COT.003.255

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TMSIS Dataguide

Medicaid.gov

Version:

UNIQUE-DEVICE-IDENTIFIER

Data Element

DE Number

COT255

System DE Number

COT.003.255

File Name

COT - CLAIM OTHER

File Segment Number

File Segment Name

CLAIM-LINE-RECORD-OT

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	An unique identifier assigned to every medical device that meets the requirements of 21 CFR 801 and 830.
Size	X(76)
FLF Start Position	804
FLF Stop Position	879
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must not be more than 76 characters long 2. Conditional

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

RULE ID	RULE Definition
RULE-8985	if a claim is a non-denied claim from an OT file, then the unique device identifier value reported must be compatible with the specified T-MSIS picture format: X(76).

Measure ID	Measure Name

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CIP314	CIP.003.314	UNIQUE-DEVICE-IDENTIFIER	CIP00003	CLAIM-LINE-RECORD-IP
CLT260	CLT.003.260	UNIQUE-DEVICE-IDENTIFIER	CLT00003	CLAIM-LINE-RECORD-LT
CRX179	CRX.003.179	UNIQUE-DEVICE-IDENTIFIER	CRX00003	CLAIM-LINE-RECORD-RX

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
03/14/2025	4.0.4	COT.003.255	UPDATE	Coding requirement		1. Value must not be more than 76 characters long2. Conditional
12/19/2024	4.0.1	COT.003.255	UPDATE	Coding requirement	1. Value must not be more than 76 characters long2. Conditional
09/16/2024	4.0.0	COT.003.255	UPDATE	File segment	None	36
09/16/2024	4.0.0	COT.003.255	ADD	N/A		Created