ICDTLB2B ;ALB/EG - GROUPER UTILITY FUNCTIONS FY 2006; 9/19/03 1:09pm ; 6/28/05 4:02pm
;;18.0;DRG Grouper;**20**;Oct 20, 2000
DRG95 S ICDRG=$S(ICDCC:94,1:95) Q
DRG96 S ICDRG=$S(AGE<18:98,ICDCC:96,1:97) I AGE="" S ICDRG=470,ICDRTC=3
Q
DRG97 S ICDRG=$S(AGE<18:98,ICDCC:96,1:97) I AGE="" S ICDRG=470,ICDRTC=3
Q
DRG98 S ICDRG=$S(AGE<18:98,ICDCC:96,1:97) I AGE="" S ICDRG=470,ICDRTC=3
Q
DRG99 S ICDRG=$S(ICDCC!($D(ICDSDRG(99))):99,1:100) Q
DRG100 S ICDRG=$S(ICDCC:99,1:100) Q
DRG101 S ICDRG=$S(ICDCC:101,1:102) Q
DRG102 S ICDRG=$S(ICDCC:101,1:102) Q
DRG104 ;valve procedure
N ICDE1,ICDE2
S ICDE1=$S($D(ICDOP(" 37.95"))&($D(ICDOP(" 37.96"))):1,1:0),ICDE2=$S($D(ICDOP(" 37.97"))&($D(ICDOP(" 37.98"))):1,1:0)
;I ICDOR'["P",'ICDE1&'ICDE2&($D(ICDOP(" 37.95"))!$D(ICDOP(" 37.96"))!$D(ICDOP(" 37.97"))!$D(ICDOP(" 37.98"))) S ICDRG=116 Q
S:ICDOR["H" ICDRG=$S(ICDOR["N"&ICDE1:104,ICDOR["N"&ICDE2:104,ICDOR["O":104,1:ICDRG)
S:ICDOR'["H" ICDRG=$S(ICDOR["N"&ICDE1:105,ICDOR["N"&ICDE2:105,ICDOR["O":105,1:ICDRG)
I ICDOR["P"&(ICDE1+ICDE2=0) S ICDRG=$S(ICDOR["H":104,1:105)
Q
DRG105 D DRG104 Q
; NOIS ANN-0801-41869 ignore 37.26 which has "HN1" for identifier
DRG106 ;S ICDRG=$S(ICDOR["b"&(ICDOR["6")&(ICDOR["1"):106,ICDOR["6"&(ICDOR'["1")&(ICDOR["H"):107,ICDOR["6"&(ICDOR'["1")&(ICDOR'["H"):109,1:470) I "106^107^109"'[ICDRG D
S ICDRG=470
I ICDOR["b" D DRG549^ICDTLB6B
I ICDOR["b" I $D(ICDOP(" 35.96"))!($D(ICDOP(" 00.66"))) S ICDRG=106 Q
I ICDOR["b" I $D(ICDOP(" 37.21"))!($D(ICDOP(" 37.22")))!($D(ICDOP(" 37.23"))) D DRG547^ICDTLB6B Q
I ICDOR["b" I $D(ICDOP(" 88.52"))!($D(ICDOP(" 88.53")))!($D(ICDOP(" 88.54")))!($D(ICDOP(" 88.55")))!($D(ICDOP(" 88.56")))!($D(ICDOP(" 88.57")))!($D(ICDOP(" 88.58"))) D DRG547^ICDTLB6B Q
I ICDRG'=106&(ICDRG'=547)&(ICDRG'=548)&(ICDRG'=549)&(ICDRG'=550) S ICDRG=470 D
.;I ICDCC D DRG110 Q
.;I ICDOR'["b" D DRG112 I +ICDRG>0&(+ICDRG<470) Q
.;I ICDOR'["b" D DRG516^ICDTLB6A I +ICDRG>0 Q
.I ICDCC D DRG110 Q
.D DRG111
Q
DRG107 D DRG106 Q
DRG108 S ICDRG=$S(ICDOR["Oo":108,$D(ICDOP(" 38.44"))&$D(ICDOP(" 38.45")):108,ICDCC:110,1:111) Q
DRG109 D DRG106 Q
DRG110 D DRG111 Q
DRG111 S ICDRG=$S(ICDOR["Oo":108,ICDCC&(ICDOR[7):110,ICDOR[7:111,1:ICDRG)
I "108^110^111"[ICDRG Q
I $D(ICDJJ(478))&('$D(ICDJJ(110))&'($D(ICDJJ(111)))) D DRG478^ICDTLB6B
D DRG113 I ICDRG=113 Q
I ICDOR["p" D DRG117
I ICDOR["1" D DRG516^ICDTLB6B
