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All Payer Claims: Data Element Comparison

Selected Items
Action Name Data Element ID Version State/Organization
Other Diagnosis - 15 MC403 February 2014 - v1.1 Rhode Island
Other Diagnosis - 15 MC403 June 2014 - v1.3 Rhode Island
Data Element: Other Diagnosis - 15 MC403 - February 2014 - v1.1
(Rhode Island)
Other Diagnosis - 15 MC403 - June 2014 - v1.3
(Rhode Island)
[Shared]Data Element ID MC403 MC403
[Shared]Definition Use this field to report the ICD diagnosis code for the fifteenth secondary diagnosis. Notes: Do not include the decimal point when coding this field. Use this field to report the ICD diagnosis code for the fifteenth secondary diagnosis. Notes: 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 130 130
[Shared]Threshold 0% 0%
[Shared]Denominator Institutional Institutional
[Shared]CMS 1500 REF N/A N/A
[Shared]HASHED? N N
[Shared]UB-04 REF 67O 67O
[Shared]X12 REF Institutional 837/2300/HI/BF/15-2, 837/2300/HI/ABF/15-2 Institutional 837/2300/HI/BF/15-2, 837/2300/HI/ABF/15-2
Data Element: Other Diagnosis - 15 MC403 - February 2014 - v1.1
(Rhode Island)
Other Diagnosis - 15 MC403 - June 2014 - v1.3
(Rhode Island)
There are no enumerated permissible values for these data elements.
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