M1023_OTH_DIAG1_ICD
Property | Specification |
Data System | OASIS |
Data Specs | V3.01.0 |
Description | Other diagnosis 1: ICD code |
Group | Asmt |
Type | ICD |
Length | 8 |
Fixed Start-End | 1369-1376 |
Version Notes |
Item Subsets | |
Active | 01,03 |
Inactive | 04,05,06,07,08,09,XX |
Item Values | ||
Value | LOINC | Text |
ICD-10 | ICD-10 diagnosis code | |
^ | Blank (no diagnosis code) |
Item Edits | |||
Edit ID | Type | Severity | Edit Text |
-4885 | 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 additional formatting rules for particular items may further restrict the range of allowable values in character 1. Also note that an entirely blank ICD code must be submitted as a single caret: [^]. |
-5001 | Consistency | Fatal | If M0100_ASSMT_REASON=[01,03] and if a value submitted in items M1021_PRIMARY_DIAG_ICD, M1023_OTH_DIAG1_ICD, M1023_OTH_DIAG2_ICD, M1023_OTH_DIAG3_ICD, M1023_OTH_DIAG4_ICD, or M1023_OTH_DIAG5_ICD is not equal to [^], it must not equal (must not duplicate) any value submitted in the remaining items in this list. |
-5201 | Consistency | Fatal | If M0100_ASSMT_REASON=[01,03] and if character 1 of the Primary/Other ICD code in Column 2 is equal to [V,W,X,Y,Z,v,w,x,y,z], then the corresponding severity code must equal [^]. |
-5211 | Consistency | Fatal | If M0100_ASSMT_REASON=[01,03] and if the Primary/Other ICD code in Column 2 is NOT equal to [^] AND character 1 of the ICD code is NOT equal to [V,W,X,Y,Z,v,w,x,y,z], then the corresponding severity code must not equal [^]. |
-5221 | Consistency | Fatal | If M0100_ASSMT_REASON =[01,03], and if the Primary/Other ICD code in Column 2 is equal to [^], then the corresponding severity code must equal [^]. |
Supplemental Information | |||
Edit ID | Type | Severity | Edit Text |
-9110 | Information | None |
If state law prohibits transmission of certain ICD codes (e.g., HIV or STD diagnoses), these codes will be removed by iQIES if found on records submitted by HHAs within that state. If any item within an ICD list contains such a code on a submitted record, it will be removed from the list. If any of these items is removed, but a valid code remains in a subsequent item on the list, the subsequent codes will be "moved up" so that no missing codes remain. Therefore, if a non-blank value is required in an ICD code list and all of the submitted items in that list contain blank and/or prohibited codes, a fatal error will result and the record will be rejected. As long as at least one item in such a list contains a non-blank, correctly-formatted, allowable code, a fatal error will not occur. |
-9150 | Information | None |
If an ICD list contains multiple codes, there should be no intervening items in the list which are equal to [^]. For example, if a 5-item list is populated with 3 ICD codes, those codes should occupy items 1, 2, and 3; items 4 and 5 should be equal to [^]. If the system finds a list which contains intervening items which are equal to [^], the values that are later in the list will be moved up to eliminate the intervening blank [^] item values. Diagnoses are only moved up within the same type of diagnosis, so a secondary diagnosis code will never be moved into an item which is for a primary diagnosis code. |
-9170 | Information | None |
SUBMITTING ICD-10 DIAGNOSIS CODES If the ICD-10 item is active, it must be submitted as an 8 character, fixed-format string with all blanks replaced with [^], and with a decimal point as the 4th character. The only exception to this rule is that an entirely blank ICD-10 item must be submitted as a single [^]. For example: -The ICD-10 code "A12." would be submitted as [A12.^^^^]. -The ICD-10 code "A12.3" would be submitted as [A12.3^^^]. -The ICD-10 code "A12.34" would be submitted as [A12.34^^]. -The ICD-10 code "A12.345" would be submitted as [A12.345^] -The ICD-10 code "A12.3456" would be submitted as [A12.3456] -An entirely blank ICD-10 code would be submitted as [^]. |
NOTICE: These materials are in the public domain and cannot be copyrighted.
Generated: 12/27/2023 10:44:11 PM