Q
DRG112 S ICDRG=$S(ICDOR["Oo":108,(ICDOR["1")&($D(ICDOP(" 36.06"))):116,ICDOR["1":112,1:470) I ICDRG=470 D
.I ICDPD["A" D DRG115 Q
.I ICDOR["p" D DRG117 Q
.D DRG111
Q
DRG113 S ICDRG=$S($D(ICDJJ(113)):113,1:ICDRG) Q
DRG115 D EN1^ICDDRG5
I ICDPD'["I"&(ICDCC2=0)&(ICDCC3=0) S ICDRG=127 Q
I ICDCC2=1!(ICDCC3=1) D DRG551^ICDTLB6B
I ICDRG=551 Q
; ICDCC2 identifies AICD LEAD OR GNRTR
I ICDCC2=1&(ICDCC3=0) S ICDRG=551 Q
I ICDCC3=1 S ICDRG=552
Q
DRG116 D DRG115 Q
DRG117 D DRG115 I ICDRG=551!(ICDRG=552) Q
I ICDOR["p" S ICDRG=117
Q
DRG118 D DRG115 I ICDRG=551!(ICDRG=552) Q
S ICDRG=118 Q
DRG120 ;dx combo's for DRG120
N ICDE1,ICDE2
S ICDE1=$S($D(ICDOP(" 37.95"))&($D(ICDOP(" 37.96"))):1,1:0),ICDE2=$S($D(ICDOP(" 37.97"))&($D(ICDOP(" 37.98"))):1,1:0)
S ICDRG=$S((ICDE1&(ICDOR["H")):104,(ICDE1&(ICDOR'["H")):105,(ICDE2&(ICDOR["H")):104,(ICDE2&(ICDOR'["H")):105,1:120)
Q
DRG121 S ICDRG=$S(ICDSD["CV":121,ICDEXP=0:122,ICDEXP=1:123,1:470) I ICDRG=470 S ICDRTC=5
Q
DRG122 S ICDRG=$S(ICDSD["CV":121,ICDEXP=0:122,ICDEXP=1:123,1:470) I ICDRG=470 S ICDRTC=5
Q
DRG123 S ICDRG=$S(ICDSD["CV":121,ICDEXP=0:122,ICDEXP=1:123,1:470) I ICDRG=470 S ICDRTC=5
Q
DRG124 S ICDRG=$S(ICDPD["X"!(ICDSD["X"):124,1:125) Q
DRG125 S ICDRG=$S(ICDPD["X"!(ICDSD["X"):124,1:125) Q
DRG130 S ICDRG=$S(ICDCC:130,1:131) Q
DRG131 S ICDRG=$S(ICDCC!($D(ICDSDRG(130))):130,1:131) Q
DRG132 S ICDRG=$S(ICDCC:132,1:133) Q
DRG133 S ICDRG=$S(ICDCC:132,1:133) Q
DRG135 S ICDRG=$S(AGE<18:137,ICDCC:135,1:136) I AGE="" S ICDRG=470,ICDRTC=3
Q
DRG136 S ICDRG=$S(AGE<18:137,ICDCC:135,1:136) I AGE="" S ICDRG=470,ICDRTC=3
Q
DRG137 S ICDRG=$S(AGE<18:137,ICDCC:135,1:136) I AGE="" S ICDRG=470,ICDRTC=3
Q
DRG138 S ICDRG=$S(ICDCC:138,1:139) Q
DRG139 S ICDRG=$S(ICDCC:138,1:139) Q
DRG140 S ICDRG=$S(ICDOR["H":124,ICDNOR["H":124,1:140) Q
DRG141 S ICDRG=$S(ICDCC:141,1:142) Q
DRG142 S ICDRG=$S(ICDCC:141,1:142) Q
DRG144 S ICDRG=$S(ICDCC:144,1:145) Q
DRG145 S ICDRG=$S(ICDCC:144,1:145) Q
DRG146 S ICDRG=$S(ICDCC:146,1:147) Q
DRG147 S ICDRG=$S(ICDCC:146,1:147) Q
DRG148 S ICDRG=$S(ICDCC:148,1:149) Q
DRG149 S ICDRG=$S(ICDCC:148,1:149) Q
DRG150 S ICDRG=$S(ICDCC:150,1:151) Q
DRG151 S ICDRG=$S(ICDCC:150,1:151) Q
DRG152 S ICDRG=$S(ICDCC:152,1:153) Q
DRG153 S ICDRG=$S(ICDCC:152,1:153) Q
DRG154 S ICDRG=$S(AGE<18:156,ICDCC:154,1:155) I AGE="" S ICDRG=470,ICDRTC=3
Q
