COT.002.082

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TMSIS Dataguide

Medicaid.gov

Version:

OCCURRENCE-CODE-09

Data Element

DE Number

COT082

System DE Number

COT.002.082

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	A code to describe specific event(s) relating to this billing period covered by the claim. (These are Form Locators 31, 32, 33, 34, 35, and 36 - Occurrence Codes on the UB04.) These fields can be used for either occurrences or occurrence spans.
Size	X(2)
FLF Start Position	388
FLF Stop Position	389
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be 2 characters 2. Value must be in Occurrence Code 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-1441	If the occurrence code 09 is populated on a non-denied claim from an OT file, then the occurrence code 09 reported must be found in the list of valid values for 'occurrence code'.
RULE-6562	If a claim line is a non-denied claim line from an OT file, then the occurrence code 09 value reported must be compatible with specified T-MSIS picture format: X(2).

Measure ID	Measure Name

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CIP148	CIP.002.148	OCCURRENCE-CODE-09	CIP00002	CLAIM-HEADER-RECORD-IP
CLT100	CLT.002.100	OCCURRENCE-CODE-09	CLT00002	CLAIM-HEADER-RECORD-LT

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
07/17/2025	4.0.14	COT.002.082	UPDATE	Necessity	Conditional	Situational
07/17/2025	4.0.14	COT.002.082	UPDATE	Coding requirement	1. Value must be 2 characters2. Value must be in Occurrence Code List (VVL)3. Conditional	1. Value must be 2 characters2. Value must be in Occurrence Code List (VVL)3. Situational
02/27/2025	4.0.3	COT.002.082	UPDATE	Definition	A code to describe specific event(s) relating to this billing period covered by the claim. (These are From Locators 31, 32, 33, 34, 35, and 36 - Occurrence Codes on the UB04.) These fields can be used for either occurrences or occurrence spans.	A code to describe specific event(s) relating to this billing period covered by the claim. (These are Form Locators 31, 32, 33, 34, 35, and 36 - Occurrence Codes on the UB04.) These fields can be used for either occurrences or occurrence spans.
09/16/2024	4.0.0	COT.002.082	UPDATE	File segment	None	35
09/16/2024	4.0.0	COT.002.082	ADD	N/A		Created