CIP.002.165

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TMSIS Dataguide

Medicaid.gov

Version:

OCCURRENCE-CODE-END-DATE-06

Data Element

DE Number

CIP165

System DE Number

CIP.002.165

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	The last date that the corresponding occurrence code or occurrence span code was applicable. If occurrence date span is a single day, value must be equal to the value of the associated Occurrence Code Effective Date.
Size	9(8)
FLF Start Position	680
FLF Stop Position	687
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. The date must be a valid calendar date in the form "CCYYMMDD" 2. Must have an associated Occurrence Code 3. Value must be on or after the Occurrence Code Effective Date 4. Situational

Valid Value Code Set	Valid Value Code	Valid Value Name	Valid Value Description	Effective Start Date	Effective End Date

RULE ID	RULE Definition
RULE-613	If a non-denied IP claim has a value populated for occurrence code effective date 06 and occurrence code end date 06, then occurrence code effective date 06 is less than or equal to occurrence code end date 06.
RULE-650	If a claim is a non-denied claim from an IP file, then the occurrence code end date 06 value reported must be a valid date of the form CCYYMMDD
RULE-652	If a non-denied IP claim has a value populated for occurrence code 06, then occurrence code end date 06 must be populated.

Measure ID	Measure Name

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CLT117	CLT.002.117	OCCURRENCE-CODE-END-DATE-06	CLT00002	CLAIM-HEADER-RECORD-LT
COT099	COT.002.099	OCCURRENCE-CODE-END-DATE-06	COT00002	CLAIM-HEADER-RECORD-OT

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
07/10/2025	4.0.13	CIP.002.165	UPDATE	Necessity	Conditional	Situational
07/10/2025	4.0.13	CIP.002.165	UPDATE	Coding requirement	1. The date must be a valid calendar date in the form "CCYYMMDD"2. Must have an associated Occurrence Code3. Value must be on or after the Occurrence Code Effective Date4. Conditional	1. The date must be a valid calendar date in the form "CCYYMMDD"2. Must have an associated Occurrence Code3. Value must be on or after the Occurrence Code Effective Date4. Situational
12/19/2024	4.0.1	CIP.002.165	UPDATE	Coding requirement	1. The date must be a valid calendar date in the form "CCYYMMDD"2. Must have an associated Occurrence Code3. Must be greater than or equal to Occurrence Code Effective Date4. Conditional	1. The date must be a valid calendar date in the form "CCYYMMDD"2. Must have an associated Occurrence Code3. Value must be on or after the Occurrence Code Effective Date4. Conditional
09/16/2024	4.0.0	CIP.002.165	UPDATE	File segment	None	25
09/16/2024	4.0.0	CIP.002.165	ADD	N/A		Created