DRG155 S ICDRG=$S(AGE<18:156,ICDCC:154,1:155) I AGE="" S ICDRG=470,ICDRTC=3
Q
DRG156 S ICDRG=$S(AGE<18:156,ICDCC:154,1:155) I AGE="" S ICDRG=470,ICDRTC=3
Q
DRG157 S ICDRG=$S(ICDCC:157,1:158) Q
DRG158 S ICDRG=$S(ICDCC:157,1:158) Q
DRG159 S ICDRG=$S(AGE<18:163,ICDCC:159,1:160) I AGE="" S ICDRG=470,ICDRTC=3
Q
DRG160 S ICDRG=$S(AGE<18:163,ICDCC:159,1:160) I AGE="" S ICDRG=470,ICDRTC=3
Q
DRG161 S ICDRG=$S(AGE<18:163,ICDCC:161,ICDSD["J":161,1:162) I AGE="" S ICDRG=470,ICDRTC=3
Q
DRG162 S ICDRG=$S(AGE<18:163,ICDCC:161,1:162) I AGE="" S ICDRG=470,ICDRTC=3
Q
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HICDTLB2B 5357 printed Sep 23, 2025@19:28:29 Page 2
ICDTLB2B ;ALB/EG - GROUPER UTILITY FUNCTIONS FY 2006; 9/19/03 1:09pm ; 6/28/05 4:02pm
+1 ;;18.0;DRG Grouper;**20**;Oct 20, 2000
DRG95 SET ICDRG=$SELECT(ICDCC:94,1:95)
QUIT
DRG96 SET ICDRG=$SELECT(AGE<18:98,ICDCC:96,1:97)
IF AGE=""
SET ICDRG=470
SET ICDRTC=3
+1 QUIT
DRG97 SET ICDRG=$SELECT(AGE<18:98,ICDCC:96,1:97)
IF AGE=""
SET ICDRG=470
SET ICDRTC=3
+1 QUIT
DRG98 SET ICDRG=$SELECT(AGE<18:98,ICDCC:96,1:97)
IF AGE=""
SET ICDRG=470
SET ICDRTC=3
+1 QUIT
DRG99 SET ICDRG=$SELECT(ICDCC!($DATA(ICDSDRG(99))):99,1:100)
QUIT
DRG100 SET ICDRG=$SELECT(ICDCC:99,1:100)
QUIT
DRG101 SET ICDRG=$SELECT(ICDCC:101,1:102)
QUIT
DRG102 SET ICDRG=$SELECT(ICDCC:101,1:102)
QUIT
DRG104 ;valve procedure
+1 NEW ICDE1,ICDE2
+2 SET ICDE1=$SELECT($DATA(ICDOP(" 37.95"))&($DATA(ICDOP(" 37.96"))):1,1:0)
SET ICDE2=$SELECT($DATA(ICDOP(" 37.97"))&($DATA(ICDOP(" 37.98"))):1,1:0)
+3 ;I ICDOR'["P",'ICDE1&'ICDE2&($D(ICDOP(" 37.95"))!$D(ICDOP(" 37.96"))!$D(ICDOP(" 37.97"))!$D(ICDOP(" 37.98"))) S ICDRG=116 Q
+4 if ICDOR["H"
SET ICDRG=$SELECT(ICDOR["N"&ICDE1:104,ICDOR["N"&ICDE2:104,ICDOR["O":104,1:ICDRG)
+5 if ICDOR'["H"
SET ICDRG=$SELECT(ICDOR["N"&ICDE1:105,ICDOR["N"&ICDE2:105,ICDOR["O":105,1:ICDRG)
+6 IF ICDOR["P"&(ICDE1+ICDE2=0)
SET ICDRG=$SELECT(ICDOR["H":104,1:105)
+7 QUIT
DRG105 DO DRG104
QUIT
+1 ; NOIS ANN-0801-41869 ignore 37.26 which has "HN1" for identifier
DRG106 ;S ICDRG=$S(ICDOR["b"&(ICDOR["6")&(ICDOR["1"):106,ICDOR["6"&(ICDOR'["1")&(ICDOR["H"):107,ICDOR["6"&(ICDOR'["1")&(ICDOR'["H"):109,1:470) I "106^107^109"'[ICDRG D
+1 SET ICDRG=470
+2 IF ICDOR["b"
DO DRG549^ICDTLB6B
+3 IF ICDOR["b"
IF $DATA(ICDOP(" 35.96"))!($DATA(ICDOP(" 00.66")))
SET ICDRG=106
QUIT
