An official website of the United States government

Official websites use .gov
A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS
A lock () or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

TMSIS Dataguide Medicaid.gov

Version:

3.39.0

MCR-14-011-4 *DEPRECATED*

Data Quality Measure
Last updated

Key Information

Measure Name % of records with TYPE-OF-SERVICE = 12, 25, 26 that have CPT (01) Procedure Code Flag and Procedure Code format 5n/4n1c
File Type COT
Measure ID MCR-14-011-4
Measure Type Claims Percentage
Content area MCR

Validation

Validation Type Inferential

Measure Priority

Measure Priority N/A
Focus Area N/A
Category N/A

Claim Information

Claim Type CHIP,Enc
Adjustment Type Original
Crossover Type Non-Crossover

Thresholds

Minimum 0.95
Maximum 1
TA Minimun
TA Maximum
Longitudinal Threshold N/A
For TA
(for including in compliance training) 		No
For TA
(Longitudinal) 		No

Data Elements

DD Data Element TYPE-OF-SERVICE • PROCEDURE-CODE-FLAG • PROCEDURE-CODE
DD Data Element Number COT186 • COT171 • COT169

Annotation N/A
Specification N/A