STANDARD DATA DICTIONARY #83.5 -- DRG DIAGNOSIS FILE 3/24/25 PAGE 1
STORED IN ^ICDD(83.5, (67507 ENTRIES) SITE: WWW.BMIRWIN.COM UCI: VISTA,VISTA (VERSION 18.0)
DATA NAME GLOBAL DATA
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All Diagnosis codes assigned to a Diagnostic Related Group (DRG). File contains sub-sections for the Diagnosis criteria and
associations that affect the DRG calculation.
This file should not be modified locally.
DD ACCESS: @
RD ACCESS: @
WR ACCESS: @
DEL ACCESS: @
LAYGO ACCESS: @
AUDIT ACCESS: @
CROSS
REFERENCED BY: MDC CODE SET(ASC), DIAGNOSIS(B)
LAST MODIFIED: DEC 20,2016@15:55:43
83.5,.01 DIAGNOSIS 0;1 POINTER TO ICD DIAGNOSIS FILE (#80) (Required)
LAST EDITED: MAY 29, 2016
HELP-PROMPT: Enter a Diagnosis that affects the DRG calculations.
DESCRIPTION: A Diagnosis code that affects DRG calculations. Only one record per Diagnosis is necessary, all
criteria and associations are date versioned.
CROSS-REFERENCE: 83.5^B
1)= S ^ICDD(83.5,"B",$E(X,1,30),DA)=""
2)= K ^ICDD(83.5,"B",$E(X,1,30),DA)
83.5,10 ATTRIBUTES 10;0 DATE Multiple #83.5001
DESCRIPTION: The attributes are various characteristics of the Diagnosis code specific to the DRG assignment.
There can be only one record of attributes active for a date range. Each version that modifies any
of the attributes will have a separate date based record of attributes.
83.5001,.01 EFFECTIVE 0;1 DATE (Required) (Multiply asked)
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: JUN 12, 2016
HELP-PROMPT: Enter the first date the set of attributes is effective.
DESCRIPTION: The first date this set of attributes is active for the diagnosis. There should be only one set
of attributes active at a time. If any attribute changes then a new record with a new effective
date should be added.
CROSS-REFERENCE: 83.5001^B
1)= S ^ICDD(83.5,DA(1),10,"B",$E(X,1,30),DA)=""
2)= K ^ICDD(83.5,DA(1),10,"B",$E(X,1,30),DA)
83.5001,.02 INACTIVE 0;2 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: MAY 29, 2016
HELP-PROMPT: Enter the last date the set of attributes are active.
DESCRIPTION:
The last date this set of attributes is active for the Diagnosis.
83.5001,.03 PDX EXCLUSION 0;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>4!($L(X)<1) X
LAST EDITED: MAY 29, 2016
HELP-PROMPT: Enter the 4 digit identifier of the PDX Exclusion Group which excludes this Diagnosis secondary
attributes.
DESCRIPTION: The PDX exclusion links a Diagnosis to the list of Principal Diagnosis it is excluded from
affecting.
When this Diagnosis is a Secondary Diagnosis on patient record then the MCC/CC attributes of the
diagnosis do not apply to any Principal Diagnosis assigned to the exclusion group.
83.5001,.04 MCC OF ITS OWN 0;4 SET
'1' FOR MCC OWN;
LAST EDITED: JUL 19, 2016
HELP-PROMPT: Enter MCC OWN if this Diagnosis may act as its own MCC.
DESCRIPTION: This diagnosis acts as its own major complication or comorbidity (MCC). When this diagnosis is
the Principal Diagnosis for a patient stay then MCC may be assigned to the DRG regardless of any
Secondary Diagnosis.
83.5001,.05 CC OF ITS OWN 0;5 SET
'1' FOR CC OWN;
LAST EDITED: JUL 19, 2016
HELP-PROMPT: Enter CC OWN if this Diagnosis may act as its own CC.
DESCRIPTION: This diagnosis acts as its own complication or comorbidity (CC). When this diagnosis is the
Principal Diagnosis for a patient stay then CC may be assigned to the DRG regardless of any
Secondary Diagnosis.
83.5001,.06 MCC IF ALIVE 0;6 SET
'1' FOR MCC ALIVE;
LAST EDITED: JUL 19, 2016
HELP-PROMPT: Enter MCC ALIVE if the patient must be discharged alive for the MCC to apply.
