STANDARD DATA DICTIONARY #82.11 -- DRG PROCEDURE CODE COMBINATIONS FILE 3/24/25 PAGE 1
STORED IN ^ICDIDP( (34 ENTRIES) SITE: WWW.BMIRWIN.COM UCI: VISTA,VISTA (VERSION 18.0)
DATA NAME GLOBAL DATA
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This file contains data which is used in DRG Grouper calculations. These data specify combinations of procedure 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.
DD ACCESS: @
RD ACCESS: @
WR ACCESS: @
DEL ACCESS: @
LAYGO ACCESS: @
AUDIT ACCESS: @
CROSS
REFERENCED BY: IDENTIFIER CODE(B), WITH ONE OF 1(WITH1), WITH ONE OF 2(WITH2), WITH ONE OF 3(WITH3), WITH ONE OF 4(WITH4)
INDEXED BY: ONE OF (ONE)
82.11,.01 IDENTIFIER CODE 0;1 POINTER TO DRG PROCEDURE IDENTIFIER CODES FILE (#82.1) (Required)
LAST EDITED: JUN 10, 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: 82.11^B
1)= S ^ICDIDP("B",$E(X,1,30),DA)=""
2)= K ^ICDIDP("B",$E(X,1,30),DA)
82.11,1 BLOCK BL;0 Multiple #82.111 (Add New Entry without Asking)
DESCRIPTION: This multiple contains blocks of specific combinations of procedures (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 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.
82.111,.01 BLOCK 0;1 NUMBER (Required) (Multiply asked)
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)
82.111,1 ONE OF ONE;0 POINTER Multiple #82.1111 (Add New Entry without Asking)
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.
82.1111,.01 ONE OF 0;1 POINTER TO ICD OPERATION/PROCEDURE FILE (#80.1) (Multiply asked)
LAST EDITED: JUN 11, 2012
HELP-PROMPT: Enter a Procedure Code (One Of).
DESCRIPTION: This is a Procedure Code that will be used in combination with the "With One Of" fields below
in the determination of a Diagnosis Related Group (DRG).
CROSS-REFERENCE: 82.1111^B
1)= S ^ICDIDP(DA(2),"BL",DA(1),"ONE","B",$E(X,1,30),DA)=""
2)= K ^ICDIDP(DA(2),"BL",DA(1),"ONE","B",$E(X,1,30),DA)
FIELD INDEX: ONE (#1175) REGULAR IR LOOKUP & SORTING WHOLE FILE (#82.11)
Short Descr: CROSS REFERENCE ON "ONE OF" FIELD
Set Logic: S ^ICDIDP("ONE",X,DA(2),DA(1),DA)=""
Kill Logic: K ^ICDIDP("ONE",X,DA(2),DA(1),DA)
Whole Kill: K ^ICDIDP("ONE")
X(1): ONE OF (82.1111,.01) (Subscr 1) (forwards)
82.111,2 WITH ONE OF 1 WITH1;0 POINTER Multiple #82.1112 (Add New Entry without Asking)
DESCRIPTION:
This multiple contains the "With One Of 1" field.
82.1112,.01 WITH ONE OF 1 0;1 POINTER TO ICD OPERATION/PROCEDURE FILE (#80.1) (Required) (Multiply asked)
LAST EDITED: JUN 11, 2012
HELP-PROMPT: Enter a Procedure Code (With One Of 1).
DESCRIPTION: This is a Procedure Code 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).
CROSS-REFERENCE: 82.1112^B
1)= S ^ICDIDP(DA(2),"BL",DA(1),"WITH1","B",$E(X,1,30),DA)=""
2)= K ^ICDIDP(DA(2),"BL",DA(1),"WITH1","B",$E(X,1,30),DA)
CROSS-REFERENCE: 82.11^WITH1
1)= S ^ICDIDP("WITH1",$E(X,1,30),DA(2),DA(1),DA)=""
2)= K ^ICDIDP("WITH1",$E(X,1,30),DA(2),DA(1),DA)
82.111,3 WITH ONE OF 2 WITH2;0 POINTER Multiple #82.1113 (Add New Entry without Asking)
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).
82.1113,.01 WITH ONE OF 2 0;1 POINTER TO ICD OPERATION/PROCEDURE FILE (#80.1) (Required) (Multiply asked)
LAST EDITED: JUL 16, 2012
HELP-PROMPT: Enter a Procedure Code (With One Of 2).
DESCRIPTION: This is a Procedure Code 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).
CROSS-REFERENCE: 82.1113^B
1)= S ^ICDIDP(DA(2),"BL",DA(1),"WITH2","B",$E(X,1,30),DA)=""
2)= K ^ICDIDP(DA(2),"BL",DA(1),"WITH2","B",$E(X,1,30),DA)
CROSS-REFERENCE: 82.11^WITH2
1)= S ^ICDIDP("WITH2",$E(X,1,30),DA(2),DA(1),DA)=""
2)= K ^ICDIDP("WITH2",$E(X,1,30),DA(2),DA(1),DA)
82.111,4 WITH ONE OF 3 WITH3;0 POINTER Multiple #82.1114 (Add New Entry without Asking)
DESCRIPTION:
This multiple contains the "With One Of 3" field.
