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 2 report blanks in lieu of Exempt, 15 - Text Admission and (POA) - 03 reporting 1 is required for exempt. MC043 is populated Required when Present Report the appropriate value from the External External Code MC094 = on lookup table to describe diagnosis Code Source 15 - POA code for 002, MC Admission 11/8/12 char[1] presence upon admission. Do not 100% A2 Source Present on Diagnosis - 3 MC039 Code report blanks in lieu of Exempt, 15 - Text Admission and (POA) - 04 reporting 1 is required for exempt. MC044 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 4 report blanks in lieu of Exempt, 15 - Text Admission and (POA) - 05 reporting 1 is required for exempt. MC045 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 5 report blanks in lieu of Exempt, 15 - Text Admission and (POA) - 06 reporting 1 is required for exempt. MC046 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 6 report blanks in lieu of Exempt, 15 - Text Admission and (POA) - reporting 1 is required for exempt. MC047 is populated
MC Present on Admission Code (POA) - 03 11/8/12 External Code Source 15 - Text External Code Source 15 - Present on Admission char[1] POA code for Other Diagnosis - 2 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 MC043 is populated 100% A2 MC Present on Admission Code (POA) - 04 11/8/12 External Code Source 15 - Text External Code Source 15 - Present on Admission char[1] POA code for Diagnosis - 3 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 MC044 is populated 100% A2 MC Present on Admission Code (POA) - 05 11/8/12 External Code Source 15 - Text External Code Source 15 - Present on Admission char[1] POA code for Other Diagnosis - 4 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 MC045 is populated 100% A2 MC Present on Admission Code (POA) - 06 11/8/12 External Code Source 15 - Text External Code Source 15 - Present on Admission char[1] POA code for Other Diagnosis - 5 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 MC046 is populated 100% A2 MC Present on Admission Code (POA) - 11/8/12 External Code Source 15 - Text External Code Source 15 - Present on Admission char[1] POA code for Other Diagnosis - 6 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 MC047 is populated 100% A2
v3-1-apcd-medical-claim-file-submission-guide-2013-06.docx