Required when MC094 = 002 and MC036 = External Code Report the fourth ICD procedure Other External 11, 18, 21, Source 8 - code when applicable. The Integer ICD-CM ICD 28, 41, 65, MC 86 10/30/14 ICDCM varchar[7] point is not coded. The ICD 1% C Procedure Source 8 Procedure Code 66, 84, 86 Procedure procedure must be repeated for all Code - 3 - Text or 89 (type Codes lines of the claim if necessary. of bill indicates an inpatient visit) Required when MC094 = 002 and MC036 = External Code Report the fifth ICD procedure code Other External 11, 18, 21, Source 8 - when applicable. The Integer point is ICD-CM Codes ICD Other 28, 41, 65, MC 87 10/30/14 ICDCM varchar[7] not coded. The ICD procedure must 1% C Procedure Source 8 Procedure Code 66, 84, 86 Procedure be repeated for all lines of the claim if Code - 4 - Text or 89 (type Codes necessary. of bill indicates an inpatient visit)
MC 86 Other ICD-CM Procedure Code - 3 10/30/14 External Source 8 - Text External Code Source 8 - ICDCM Procedure Codes varchar[7] ICD Procedure Code Report the fourth ICD procedure code when applicable. The Integer point is not coded. The ICD procedure must be repeated for all lines of the claim if necessary. Required when MC094 = 002 and MC036 = 11, 18, 21, 28, 41, 65, 66, 84, 86 or 89 (type of bill indicates an inpatient visit) 1% C MC 87 Other ICD-CM Procedure Code - 4 10/30/14 External Codes Source 8 - Text External Code Source 8 - ICDCM Procedure Codes varchar[7] ICD Other Procedure Code Report the fifth ICD procedure code when applicable. The Integer point is not coded. The ICD procedure must be repeated for all lines of the claim if necessary. Required when MC094 = 002 and MC036 = 11, 18, 21, 28, 41, 65, 66, 84, 86 or 89 (type of bill indicates an inpatient visit) 1% C
apcd-medical-claim-file-submission-guide.docx