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TMSIS Dataguide Medicaid.gov

Version:

3.39.0

SERVICE-QUANTITY-ACTUAL

Data Element

DE Number

COT183

System DE Number

COT.003.183

File Name

COT - CLAIM OTHER

File Segment Number

COT00003

File Segment Name

CLAIM-LINE-RECORD-OT

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances
Definition The quantity of a service or product that is rendered for a specific date of service or billing time span as reported by revenue code or procedure code on the claim/encounter line. For use with CLAIMOT claims/encounters. For CLAIMRX claims/encounters, use the Prescription Quantity Actual field. For CLAIMIP and CLAIMLT claims/encounter records, use the Revenue Center Quantity Actual field.
Size S9(8)V999
FLF Start Position 298
FLF Stop Position 308
Segment Key Field Identifier Not Applicable
Coding Requirements 1. Value may include up to 8 digits to the left of the decimal point, and 3 digits to the right e.g. 12345678.999
2. 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