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Sub-Field: 83.2001

Package: DRG Grouper

DRG MDC CATEGORY CASE(#83.2)-->83.2001

Sub-Field: 83.2001


Information

Parent File Name Number Package
DRG MDC CATEGORY CASE(#83.2) MDC CODE SET 83.2001 DRG Grouper

Details

Field # Name Loc Type Details
.01 MDC CODE SET 0;1 POINTER TO DRG MDC CATEGORY CODE SETS FILE (#83.3) DRG MDC CATEGORY CODE SETS(#83.3)

  • LAST EDITED:  JUN 30, 2016
  • HELP-PROMPT:  Enter the Code Sets for the Case.
  • DESCRIPTION:  The MDC Code Set that identifies one set of codes and related criteria necessary for DRG selection. If multiple Code Sets are assigned to a Case then each of those Code Sets criteria must be met for the Case to be
    applied (AND).
  • CROSS-REFERENCE:  83.2001^B
    1)= S ^ICDD(83.2,DA(1),10,"B",$E(X,1,30),DA)=""
    2)= K ^ICDD(83.2,DA(1),10,"B",$E(X,1,30),DA)
  • CROSS-REFERENCE:  83.2^ACS
    1)= S ^ICDD(83.2,"ACS",$E(X,1,30),DA(1),DA)=""
    2)= K ^ICDD(83.2,"ACS",$E(X,1,30),DA(1),DA)
    Cross reference by Code Set and Case.
.02 SPECIAL 0;2 SET
  • '1' FOR EXCEPT;

  • LAST EDITED:  JUN 26, 2016
  • HELP-PROMPT:  Enter the special circumstance that applies to this Set for this Case.
  • DESCRIPTION:  
    Special circumstances required for the set to satisfy the DRG criteria. EXCEPT - all codes in the Code Set to be excluded from the DRG definition.
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