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TMSIS Dataguide Medicaid.gov
Version 3.38.0

NON-COV-CHARGES

Data Element

DE Number

CIP135

System DE Number

CIP.002.135

File Name

CIP - CLAIM INPATIENT

File Segment Number

CIP00002

File Segment Name

CLAIM-HEADER-RECORD-IP

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances
Definition The charges for inpatient care, which are not reimbursable by the primary payer. The non-covered charges do not refer to charges not covered for any other service.
Size S9(11)V99
FLF Start Position 645
FLF Stop Position 657
Segment Key Field Identifier Not Applicable
Coding Requirements 1. Value must be between -99999999999.99 and 99999999999.99
2. Value must be expressed as a number with 2-digit precision (e.g. 100.50)
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
CLT085 CLT.002.085 NON-COV-CHARGES CLT00002 CLAIM-HEADER-RECORD-LT