Global: ^ICDIDD

FileMan FileNo	FileMan Filename	Package
82.12	DRG DIAGNOSIS CODE COMBINATIONS	DRG Grouper

FileMan FileNo

FileMan Filename

Package

82.12

DRG DIAGNOSIS CODE COMBINATIONS

This file contains data which is used in DRG Grouper calculations. These data specify combinations of diagnosis codes that, when found to occur together in one patient case, will lead to a specific DRG code. The DRG Grouper routines will check the contents of the "One Of" field and each "With One Of" field to make this determination.

Package	Total	Routines
DRG Grouper	1	ICD1882B

Package

Total

Routines

Package	Total	FileMan Files
DRG Grouper	4	DRG(#80.2)[#82.12161(.01)] ICD DIAGNOSIS(#80)[#82.1211(.01), #82.1212(.01), #82.1213(.01), #82.1214(.01), #82.1215(.01)] DRG DIAGNOSIS IDENTIFIER CODES(#82)[.01] MAJOR DIAGNOSTIC CATEGORY(#80.3)[#82.1216(.01)]

Package

Total

FileMan Files

Fields, Total: 2

Field # Name Loc Type Details

Field #	Name	Loc	Type	Details
.01	IDENTIFIER CODE	0;1	POINTER TO DRG DIAGNOSIS IDENTIFIER CODES FILE (#82)	**********************REQUIRED FIELD********************** DRG DIAGNOSIS IDENTIFIER CODES(#82) LAST EDITED: `JUL 16, 2012` HELP-PROMPT: `Enter an Identifier Code.` DESCRIPTION: `This is a code which is used in DRG Grouper processing. It specifies a particular patient condition which further explains a diagnosis.` CROSS-REFERENCE: `82.12^B` `1)= S ^ICDIDD("B",$E(X,1,30),DA)=""` `2)= K ^ICDIDD("B",$E(X,1,30),DA)`
1	BLOCK	BL;0	Multiple #82.121	82.121 DESCRIPTION: `This multiple contains blocks of specific combinations of diagnoses (located in the "ONE OF" and the "WITH ONE OF n" multiples), which, when found to occur together for a patient, confirm that the patient has the specific` `patient case identified in the IDENTIFIER CODE (#.01) field. It also supplies the DRGs (located in the "MDC" multiple) associated with the patient case.` `Patient cases are divided in such a way that any one BLOCK has to be satisfied. For a BLOCK to be satisfied, at least one diagnosis code from each code set should have match with patient's diagnosis codes. Whichever BLOCK` `is satisfied, we get DRG, MDC from that BLOCK.`

IDENTIFIER CODE

0;1

POINTER TO DRG DIAGNOSIS IDENTIFIER CODES FILE (#82)

************************REQUIRED FIELD************************

LAST EDITED: JUL 16, 2012
HELP-PROMPT: Enter an Identifier Code.
DESCRIPTION:
This is a code which is used in DRG Grouper processing. It specifies a particular patient condition which further explains a diagnosis.
CROSS-REFERENCE: 82.12^B
1)= S ^ICDIDD("B",$E(X,1,30),DA)=""
2)= K ^ICDIDD("B",$E(X,1,30),DA)

BLOCK

BL;0

Multiple #82.121

DESCRIPTION: This multiple contains blocks of specific combinations of diagnoses (located in the "ONE OF" and the "WITH ONE OF n" multiples), which, when found to occur together for a patient, confirm that the patient has the specific
patient case identified in the IDENTIFIER CODE (#.01) field. It also supplies the DRGs (located in the "MDC" multiple) associated with the patient case.
Patient cases are divided in such a way that any one BLOCK has to be satisfied. For a BLOCK to be satisfied, at least one diagnosis code from each code set should have match with patient's diagnosis codes. Whichever BLOCK
is satisfied, we get DRG, MDC from that BLOCK.