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 7 report blanks in lieu of Exempt, 15 - Text Admission and (POA) - 08 reporting 1 is required for exempt. MC048 is populated Required when Present Report the appropriate 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 8 report blanks in lieu of Exempt, 15 - Text Admission and (POA) - 09 reporting 1 is required for exempt. MC049 is populated Required when Present Report the appropriate 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 9 report blanks in lieu of Exempt, 15 - Text Admission and (POA) - 10 reporting 1 is required for exempt. MC050 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 10 report blanks in lieu of Exempt, 15 - Text Admission and (POA) - 11 reporting 1 is required for exempt. MC051 is populated Required when Present Report the appropriate 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 11 report blanks in lieu of Exempt, 15 - Text Admission and (POA) - 12 reporting 1 is required for exempt. MC052 is populated
MC Present on Admission Code (POA) - 08 11/8/12 External Code Source 15 - Text External Code Source 15 - Present on Admission char[1] POA code for Other Diagnosis - 7 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 MC048 is populated 100% A2 MC Present on Admission Code (POA) - 09 11/8/12 External Code Source 15 - Text External Code Source 15 - Present on Admission char[1] POA code for Other Diagnosis - 8 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 MC094 = 002, MC039 and MC049 is populated 100% A2 MC Present on Admission Code (POA) - 10 11/8/12 External Code Source 15 - Text External Code Source 15 - Present on Admission char[1] POA code for Other Diagnosis - 9 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 MC094 = 002, MC039 and MC050 is populated 100% A2 MC Present on Admission Code (POA) - 11 11/8/12 External Code Source 15 - Text External Code Source 15 - Present on Admission char[1] POA code for Other Diagnosis - 10 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 MC051 is populated 100% A2 MC Present on Admission Code (POA) - 12 11/8/12 External Code Source 15 - Text External Code Source 15 - Present on Admission char[1] POA code for Other Diagnosis - 11 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 MC094 = 002, MC039 and MC052 is populated 100% A2
v3-1-apcd-medical-claim-file-submission-guide-2013-06.docx