STANDARD DATA DICTIONARY #83.3 -- DRG MDC CATEGORY CODE SETS FILE 3/24/25 PAGE 1
STORED IN ^ICDD(83.3, (604 ENTRIES) SITE: WWW.BMIRWIN.COM UCI: VISTA,VISTA (VERSION 18.0)
DATA NAME GLOBAL DATA
ELEMENT TITLE LOCATION TYPE
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File contains the definition of sets of codes that satisfy at least one coding criteria of a Diagnostic Related Group (DRG). The
sets may cover either Diagnosis or Procedure codes and have conditions specific to those codes application to the DRG.
This file should not be modified locally.
DD ACCESS: @
RD ACCESS: @
WR ACCESS: @
DEL ACCESS: @
LAYGO ACCESS: @
AUDIT ACCESS: @
IDENTIFIED BY: MDC-CAT (#.02), CODE TYPE (#.03)[R]
POINTED TO BY: MDC CODE SET field (#.01) of the MDC CODE SET sub-field (#83.2001) of the DRG MDC CATEGORY CASE File (#83.2)
MDC CODE SET field (#.03) of the MDC CODE SET sub-field (#83.5002) of the DRG DIAGNOSIS File (#83.5)
MDC CODE SET field (#.03) of the MDC CODE SETS sub-field (#83.6002) of the DRG PROCEDURE File (#83.6)
CROSS
REFERENCED BY: COMPUTED(ACSC), LINKED SETS(ACSL), MDC CODE SET ID(B), MDC-CAT(C)
LAST MODIFIED: DEC 20,2016@15:55:43
83.3,.01 MDC CODE SET ID 0;1 NUMBER (Required)
INPUT TRANSFORM: K:+X'=X!(X>999999)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: MAY 31, 2016
HELP-PROMPT: Enter a number that will uniquely identify this Code Set, a number between 1 and 999999.
DESCRIPTION:
The Code Set ID is an assigned number that provides a unique identifier for the Set.
CROSS-REFERENCE: 83.3^B
1)= S ^ICDD(83.3,"B",$E(X,1,30),DA)=""
2)= K ^ICDD(83.3,"B",$E(X,1,30),DA)
83.3,.02 MDC-CAT 0;2 POINTER TO DRG MDC CATEGORY FILE (#83)
LAST EDITED: JUN 07, 2016
HELP-PROMPT: Enter the MDC-Category this Code Set is assigned to.
DESCRIPTION: The MDC-Category this Code Set is assigned to. Each Code Set is assigned to one MDC-Category that
defines the related care but may be assigned to multiple DRGs within that MDC-Category.
TECHNICAL DESCR: A Code Sets MDC-CAT may be null in very limited circumstances. These are generic Computed Code
Sets that may apply to any MDC or Category.
CROSS-REFERENCE: 83.3^C
1)= S ^ICDD(83.3,"C",$E(X,1,30),DA)=""
2)= K ^ICDD(83.3,"C",$E(X,1,30),DA)
Cross reference of MDC-Category of the Code Set.
83.3,.03 CODE TYPE 0;3 SET (Required)
'DX' FOR DIAGNOSIS;
'PR' FOR PROCEDURE;
LAST EDITED: MAY 31, 2016
HELP-PROMPT: Enter the type of codes assigned to the set, either Diagnosis or Procedures.
DESCRIPTION: The primary definition of the Code Set is which type of codes it contains, either Diagnosis or
Procedures. This identifies the location of the list of specific codes contained within the set.
83.3,.04 SET TYPE 0;4 SET
'P' FOR PRINCIPAL;
'S' FOR SECONDARY;
LAST EDITED: JUN 15, 2016
HELP-PROMPT: Enter the type of Diagnosis this set applies to in relation to the event the DRG is being
calculated for.
DESCRIPTION: Type of Diagnosis as related to the care provided. A diagnosis may be either the Principal
Diagnosis or one of the Secondary Diagnosis. The assignment to the record of care will affect if
the Diagnosis satisfies a Code Set. A Diagnosis assigned to a stay as a Secondary Diagnosis cannot
satisfy a Code Set of Set Type Principal.