DESCRIPTION: This diagnosis imparts major complication or comorbidity (MCC) to a DRG when it is assigned as a
Secondary diagnosis and the patient was discharged alive.
83.5001,.07 MCC 0;7 SET
'1' FOR MCC;
LAST EDITED: JUL 19, 2016
HELP-PROMPT: Enter MCC if this Diagnosis is identified as MCC.
DESCRIPTION: This Diagnosis imparts major complication or comorbidity (MCC) to a DRG when it is assigned as a
Secondary diagnosis.
83.5001,.08 CC 0;8 SET
'1' FOR CC;
LAST EDITED: JUL 19, 2016
HELP-PROMPT: Enter CC if this Diagnosis is identified as CC.
DESCRIPTION: This diagnosis imparts complication or comorbidity (CC) to a DRG when it is assigned as a
Secondary Diagnosis.
83.5,20 MDC CODE SET 20;0 DATE Multiple #83.5002
DESCRIPTION: This is the list of all MDC Code Sets the Diagnosis has been assigned to. Each Diagnosis may be
assigned to multiple Code Sets and they may change by version or date range.
83.5002,.01 EFFECTIVE 0;1 DATE (Multiply asked)
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: JUN 15, 2016
HELP-PROMPT: Enter the first date this Diagnosis is active for the Code Set.
DESCRIPTION:
The first date this Diagnosis may be used for the Code Set and applied to the associated DRGs.
CROSS-REFERENCE: 83.5002^B
1)= S ^ICDD(83.5,DA(1),20,"B",$E(X,1,30),DA)=""
2)= K ^ICDD(83.5,DA(1),20,"B",$E(X,1,30),DA)
83.5002,.02 INACTIVE 0;2 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: MAY 29, 2016
HELP-PROMPT: Enter the last date this diagnosis is active for the Code Set.
DESCRIPTION:
The last date this diagnosis may be used for the Code Set and applied to the associated DRGs.
83.5002,.03 MDC CODE SET 0;3 POINTER TO DRG MDC CATEGORY CODE SETS FILE (#83.3)
LAST EDITED: OCT 27, 2016
HELP-PROMPT: Enter an MDC Code Set the Diagnosis is assigned to.
DESCRIPTION: The MDC Code Set the Diagnosis is a member of within the date range. Each Diagnosis may be a
member of multiple Code Sets and they may change by version.
CROSS-REFERENCE: 83.5^ASC
1)= S ^ICDD(83.5,"ASC",$E(X,1,30),DA(1),DA)=""
2)= K ^ICDD(83.5,"ASC",$E(X,1,30),DA(1),DA)
Cross reference of Code Set and Diagnosis.
83.5,30 HAC CODE SET 30;0 DATE Multiple #83.5003
DESCRIPTION: This is the list of all HAC Code Sets the Diagnosis has been assigned to. Each Diagnosis may be
assigned to multiple HAC Code Sets and they may change by version or date range.
83.5003,.01 EFFECTIVE 0;1 DATE (Multiply asked)
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: JUN 15, 2016
HELP-PROMPT: Enter the first date the diagnosis is active for the HAC set.
DESCRIPTION:
The first date the diagnosis is assigned to the HAC code set.
CROSS-REFERENCE: 83.5003^B
1)= S ^ICDD(83.5,DA(1),30,"B",$E(X,1,30),DA)=""
2)= K ^ICDD(83.5,DA(1),30,"B",$E(X,1,30),DA)
83.5003,.02 INACTIVE 0;2 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: JUN 06, 2016
HELP-PROMPT: Enter the last date the diagnosis is active for the HAC set.
DESCRIPTION:
The last date the diagnosis is assigned to the HAC code set.
83.5003,.03 HAC CODE SET 0;3 POINTER TO DRG HAC CODE SETS FILE (#83.71) (Required)
LAST EDITED: JUN 06, 2016
HELP-PROMPT: Enter the HAC Code Set the diagnosis is assigned to.
DESCRIPTION: The HAC Code Set this Diagnosis is a member of within the date range. Each Diagnosis may be a
member of multiple HAC sets and they may change by version.
FILES POINTED TO FIELDS
DRG HAC CODE SETS (#83.71) HAC CODE SET:HAC CODE SET (#.03)
DRG MDC CATEGORY CODE SETS
(#83.3) MDC CODE SET:MDC CODE SET (#.03)
ICD DIAGNOSIS (#80) DIAGNOSIS (#.01)
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