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Sub-Field: 82.111

Package: DRG Grouper

DRG PROCEDURE CODE COMBINATIONS(#82.11)-->82.111

Sub-Field: 82.111


Information

Parent File Name Number Package
DRG PROCEDURE CODE COMBINATIONS(#82.11) BLOCK 82.111 DRG Grouper

Details

Field # Name Loc Type Details
.01 BLOCK 0;1 NUMBER
************************REQUIRED FIELD************************

  • INPUT TRANSFORM:  K:+X'=X!(X>9999)!(X<1)!(X?.E1"."1.N) X
  • LAST EDITED:  JUL 11, 2012
  • HELP-PROMPT:  Type a number between 1 and 9999, 0 decimal digits.
  • DESCRIPTION:  This field is used to uniquely identify a specific combination of procedures (located in the "ONE OF" and the "WITH ONE OF n" multiples) which confirm the DRG identified by this record. Blocks are numbered sequentially
    starting at 1.
  • CROSS-REFERENCE:  82.111^B
    1)= S ^ICDIDP(DA(1),"BL","B",$E(X,1,30),DA)=""
    2)= K ^ICDIDP(DA(1),"BL","B",$E(X,1,30),DA)
1 ONE OF ONE;0 POINTER Multiple #82.1111 82.1111

  • DESCRIPTION:  This multiple contains Procedure Codes that will be used in combination with the "With One Of" multiple fields below in the determination of a Diagnosis Related Group (DRG). In the DRG Grouper calculation routines, if a
    Procedure Code exists in this multiple and also exists in each of the "With One Of" multiples that are present, then it confirms the DRG code in the IDENTIFIER CODE (#.01) field of this record. There will always be at
    least one Procedure Code in the "One Of" multiple, and at least one Procedure Code in the "With One Of 1" multiple, but the "With One Of 2", "With One Of 3" and "With One Of 4" multiples may be empty.
2 WITH ONE OF 1 WITH1;0 POINTER Multiple #82.1112 82.1112

  • DESCRIPTION:  
    This multiple contains the "With One Of 1" field.
3 WITH ONE OF 2 WITH2;0 POINTER Multiple #82.1113 82.1113

  • DESCRIPTION:  
    This multiple field contains Procedure Codes that will be used in combination with the "One Of" field and the other "With One Of" fields in the determination of a Diagnosis Related Group (DRG).
4 WITH ONE OF 3 WITH3;0 POINTER Multiple #82.1114 82.1114

  • DESCRIPTION:  
    This multiple contains the "With One Of 3" field.
5 WITH ONE OF 4 WITH4;0 POINTER Multiple #82.1115 82.1115

  • DESCRIPTION:  
    This multiple contains the "With One Of 4" field.
6 MDC MDC;0 POINTER Multiple #82.1116 82.1116

  • DESCRIPTION:  
    This multiple contains the Major Diagnostic Categories (MDC) codes which, in turn, contains the Diagnosis Related Group (DRG) codes of the BLOCK identified.
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