COT.002.073

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TMSIS Dataguide

Medicaid.gov

Version:

HEALTH-CARE-ACQUIRED-CONDITION-IND

Data Element

DE Number

COT073

System DE Number

COT.002.073

File Name

COT - CLAIM OTHER

File Segment Number

File Segment Name

CLAIM-HEADER-RECORD-OT

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	This code indicates whether the claim has a Health Care Acquired Condition. For additional coding information refer to the following site: https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/index.html?redirect=/hospitalacqcond/05_Coding.asp#TopOfPage
Size	X(1)
FLF Start Position	371
FLF Stop Position	371
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be 1 character 2. Value must be in Healthcare Acquired Condition Indicator List (VVL) 3. Situational

Valid Value Code Set	Valid Value Code	Valid Value Name	Valid Value Description	Effective Start Date	Effective End Date

RULE ID	RULE Definition
RULE-1432	If the health care acquired condition indicator is populated on a non-denied claim from an OT file, then the health care acquired condition indicator reported must be found in the list of valid values.
RULE-6697	If a claim is a non-denied claim from an OT file, then the health care acquired condition indicator value reported must be compatible with specified T-MSIS picture format: X(1).

Measure ID	Measure Name

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CIP139	CIP.002.139	HEALTH-CARE-ACQUIRED-CONDITION-IND	CIP00002	CLAIM-HEADER-RECORD-IP
CLT091	CLT.002.091	HEALTH-CARE-ACQUIRED-CONDITION-IND	CLT00002	CLAIM-HEADER-RECORD-LT

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
07/17/2025	4.0.14	COT.002.073	UPDATE	Necessity	Conditional	Situational
07/17/2025	4.0.14	COT.002.073	UPDATE	Coding requirement	1. Value must be 1 character2. Value must be in Healthcare Acquired Condition Indicator List (VVL)3. Conditional	1. Value must be 1 character2. Value must be in Healthcare Acquired Condition Indicator List (VVL)3. Situational
09/16/2024	4.0.0	COT.002.073	UPDATE	File segment	None	35
09/16/2024	4.0.0	COT.002.073	ADD	N/A		Created