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TMSIS Dataguide Medicaid.gov

Version:

3.38.0

DIAGNOSIS-SEQUENCE-NUMBER

Data Element

DE Number

CRX204

System DE Number

CRX.004.204

File Name

CRX - CLAIM PHARMACY

File Segment Number

CRX00004

File Segment Name

CLAIM-DX-RX

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances
Definition The order in which the diagnosis occurred on the provider's claim for a given type of diagnosis code (e.g., an NCPDP claim can have up to 5 diagnosis codes).
Size 9(2)
FLF Start Position 132
FLF Stop Position 133
Segment Key Field Identifier 7
Coding Requirements 1. Value must be in [01-24]
2. Conditional
3. Value must be 2 digits
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
CIP330 CIP.004.330 DIAGNOSIS-SEQUENCE-NUMBER CIP00004 CLAIM-DX-IP
CLT276 CLT.004.276 DIAGNOSIS-SEQUENCE-NUMBER CLT00004 CLAIM-DX-LT
COT282 COT.004.282 DIAGNOSIS-SEQUENCE-NUMBER COT00004 CLAIM-DX-OT