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TMSIS Dataguide Medicaid.gov

Version:

OUTLIER-DAYS

Data Element

DE Number

CIP198

System DE Number

CIP.002.198

File Segment Number

CIP00002

File Segment Name

CLAIM-HEADER-RECORD-IP

Last updated

Definition This field specifies the number of days paid as outliers under Prospective Payment System (PPS) and the days over the threshold for the DRG.
Size S9(5)
FLF Start Position 1028
FLF Stop Position 1032
Segment Key Field Identifier Not Applicable
Coding Requirements 1. Value must be 5 digits or less
2. Value must be numeric
3. Value must be populated, if Outlier Code (CIP.002.197) equals "01"
4. 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