CIP.002.031

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TMSIS Dataguide

Medicaid.gov

Version:

ADMITTING-DIAGNOSIS-CODE-FLAG

Data Element

DE Number

CIP031

System DE Number

CIP.002.031

File Name

CIP - CLAIM INPATIENT

File Segment Number

File Segment Name

CLAIM-HEADER-RECORD-IP

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	A flag that identifies the coding system used for the Admitting Diagnosis Code.
Size	X(1)
FLF Start Position	190
FLF Stop Position	190
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be in Diagnosis Code Flag List(VVL) 2. Value must be 1 character 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-344	If the admitting diagnosis code is populated and the admitting diagnosis code flag is for ICD-9 or ICD-10 codes on a non-denied claim from an IP file, then the value for the admitting diagnosis code must be a valid value from the list of values for ICD-9 or ICD-10 codes, respectively.
RULE-346	If the admitting diagnosis code flag is populated on a non-denied claim from an IP file, then the admitting diagnosis code flag reported must be found in the list of valid values.
RULE-6700	If a claim is a non-denied claim from an IP file, then the admitting diagnosis code flag value reported must be compatible with specified T-MSIS picture format: X(1).

Measure ID	Measure Name
RULE-346	% of claim headers with invalid Admitting Diagnosis Code Flag

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CLT028	CLT.002.028	ADMITTING-DIAGNOSIS-CODE-FLAG	CLT00002	CLAIM-HEADER-RECORD-LT

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
08/15/2023	3.12.0	CIP.002.031	UPDATE	Coding requirement	1. Value must be in Diagnosis Code Flag List(VVL)2. Value must be 1 character	1. Value must be in Diagnosis Code Flag List(VVL)2. Value must be 1 character3. Conditional