+4 IF ICDOR["b"
IF $DATA(ICDOP(" 37.21"))!($DATA(ICDOP(" 37.22")))!($DATA(ICDOP(" 37.23")))
DO DRG547^ICDTLB6B
QUIT
+5 IF ICDOR["b"
IF $DATA(ICDOP(" 88.52"))!($DATA(ICDOP(" 88.53")))!($DATA(ICDOP(" 88.54")))!($DATA(ICDOP(" 88.55")))!($DATA(ICDOP(" 88.56")))!($DATA(ICDOP(" 88.57")))!($DATA(ICDOP(" 88.58")))
DO DRG547^ICDTLB6B
QUIT
+6 IF ICDRG'=106&(ICDRG'=547)&(ICDRG'=548)&(ICDRG'=549)&(ICDRG'=550)
SET ICDRG=470
Begin DoDot:1
+7 ;I ICDCC D DRG110 Q
+8 ;I ICDOR'["b" D DRG112 I +ICDRG>0&(+ICDRG<470) Q
+9 ;I ICDOR'["b" D DRG516^ICDTLB6A I +ICDRG>0 Q
+10 IF ICDCC
DO DRG110
QUIT
+11 DO DRG111
End DoDot:1
+12 QUIT
DRG107 DO DRG106
QUIT
DRG108 SET ICDRG=$SELECT(ICDOR["Oo":108,$DATA(ICDOP(" 38.44"))&$DATA(ICDOP(" 38.45")):108,ICDCC:110,1:111)
QUIT
DRG109 DO DRG106
QUIT
DRG110 DO DRG111
QUIT
DRG111 SET ICDRG=$SELECT(ICDOR["Oo":108,ICDCC&(ICDOR[7):110,ICDOR[7:111,1:ICDRG)
+1 IF "108^110^111"[ICDRG
QUIT
+2 IF $DATA(ICDJJ(478))&('$DATA(ICDJJ(110))&'($DATA(ICDJJ(111))))
DO DRG478^ICDTLB6B
+3 DO DRG113
IF ICDRG=113
QUIT
+4 IF ICDOR["p"
DO DRG117
+5 IF ICDOR["1"
DO DRG516^ICDTLB6B
+6 QUIT
DRG112 SET ICDRG=$SELECT(ICDOR["Oo":108,(ICDOR["1")&($DATA(ICDOP(" 36.06"))):116,ICDOR["1":112,1:470)
IF ICDRG=470
Begin DoDot:1
+1 IF ICDPD["A"
DO DRG115
QUIT
+2 IF ICDOR["p"
DO DRG117
QUIT
+3 DO DRG111
End DoDot:1
+4 QUIT
DRG113 SET ICDRG=$SELECT($DATA(ICDJJ(113)):113,1:ICDRG)
QUIT
DRG115 DO EN1^ICDDRG5
+1 IF ICDPD'["I"&(ICDCC2=0)&(ICDCC3=0)
SET ICDRG=127
QUIT
+2 IF ICDCC2=1!(ICDCC3=1)
DO DRG551^ICDTLB6B
+3 IF ICDRG=551
QUIT
+4 ; ICDCC2 identifies AICD LEAD OR GNRTR
+5 IF ICDCC2=1&(ICDCC3=0)
SET ICDRG=551
QUIT
+6 IF ICDCC3=1
SET ICDRG=552
+7 QUIT
DRG116 DO DRG115
QUIT
DRG117 DO DRG115
IF ICDRG=551!(ICDRG=552)
QUIT
+1 IF ICDOR["p"
SET ICDRG=117
+2 QUIT
DRG118 DO DRG115
IF ICDRG=551!(ICDRG=552)
QUIT
+1 SET ICDRG=118
QUIT
DRG120 ;dx combo's for DRG120
+1 NEW ICDE1,ICDE2
+2 SET ICDE1=$SELECT($DATA(ICDOP(" 37.95"))&($DATA(ICDOP(" 37.96"))):1,1:0)
SET ICDE2=$SELECT($DATA(ICDOP(" 37.97"))&($DATA(ICDOP(" 37.98"))):1,1:0)
+3 SET ICDRG=$SELECT((ICDE1&(ICDOR["H")):104,(ICDE1&(ICDOR'["H")):105,(ICDE2&(ICDOR["H")):104,(ICDE2&(ICDOR'["H")):105,1:120)
+4 QUIT
DRG121 SET ICDRG=$SELECT(ICDSD["CV":121,ICDEXP=0:122,ICDEXP=1:123,1:470)
IF ICDRG=470
SET ICDRTC=5
+1 QUIT
DRG122 SET ICDRG=$SELECT(ICDSD["CV":121,ICDEXP=0:122,ICDEXP=1:123,1:470)
