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OASIS

1.60 Correction 1

Submission body record

Primary Diagnosis ICD Code

(M0230) a. Primary Diagnosis: ICD Code

7

404

410

01,03,04,05

06,07,08,09

XX99.XX

CODE

Valid code

A nonblank value must conform to one of the following two patterns:

PATTERN A
-Character 1 must be a space.
-Character 2 must be a 0 (zero) thru 9.
-Characters 3 thru 4 must be 0 thru 9.
-Character 5 must be a decimal point.
-Characters 6 and 7 must be 0 (zero) thru 9 or space.
-If character 6 is a space, then character 7 must be a space.

PATTERN B
-Character 1 must be a space.
-Character 2 must be "V".
-Characters 3 thru 4 must be 0 thru 9.
-Character 5 must be a decimal point.
-Characters 6 and 7 must be 0 (zero) thru 9 or space.
-If character 6 is a space, then character 7 must be a space.

*1. If M0100_ASSMT_REASON matches one of the active RFA"s, then M0230_PRIMARY_DIAG_ICD cannot be blank.

2. If state law prohibits transmission of certain ICD9 codes (e.g., HIV or STD diagnoses), these codes will be blanked out by the state system if found on records submitted by HHAs within that state. If M0230_PRIMARY_DIAG_ICD contains such a code on a submitted record, it will be blanked out. If a non-blank value is required in M0230_PRIMARY_DIAG_ICD on a particular record, and if M0230_PRIMARY_DIAG_ICD contains a blank and/or prohibited code, a fatal error will result and the record will be rejected.

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