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TMSIS Dataguide Medicaid.gov

Version:

3.38.0

DIAGNOSIS-TYPE

Data Element

DE Number

CLT275

System DE Number

CLT.004.275

File Name

CLT - CLAIM LONG-TERM CARE

File Segment Number

CLT00004

File Segment Name

CLAIM-DX-LT

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances
Definition Indicates the context of the diagnosis code from the provider's claim (i.e., an 837I claim can have one principal diagnosis code, one admitting diagnosis code, up to 12 external cause of injury diagnosis codes, and up to 24 other diagnosis codes; a UB-04 claim can have one principal diagnosis code, one admitting diagnosis code, and up to 17 other diagnosis codes). The type of diagnosis code (e.g., principal, admitting, external cause of injury, or other) is captured here. The order in which the diagnosis code was reported is captured in the Diagnosis Sequence Number.
Size X(1)
FLF Start Position 131
FLF Stop Position 131
Segment Key Field Identifier 6
Coding Requirements 1. Value must be 1 character
2. Value must be in Diagnosis Type Code List (VVL)
3. Value must be in [A,E,O,P]
4. Mandatory
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
CIP329 CIP.004.329 DIAGNOSIS-TYPE CIP00004 CLAIM-DX-IP
COT281 COT.004.281 DIAGNOSIS-TYPE COT00004 CLAIM-DX-OT
CRX203 CRX.004.203 DIAGNOSIS-TYPE CRX00004 CLAIM-DX-RX