CLT.003.228

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TMSIS Dataguide

Medicaid.gov

Version:

NATIONAL-DRUG-CODE

Data Element

DE Number

CLT228

System DE Number

CLT.003.228

File Name

CLT - CLAIM LONG-TERM CARE

File Segment Number

File Segment Name

CLAIM-LINE-RECORD-LT

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	A code following the National Drug Code format indicating the drug, device, or medical supply covered by this claim.
Size	X(12)
FLF Start Position	346
FLF Stop Position	357
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be 12 digits or less 2. Value must be a valid National Drug Code 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-1264	If the national drug code is populated on a non-denied LT claim line, then the value reported must be in the list of valid values for national drug code.
RULE-6257	If a claim line is a non-denied claim line from an LT file, then the national drug code value reported must be compatible with specified T-MSIS picture format: X(12).

Measure ID	Measure Name

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CIP284	CIP.003.284	NATIONAL-DRUG-CODE	CIP00003	CLAIM-LINE-RECORD-IP
COT217	COT.003.217	NATIONAL-DRUG-CODE	COT00003	CLAIM-LINE-RECORD-OT
CRX120	CRX.003.120	NATIONAL-DRUG-CODE	CRX00003	CLAIM-LINE-RECORD-RX

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
09/16/2024	4.0.0	CLT.003.228	UPDATE	File segment	None	31
09/16/2024	4.0.0	CLT.003.228	ADD	N/A		Created