CRX.002.086

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TMSIS Dataguide

Medicaid.gov

Version:

COMPOUND-DRUG-IND

Data Element

DE Number

CRX086

System DE Number

CRX.002.086

File Name

CRX - CLAIM PHARMACY

File Segment Number

File Segment Name

CLAIM-HEADER-RECORD-RX

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	Indicator to specify if the drug is compound or not.
Size	X(1)
FLF Start Position	630
FLF Stop Position	630
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be 1 character 2. Value must be in [0,1] or not populated 3. Value must be in Compound Drug Indicator List (VVL) 4. 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-1872	If the compound drug indicator is populated on a non-denied claim from an RX file, then the compound drug indicator reported must be found in the list of valid values.
RULE-6622	If a claim is a non-denied claim from an RX file, then the compound drug indicator value reported must be compatible with specified T-MSIS picture format: X(1).

Measure ID	Measure Name
MIS-8-009-9	% missing: COMPOUND-DRUG-IND (CRX00002)
MIS-27-007-7	% missing: COMPOUND-DRUG-IND (CRX00002)
MIS-85-007-7	% missing: COMPOUND-DRUG-IND (CRX00002)

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	CRX.002.086	UPDATE	Coding requirement	1. Value must be 1 character2. Value must be in [0, 1] or not populated3. Value must be in Compound Drug Indicator List (VVL)4. Conditional	1. Value must be 1 character2. Value must be in [0,1] or not populated3. Value must be in Compound Drug Indicator List (VVL)4. Conditional
06/24/2022	3.0.0	COMPOUND-DRUG-IND	UPDATE	Data Dictionary	DE NO\|DATA ELEMENT NAME\|DEFINITION\|CODING REQUIREMENT\| CRX086\|COMPOUND-DRUG-IND\|Indicator to specify if the drug is compound or not. see Compound Drug Indicator List (VVL.038)\| 1.(LV) value must be in Compound Drug Indicator List (VVL) 2.(S) value must be 1 character 3.(N) conditional	DE NO\|DATA ELEMENT NAME\|DEFINITION\|CODING REQUIREMENT\| CRX086\|COMPOUND-DRUG-IND Indicator to specify if the drug is compound or not.\| 1.(S) value must be 1 character 2.(LV) value must be in [0, 1] or not populated 3.(LV) value must be in Compound Drug Indicator List (VVL) 4.(N) conditional