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All Payer Claims: Data Element Comparison

Selected Items
Action Name Data Element ID Version State/Organization
Other ICD Procedure Code - 13 MC058M February 2014 - v1.1 Rhode Island
Other ICD Procedure Code - 13 MC058M June 2014 - v1.3 Rhode Island
Data Element: Other ICD Procedure Code - 13 MC058M - February 2014 - v1.1
(Rhode Island)
Other ICD Procedure Code - 13 MC058M - June 2014 - v1.3
(Rhode Island)
[Shared]Data Element ID MC058M MC058M
[Shared]Definition Use this field to report the fourteenth ICD procedure code on inpatient claims only. Notes: The ICD procedure must be repeated for all lines of the claim if necessary. This field must be null for professional claims. Do not include the decimal point when coding this field. Use this field to report the fourteenth ICD procedure code on inpatient claims only. Notes: The ICD procedure must be repeated for all lines of the claim if necessary. This field must be null for professional claims. Do not include the decimal point when coding this field.
[Shared] State / Source Rhode Island
Rhode Island
[Shared]Data Type Text Text
[Shared]Length 7 7
[Shared]Column 80 80
[Shared]Threshold 0% 0%
[Shared]Denominator Institutional inpatient hospital Institutional inpatient hospital
[Shared]CMS 1500 REF N/A N/A
[Shared]HASHED? N N
[Shared]UB-04 REF N/A N/A
[Shared]X12 REF Institutional 837/2300/HI/BQ/13-2 837/2300/HI/BBQ/13-2 Institutional 837/2300/HI/BQ/13-2 837/2300/HI/BBQ/13-2
Data Element: Other ICD Procedure Code - 13 MC058M - February 2014 - v1.1
(Rhode Island)
Other ICD Procedure Code - 13 MC058M - June 2014 - v1.3
(Rhode Island)
There are no enumerated permissible values for these data elements.
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