External Codes External Other Source 8 - Other ICD Diagnosis Code - 22. If Code ICD Other MC Diagnosis 11/8/12 International varchar[7] not applicable do not report any All 1% C Source 8 Diagnosis Code - 22 Classification of value here. - Text Diseases External Codes External Other Source 8 - Other ICD Diagnosis Code - 23. If Code ICD Other MC Diagnosis 11/8/12 International varchar[7] not applicable do not report any All 1% C Source 8 Diagnosis Code - 23 Classification of value here. - Text Diseases External Codes External Other Source 8 - Other ICD Diagnosis Code - 24. If Code ICD Other MC Diagnosis 11/8/12 International varchar[7] not applicable do not report any All 1% C Source 8 Diagnosis Code - Classification of value here. - Text Diseases 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] Principal presence upon admission. Do not 100% A2 Source Present on MC039 Code Diagnosis report blanks in lieu of Exempt, 15 - Text Admission and (POA) - 01 reporting 1 is required for exempt. MC041 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 1 report blanks in lieu of Exempt, 15 - Text Admission and (POA) - 02 reporting 1 is required for exempt. MC042 is populated
MC Other Diagnosis - 22 11/8/12 External Code Source 8 - Text External Codes Source 8 - International Classification of Diseases varchar[7] ICD Other Diagnosis Code Other ICD Diagnosis Code - 22. If not applicable do not report any value here. All 1% C MC Other Diagnosis - 23 11/8/12 External Code Source 8 - Text External Codes Source 8 - International Classification of Diseases varchar[7] ICD Other Diagnosis Code Other ICD Diagnosis Code - 23. If not applicable do not report any value here. All 1% C MC Other Diagnosis - 11/8/12 External Code Source 8 - Text External Codes Source 8 - International Classification of Diseases varchar[7] ICD Other Diagnosis Code Other ICD Diagnosis Code - 24. If not applicable do not report any value here. All 1% C MC Present on Admission Code (POA) - 01 11/8/12 External Code Source 15 - Text External Code Source 15 - Present on Admission char[1] POA code for Principal Diagnosis 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 MC041 is populated 100% A2 MC Present on Admission Code (POA) - 02 11/8/12 External Code Source 15 - Text External Code Source 15 - Present on Admission char[1] POA code for Other Diagnosis - 1 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 MC042 is populated 100% A2
v3-1-apcd-medical-claim-file-submission-guide-2013-06.docx