CIP.002.183

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TMSIS Dataguide

Medicaid.gov

Version:

BILLING-PROV-SPECIALTY

Data Element

DE Number

CIP183

System DE Number

CIP.002.183

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	This code describes the area of specialty for the provider being reported.
Size	X(2)
FLF Start Position	895
FLF Stop Position	896
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be 2 characters 2. Value must be in Provider Specialty List (VVL) 3. 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-6868	The format for BILLING-PROV-SPECIALTY on a non-denied IP claim was expected to be submitted as X(2).
RULE-695	If the billing provider specialty is populated on a non-denied claim from an IP file, then the billing provider specialty value reported must be in the list of valid values.

Measure ID	Measure Name

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CLT134	CLT.002.134	BILLING-PROV-SPECIALTY	CLT00002	CLAIM-HEADER-RECORD-LT
COT116	COT.002.116	BILLING-PROV-SPECIALTY	COT00002	CLAIM-HEADER-RECORD-OT
CRX073	CRX.002.073	BILLING-PROV-SPECIALTY	CRX00002	CLAIM-HEADER-RECORD-RX

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
07/10/2025	4.0.13	CIP.002.183	UPDATE	Necessity	Conditional	Situational
07/10/2025	4.0.13	CIP.002.183	UPDATE	Coding requirement	1. Value must be 2 characters2. Value must be in Provider Specialty List (VVL)3. Conditional	1. Value must be 2 characters2. Value must be in Provider Specialty List (VVL)3. Situational
09/16/2024	4.0.0	CIP.002.183	UPDATE	File segment	None	25
09/16/2024	4.0.0	CIP.002.183	ADD	N/A		Created