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TMSIS Dataguide Medicaid.gov

Version:

PROCEDURE-CODE-MOD-8

Data Element

DE Number

CRX190

System DE Number

CRX.003.190

File Segment Number

CRX00003

File Segment Name

CLAIM-LINE-RECORD-RX

Last updated

Definition The eighth modifier associated with the procedure code (or if procedure code is missing, then the modifier may be associated with an NDC or Unique Device Identifier).
Size X(2)
FLF Start Position 649
FLF Stop Position 650
Segment Key Field Identifier Not Applicable
Coding Requirements 1. Value must be 2 characters
2. Value must be in Procedure Code Mod List (VVL)
3. Must be associated with a Procedure Code
4. Conditional
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