Required when Present Report the appropriate value from the External External Code MC094 = on POA code for lookup table to describe diagnosis Code Source 15 - 002, MC Admission 11/8/12 char[1] Other Diagnosis - presence upon admission. Do not 100% A2 Source Present on MC039 Code 12 report blanks in lieu of Exempt, 15 - Text Admission and (POA) - 13 reporting 1 is required for exempt. MC053 is populated Required Present Report the appropriate from the when External External Code on lookup table to describe diagnosis = 002, Code Source 15 - POA code for MC Admission 11/8/12 char[1] presence upon admission. Do not MC039 100% A2 Source Present on Diagnosis - 13 Code report blanks in lieu of Exempt, and 15 - Text Admission (POA) - 14 reporting 1 is required for exempt. MC142 is populated Required Present Report the appropriate value from the when External External Code on POA code for lookup table to describe diagnosis = 002, Code Source 15 - MC Admission 11/8/12 char[1] Other Diagnosis - presence upon admission. Do not MC039 100% A2 Source Present on Code 14 report blanks in lieu of Exempt, and 15 - Text Admission (POA) - 15 reporting 1 is required for exempt. MC143 is populated Required when Present Report the appropriate value from the External External Code MC094 = on POA code for lookup table to describe diagnosis Code Source 15 - 002, MC Admission 11/8/12 char[1] Other Diagnosis - presence upon admission. Do not 100% A2 Source Present on MC039 Code 15 report blanks in lieu of Exempt, 15 - Text Admission and (POA) - 16 reporting 1 is required for exempt. MC144 is populated Required Present Report the appropriate value from the when External External Code on POA code for lookup table to describe diagnosis = 002, Code Source 15 - MC Admission 11/8/12 char[1] Other Diagnosis - presence upon admission. Do not MC039 100% A2 Source Present on Code 16 report blanks in lieu of Exempt, and 15 - Text Admission (POA) - 17 reporting 1 is required for exempt. MC145 is populated
MC Present on Admission Code (POA) - 13 11/8/12 External Code Source 15 - Text External Code Source 15 - Present on Admission char[1] POA code for Other Diagnosis - 12 Report the appropriate value from the lookup table to describe diagnosis presence upon admission. Do not report blanks in lieu of Exempt, reporting 1 is required for exempt. Required when MC094 = 002, MC039 and MC053 is populated 100% A2 MC Present on Admission Code (POA) - 14 11/8/12 External Code Source 15 - Text External Code Source 15 - Present on Admission char[1] POA code for Diagnosis - 13 Report the appropriate from the lookup table to describe diagnosis presence upon admission. Do not report blanks in lieu of Exempt, reporting 1 is required for exempt. Required when = 002, MC039 and MC142 is populated 100% A2 MC Present on Admission Code (POA) - 15 11/8/12 External Code Source 15 - Text External Code Source 15 - Present on Admission char[1] POA code for Other Diagnosis - 14 Report the appropriate value from the lookup table to describe diagnosis presence upon admission. Do not report blanks in lieu of Exempt, reporting 1 is required for exempt. Required when = 002, MC039 and MC143 is populated 100% A2 MC Present on Admission Code (POA) - 16 11/8/12 External Code Source 15 - Text External Code Source 15 - Present on Admission char[1] POA code for Other Diagnosis - 15 Report the appropriate value from the lookup table to describe diagnosis presence upon admission. Do not report blanks in lieu of Exempt, reporting 1 is required for exempt. Required when MC094 = 002, MC039 and MC144 is populated 100% A2 MC Present on Admission Code (POA) - 17 11/8/12 External Code Source 15 - Text External Code Source 15 - Present on Admission char[1] POA code for Other Diagnosis - 16 Report the appropriate value from the lookup table to describe diagnosis presence upon admission. Do not report blanks in lieu of Exempt, reporting 1 is required for exempt. Required when = 002, MC039 and MC145 is populated 100% A2
v3-1-apcd-medical-claim-file-submission-guide-2013-06.docx