This file contains the data describing the impact on resource use of specific ICD-10-CM diagnosis code when reported as a secondary diagnosis.,,
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Tab Descriptions:,,
"1. The ""FY22_SDXcodes_ImpactonResource"" tab information was generated using discharge claims from the September 2022 update of the FY 2022 MedPAR file.  See column descriptions below.  ",,
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"2. The ""Data Review Example"" tab illustrates the application of the of MS-DRG Grouper CC/MCC review methodology using the ""Impact On Resource"" data in the ""SDXcodes_ImpactOnResource"" tabs.  CMS hosted a listening session on October 8, 2019 that included a review of this methodology utilized to mathematically measure the impact on resource use. Refer to https://www.cms.gov/Outreach-and-Education/Outreach/OpenDoorForums/Downloads/10082019ListingSessionTrasncriptandQandAsandAudioFile.zip for the transcript and audio file of the listening session.",,
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"3. The ""Flag Criteria"" tab provides a description of the logic used to set the flag [NC, 1+, 2+, 2-, 3-] in Column N of the  ""SDXcodes_ImpactOnResource"" tabs.",,
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"""SDXcodes_ImpactOnResource"" Tabs -  Column Descriptions:",,
COLUMN,TITLE,DESCRIPTION
Column A,SDX,Secondary Diagnosis Code 
Column B,SDX Description,Secondary Diagnosis Code Title
Column C,V39 CC Level,"Severity level (NonCC (N); CC, or MCC) of the SDX (column A) under Grouper V39"
Column D,Current (v40) Severity Designation,"Severity level (NonCC (N); CC, or MCC) of the SDX (column A) under Grouper V40"
Column E,Total Count,Total count of discharge claims with the SDX (column A) 
Column F,Counts 1,Count of discharge claims with the SDX (column A) but with no other secondary diagnosis or with all other secondary diagnoses a NonCC
Column G,Impact 1,"""C1"" impact on resource use of the secondary diagnosis for discharge claims in “Counts 1"" (column F)"
Column H,Counts 2,Count of discharge claims with the SDX (column A) and with at least one other secondary diagnosis that is a CC but none that is a Major CC
Column I,Impact 2,"""C2"" impact on resource use of the secondary diagnosis for discharge claims in “Counts 2"" (column H)"
Column J,Counts 3,Count of discharge claims with the SDX (column A) and with at least one other secondary diagnosis that is a Major CC 
Column K,Impact 3,"""C3"" impact on resource use of the secondary diagnosis for discharge claims in “Counts 3"" (column J)"
Column L,% Died,Percentage of discharge claims with the SDX (column A) that were not discharge alive
Column M,% OR,Percentage of discharge claims with the SDX (column A) that with at least one procedure code with an O.R. designation
Column N,Flag,"See ""FlagCriteria"" tab for additional information"
