug code is populated on a non-denied OT claim line, then the national drug code value reported must be in the list of valid values.
RULE-6451	If a claim line is a non-denied claim line from an OT file, then the national drug code value reported must be compatible with specified T-MSIS picture format: X(12).

Measure ID	Measure Name

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CIP284	CIP.003.284	NATIONAL-DRUG-CODE	CIP00003	CLAIM-LINE-RECORD-IP
CLT228	CLT.003.228	NATIONAL-DRUG-CODE	CLT00003	CLAIM-LINE-RECORD-LT
CRX120	CRX.003.120	NATIONAL-DRUG-CODE	CRX00003	CLAIM-LINE-RECORD-RX

Published Date	Data Guide Version	Data Element	Action	Field	Before	After