82.1114,.01 WITH ONE OF 3 0;1 POINTER TO ICD OPERATION/PROCEDURE FILE (#80.1) (Required) (Multiply asked)
LAST EDITED: JUL 11, 2012
HELP-PROMPT: Enter a Procedure Code (With One Of 3).
DESCRIPTION: This is a Procedure Code 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).
CROSS-REFERENCE: 82.1114^B
1)= S ^ICDIDP(DA(2),"BL",DA(1),"WITH3","B",$E(X,1,30),DA)=""
2)= K ^ICDIDP(DA(2),"BL",DA(1),"WITH3","B",$E(X,1,30),DA)
CROSS-REFERENCE: 82.11^WITH3
1)= S ^ICDIDP("WITH3",$E(X,1,30),DA(2),DA(1),DA)=""
2)= K ^ICDIDP("WITH3",$E(X,1,30),DA(2),DA(1),DA)
82.111,5 WITH ONE OF 4 WITH4;0 POINTER Multiple #82.1115 (Add New Entry without Asking)
DESCRIPTION:
This multiple contains the "With One Of 4" field.
82.1115,.01 WITH ONE OF 4 0;1 POINTER TO ICD OPERATION/PROCEDURE FILE (#80.1) (Required) (Multiply asked)
LAST EDITED: JUL 11, 2012
HELP-PROMPT: Enter a Procedure COde (With One Of 4).
DESCRIPTION: This is a Procedure Code 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).
CROSS-REFERENCE: 82.1115^B
1)= S ^ICDIDP(DA(2),"BL",DA(1),"WITH4","B",$E(X,1,30),DA)=""
2)= K ^ICDIDP(DA(2),"BL",DA(1),"WITH4","B",$E(X,1,30),DA)
CROSS-REFERENCE: 82.11^WITH4
1)= S ^ICDIDP("WITH4",$E(X,1,30),DA(2),DA(1),DA)=""
2)= K ^ICDIDP("WITH4",$E(X,1,30),DA(2),DA(1),DA)
82.111,6 MDC MDC;0 POINTER Multiple #82.1116 (Add New Entry without Asking)
DESCRIPTION: This multiple contains the Major Diagnostic Categories (MDC) codes which, in turn,
contains the Diagnosis Related Group (DRG) codes of the BLOCK identified.
82.1116,.01 MDC 0;1 POINTER TO MAJOR DIAGNOSTIC CATEGORY FILE (#80.3) (Required)
(Multiply asked)
LAST EDITED: JUL 16, 2012
HELP-PROMPT: Enter a Major Diagnostic Category (MDC).
DESCRIPTION: This field contains a Major Diagnostic Category (MDC). An MDC is a number in the
range 1 to 27 which categorizes all possible principal diagnoses into 27 mutually
exclusive diagnosis areas.
CROSS-REFERENCE: 82.1116^B
1)= S ^ICDIDP(DA(2),"BL",DA(1),"MDC","B",$E(X,1,30),DA)=""
2)= K ^ICDIDP(DA(2),"BL",DA(1),"MDC","B",$E(X,1,30),DA)
82.1116,1 DRG DRG;0 POINTER Multiple #82.11161 (Add New Entry without Asking)
DESCRIPTION: This multiple contains Diagnosis Related Group (DRG) codes related to the MDC
identified.
82.11161,.01 DRG 0;1 POINTER TO DRG FILE (#80.2) (Required) (Multiply asked)
LAST EDITED: JUL 11, 2012
HELP-PROMPT: Enter a Diagnosis Related Group code (DRG).
DESCRIPTION: This field contains a Diagnosis Related Group (DRG) code. A DRG is a code which
classifies hospital cases into one of 999 groups.
CROSS-REFERENCE: 82.11161^B
1)= S ^ICDIDP(DA(3),"BL",DA(2),"MDC",DA(1),"DRG","B",$E(X,1,30),DA)=""
2)= K ^ICDIDP(DA(3),"BL",DA(2),"MDC",DA(1),"DRG","B",$E(X,1,30),DA)
FILES POINTED TO FIELDS
DRG (#80.2) DRG:DRG (#.01)
DRG PROCEDURE IDENTIFIER CODES
(#82.1) IDENTIFIER CODE (#.01)
ICD OPERATION/PROCEDURE (#80.1) ONE OF:ONE OF (#.01)
WITH ONE OF 1:WITH ONE OF 1 (#.01)
WITH ONE OF 2:WITH ONE OF 2 (#.01)
WITH ONE OF 3:WITH ONE OF 3 (#.01)
WITH ONE OF 4:WITH ONE OF 4 (#.01)
MAJOR DIAGNOSTIC CATEGORY
(#80.3) MDC:MDC (#.01)
INPUT TEMPLATE(S):
PRINT TEMPLATE(S):
SORT TEMPLATE(S):
FORM(S)/BLOCK(S):