IF ICDRG=470
SET ICDRTC=5
+1 QUIT
DRG123 SET ICDRG=$SELECT(ICDSD["CV":121,ICDEXP=0:122,ICDEXP=1:123,1:470)
IF ICDRG=470
SET ICDRTC=5
+1 QUIT
DRG124 SET ICDRG=$SELECT(ICDPD["X"!(ICDSD["X"):124,1:125)
QUIT
DRG125 SET ICDRG=$SELECT(ICDPD["X"!(ICDSD["X"):124,1:125)
QUIT
DRG130 SET ICDRG=$SELECT(ICDCC:130,1:131)
QUIT
DRG131 SET ICDRG=$SELECT(ICDCC!($DATA(ICDSDRG(130))):130,1:131)
QUIT
DRG132 SET ICDRG=$SELECT(ICDCC:132,1:133)
QUIT
DRG133 SET ICDRG=$SELECT(ICDCC:132,1:133)
QUIT
DRG135 SET ICDRG=$SELECT(AGE<18:137,ICDCC:135,1:136)
IF AGE=""
SET ICDRG=470
SET ICDRTC=3
+1 QUIT
DRG136 SET ICDRG=$SELECT(AGE<18:137,ICDCC:135,1:136)
IF AGE=""
SET ICDRG=470
SET ICDRTC=3
+1 QUIT
DRG137 SET ICDRG=$SELECT(AGE<18:137,ICDCC:135,1:136)
IF AGE=""
SET ICDRG=470
SET ICDRTC=3
+1 QUIT
DRG138 SET ICDRG=$SELECT(ICDCC:138,1:139)
QUIT
DRG139 SET ICDRG=$SELECT(ICDCC:138,1:139)
QUIT
DRG140 SET ICDRG=$SELECT(ICDOR["H":124,ICDNOR["H":124,1:140)
QUIT
DRG141 SET ICDRG=$SELECT(ICDCC:141,1:142)
QUIT
DRG142 SET ICDRG=$SELECT(ICDCC:141,1:142)
QUIT
DRG144 SET ICDRG=$SELECT(ICDCC:144,1:145)
QUIT
DRG145 SET ICDRG=$SELECT(ICDCC:144,1:145)
QUIT
DRG146 SET ICDRG=$SELECT(ICDCC:146,1:147)
QUIT
DRG147 SET ICDRG=$SELECT(ICDCC:146,1:147)
QUIT
DRG148 SET ICDRG=$SELECT(ICDCC:148,1:149)
QUIT
DRG149 SET ICDRG=$SELECT(ICDCC:148,1:149)
QUIT
DRG150 SET ICDRG=$SELECT(ICDCC:150,1:151)
QUIT
DRG151 SET ICDRG=$SELECT(ICDCC:150,1:151)
QUIT
DRG152 SET ICDRG=$SELECT(ICDCC:152,1:153)
QUIT
DRG153 SET ICDRG=$SELECT(ICDCC:152,1:153)
QUIT
DRG154 SET ICDRG=$SELECT(AGE<18:156,ICDCC:154,1:155)
IF AGE=""
SET ICDRG=470
SET ICDRTC=3
+1 QUIT
DRG155 SET ICDRG=$SELECT(AGE<18:156,ICDCC:154,1:155)
IF AGE=""
SET ICDRG=470
SET ICDRTC=3
+1 QUIT
DRG156 SET ICDRG=$SELECT(AGE<18:156,ICDCC:154,1:155)
IF AGE=""
SET ICDRG=470
SET ICDRTC=3
+1 QUIT
DRG157 SET ICDRG=$SELECT(ICDCC:157,1:158)
QUIT
DRG158 SET ICDRG=$SELECT(ICDCC:157,1:158)
QUIT
DRG159 SET ICDRG=$SELECT(AGE<18:163,ICDCC:159,1:160)
IF AGE=""
SET ICDRG=470
SET ICDRTC=3
+1 QUIT
DRG160 SET ICDRG=$SELECT(AGE<18:163,ICDCC:159,1:160)
IF AGE=""
SET ICDRG=470
SET ICDRTC=3
+1 QUIT
DRG161 SET ICDRG=$SELECT(AGE<18:163,ICDCC:161,ICDSD["J":161,1:162)
IF AGE=""
SET ICDRG=470
SET ICDRTC=3
+1 QUIT
DRG162 SET ICDRG=$SELECT(AGE<18:163,ICDCC:161,1:162)
IF AGE=""
SET ICDRG=470
SET ICDRTC=3
+1 QUIT