83.3,.05 SPECIAL 0;5 SET
'1' FOR EXCEPT;
'2' FOR ONLY;
LAST EDITED: JUN 09, 2016
HELP-PROMPT: Enter the code corresponding to the special conditions that apply to this Code Set, if any.
DESCRIPTION: Special circumstances that are required for the codes in the set to satisfy the Set criteria.
EXCEPT - no codes in the set may be assigned to the patient record ONLY - only codes in the set may
be assigned to the patient record
Note these conditions are specific to the Code Type of the Set. Requiring Only a certain set of
Diagnosis does not restrict the Procedures assigned.
83.3,.06 COMPUTED 0;6 SET
'1' FOR ANY O.R.;
'2' FOR NO O.R.;
'3' FOR NO SDX;
'4' FOR LNK CNT;
'5' FOR LNK CDN;
'6' FOR LNK MLT;
LAST EDITED: JUL 18, 2016
HELP-PROMPT: Enter the code corresponding to the type of Computed set, if applicable.
DESCRIPTION: The Computed Set is a generic place holder for special processing and not directly related to
individual codes. No Set identified as Computed will have Codes assigned.
ANY O.R. - Patient record must have an Operating Room Procedure assigned NO O.R. - Patient record
must not have a Operating Room Procedure assigned NO SDX - Patient record has no Secondary
Diagnosis assigned
LNK CNT - Link to group of Sets where the count of codes are relevant LNK CDN - Link to group of
Sets that define one Condition LNK MLT - Link to group of Sets where one or more but not all must
be met
The LNK Computed Code Set is assigned to the MDC Case and triggers the special processing during
the DRG calculation.
TECHNICAL DESCR: The free text Linked Sets field defines which Sets are linked. The LNK Computed Code Set has no
associated codes but the Code Sets identified by the Linked Sets will have codes.
The Linked groups essentially turn the Case's Code Sets from AND to OR.
CROSS-REFERENCE: 83.3^ACSC
1)= S ^ICDD(83.3,"ACSC",$E(X,1,30),DA)=""
2)= K ^ICDD(83.3,"ACSC",$E(X,1,30),DA)
Cross reference of computed sets.
83.3,.07 LINKED SETS 0;7 FREE TEXT
INPUT TRANSFORM: K:$L(X)>20!($L(X)<3) X
LAST EDITED: JUL 15, 2016
HELP-PROMPT: Enter a free text identifier of a group of linked Code Sets to be processed together, 3 to 20
characters.
DESCRIPTION: Identifier for a specific group of linked sets. All Code Sets related to the group must have this
field set identically. The LNK Computed Code Set that defines the type of processing and the Codes
Sets assigned the codes require this field to match. Only the LNK Computed Code Set is assigned to
the MDC Case to trigger the special processing.
CROSS-REFERENCE: 83.3^ACSL
1)= S ^ICDD(83.3,"ACSL",$E(X,1,30),DA)=""
2)= K ^ICDD(83.3,"ACSL",$E(X,1,30),DA)
Cross reference of linked sets.
83.3,.08 CODE SET NAME 0;8 FREE TEXT
INPUT TRANSFORM: K:$L(X)>50!($L(X)<3) X
LAST EDITED: JUN 11, 2016
HELP-PROMPT: Enter a full text descriptive name of the Code Set, if available, 3 to 50 characters.
DESCRIPTION: Identifies the specific medical area the codes in the set relate to. This is an optional
descriptive field that may or may not match one of the DRG Case/Set Names.
TECHNICAL DESCR: Not every Code Set Name needs to be a DRG Case/Set Name. But every DRG Case/Set Name must match a
Code Set Name so the two may be matched when creating the Cases.
FILES POINTED TO FIELDS
DRG MDC CATEGORY (#83) MDC-CAT (#.02)
INPUT TEMPLATE(S):
PRINT TEMPLATE(S):
SORT TEMPLATE(S):
FORM(S)/BLOCK(S):