STANDARD DATA DICTIONARY #83.6 -- DRG PROCEDURE FILE 3/24/25 PAGE 1
STORED IN ^ICDD(83.6, (61736 ENTRIES) SITE: WWW.BMIRWIN.COM UCI: VISTA,VISTA (VERSION 18.0)
DATA NAME GLOBAL DATA
ELEMENT TITLE LOCATION TYPE
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All ICD Procedure codes assigned to a Diagnostic Related Group (DRG). File contains sub-sections for the Procedure 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), PROCEDURE(B)
LAST MODIFIED: DEC 20,2016@15:55:43
83.6,.01 PROCEDURE 0;1 POINTER TO ICD OPERATION/PROCEDURE FILE (#80.1) (Required)
LAST EDITED: MAY 29, 2016
HELP-PROMPT: Enter an ICD Procedure code that affects the DRG calculations.
DESCRIPTION: An ICD Procedure code that affects DRG calculations. Only one record per Procedure is necessary,
all criteria and associations are date versioned.
CROSS-REFERENCE: 83.6^B
1)= S ^ICDD(83.6,"B",$E(X,1,30),DA)=""
2)= K ^ICDD(83.6,"B",$E(X,1,30),DA)
83.6,10 ATTRIBUTES 10;0 DATE Multiple #83.6001
DESCRIPTION: The attributes are various characteristics of the Procedure 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.
83.6001,.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 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: 83.6001^B
1)= S ^ICDD(83.6,DA(1),10,"B",$E(X,1,30),DA)=""
2)= K ^ICDD(83.6,DA(1),10,"B",$E(X,1,30),DA)
83.6001,.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 Procedure.
83.6001,.03 PROCEDURE TYPE 0;3 SET
'O' FOR OPERATING ROOM;
'N' FOR NON-OPERATING ROOM;
LAST EDITED: MAY 31, 2016
HELP-PROMPT: Enter the type or level of care of the procedure.
DESCRIPTION: The MDC classification of a procedure, either Operating Room or Non-Operating Room. All
procedures are identified as either Operating Room or Non-Operating Room procedures.
83.6,20 MDC CODE SETS 20;0 DATE Multiple #83.6002
DESCRIPTION: This is the list of all MDC Code Sets the Procedure has been assigned to. Each Procedure may be
assigned to multiple Code Sets and they may change by version or date range.
83.6002,.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 Procedure is active for the Code Set.
DESCRIPTION:
The first date this Procedure may be used for the Code Set and applied to the associated DRGs.
CROSS-REFERENCE: 83.6002^B
1)= S ^ICDD(83.6,DA(1),20,"B",$E(X,1,30),DA)=""
2)= K ^ICDD(83.6,DA(1),20,"B",$E(X,1,30),DA)
83.6002,.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 Procedure is active for the Code Set.
DESCRIPTION:
The last date this Procedure may be used for the Code Set and applied to the associated DRGs.
83.6002,.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 Procedure is assigned to.
DESCRIPTION: The MDC Code Set the Procedure is a member of within the date range. Each Procedure may be a
member of multiple Code Sets and they may change by version.
CROSS-REFERENCE: 83.6^ASC
1)= S ^ICDD(83.6,"ASC",$E(X,1,30),DA(1),DA)=""
2)= K ^ICDD(83.6,"ASC",$E(X,1,30),DA(1),DA)
Cross reference of Code Set and Procedure.
83.6002,.04 CLUSTER 0;4 POINTER TO DRG PROCEDURE GROUPS FILE (#83.61)
LAST EDITED: MAY 29, 2016
HELP-PROMPT: Enter the cluster the Procedure is a member of, if applicable.
DESCRIPTION: The Procedure Cluster or Group the procedure is a member of. If defined then all the procedures
in the cluster must be assigned to the patient record for this Procedure to satisfy the Code Set.
83.6,30 HAC CODE SET 30;0 DATE Multiple #83.6003
DESCRIPTION: This is the list of all HAC Code Sets the Procedure has been assigned to. Each Procedure may be
assigned to multiple HAC Code Sets and they may change by version or date range.
83.6003,.01 EFFECTIVE 0;1 DATE (Multiply asked)
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: JUL 19, 2016
HELP-PROMPT: Enter the first date the Procedure is active for the HAC set.
DESCRIPTION: The first date the procedure is assigned to the HAC code set and will be applied to the DRG
calculations.
CROSS-REFERENCE: 83.6003^B
1)= S ^ICDD(83.6,DA(1),30,"B",$E(X,1,30),DA)=""
2)= K ^ICDD(83.6,DA(1),30,"B",$E(X,1,30),DA)
83.6003,.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 Procedure is active for the HAC set.
DESCRIPTION:
The last date the procedure is assigned to the HAC code set and will affect the DRG calculations.
83.6003,.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 Procedure is assigned to.
DESCRIPTION: The HAC Code Set this Procedure is a member of within the date range. Each Procedure 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 SETS:MDC CODE SET (#.03)
DRG PROCEDURE GROUPS (#83.61) MDC CODE SETS:CLUSTER (#.04)
ICD OPERATION/PROCEDURE (#80.1) PROCEDURE (#.01)
INPUT TEMPLATE(S):
PRINT TEMPLATE(S):
SORT TEMPLATE(S):
FORM(S)/BLOCK(S):