CLT.003.230

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TMSIS Dataguide

Medicaid.gov

Version:

NDC-QUANTITY

Data Element

DE Number

CLT230

System DE Number

CLT.003.230

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	This field is to capture the actual quantity of the National Drug Code being prescribed on the claim/encounter.
Size	S9(9)V(9)
FLF Start Position	360
FLF Stop Position	377
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value may include up to 9 digits to the left of the decimal point, and 9 digits to the right e.g. 123456789.123456789 2. 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-6661	If a claim is a non-denied claim from an LT file, then the NDC quantity value reported must be a valid dollar amount that matches the specified T-MSIS picture format: S9(9)V999999999.

Measure ID	Measure Name

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CIP278	CIP.003.278	NDC-QUANTITY	CIP00003	CLAIM-LINE-RECORD-IP
COT225	COT.003.225	NDC-QUANTITY	COT00003	CLAIM-LINE-RECORD-OT

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
09/16/2024	4.0.0	CLT.003.230	UPDATE	File segment	None	31
09/16/2024	4.0.0	CLT.003.230	ADD	N/A		Created