I0020B


Item Summary

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Property Specification
Data System MDS
Data Specs V3.01.0
Description Primary Medical Condition ICD
Group Asmt
Type ICD
Length 8
Fixed Start-End 1726-1733
Version Notes

Item Subsets
Active NC,NQ,NP,IPA,SP
Inactive ND,NT,NPE,SD,ST,XX
State optional

Item Values
Value LOINC Text
ICD-10 ICD-10 code
^ Blank (skip pattern)

Item Edits
Edit ID Type Severity Edit Text
-3852 Format Fatal FORMATTING OF ICD-10 DIAGNOSIS CODES
ICD-10 diagnosis codes must conform with the following formatting rules:
a) Character 1 must be alphabetic [A-Z,a-z].
b) Character 2 must be numeric [0-9].
c) Character 3 must be numeric [0-9] or alphabetic [A-Z,a-z].
d) Character 4 must be a decimal point.
e) Characters 5 through 8 must be numeric [0-9], alphabetic [A-Z,a-z], or caret [^].
f) If any character 5 through 8 is equal to [^], all subsequent characters must equal [^].

Note that an entirely blank ICD code must be submitted as a single caret: [^].
-3945 Consistency Fatal If A0310B=[01,08], then this ICD code must be one of the codes in the data spec dictionary table pdpm_icd_codes_FYxxxx (where FYxxxx is the fiscal year matching the target date of the assessment), in order to ensure that the PDPM grouper is able to generate a valid HIPPS code.
-3967 Consistency Warning If A0310B=[99] and STATE_PDPM_OBRA_CD is active and STATE_PDPM_OBRA_CD=[1] and I0020B cannot be found in either data spec dictionary table pdpm_icd_codes_FYxxxx or pdpm_icd_codes_2_FYxxxx (where FYxxxx is the fiscal year matching the target date of the assessment), then the PDPM cannot be determined for this assessment.

NOTE: The submission system will use the iQIES value for the state where the assessment was performed instead of STATE_PDPM_OBRA_CD to determine whether this warning is applicable.

This edit only applies to assessments with target date on or after October 1, 2020.
-3919 Skip pattern Fatal If A0310B=[01,08], then I0020 and I0020B must not equal [^].

Supplemental Information
Edit ID Type Severity Edit Text
-9006 Information None Any letters that are contained in this item may be submitted as lower case or upper case, but will be converted and stored as upper case by the MDS Submission System. System reports will therefore display upper case values.

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Generated: 02/06/2023 10:33:18 PM