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TMSIS Dataguide Medicaid.gov

Version:

3.39.0

DIAGNOSIS-SEQUENCE-NUMBER

Data Element

DE Number

CLT276

System DE Number

CLT.004.276

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 The order in which the diagnosis occurred on the provider's claim for a given type of diagnosis code (e.g., an 837I claim can have up to 12 external cause of injury diagnosis codes and up to 24 other diagnosis codes).
Size 9(2)
FLF Start Position 132
FLF Stop Position 133
Segment Key Field Identifier 7
Coding Requirements 1. Value must be in [01-24]
2. Mandatory
3. Value must be 2 digits
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
CIP330 CIP.004.330 DIAGNOSIS-SEQUENCE-NUMBER CIP00004 CLAIM-DX-IP
COT282 COT.004.282 DIAGNOSIS-SEQUENCE-NUMBER COT00004 CLAIM-DX-OT
CRX204 CRX.004.204 DIAGNOSIS-SEQUENCE-NUMBER CRX00004 CLAIM-DX-RX