Files > ICD DIAGNOSIS

name
ICD DIAGNOSIS
number
80
location
^ICD9(
description
ICD Diagnosis file #80 contains codes from the International Classification of Diseases (ICD) Clinical Modification (CM) provided by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS). This file contains both the 9th (ICD-9-CM) and 10th (ICD-10-CM) Revisions. If an entry needs to be added, modified or deleted, a patch will be issued containing the change. This table file should NOT be edited in anyway by the site.
applicationGroups
PXRS;QAM
Fields
#NameLocationTypeDetailsIndexDescription
.01code number(+)0;1FREE TEXTICD-9 or ICD-10 Code
1.1coding system1;1POINTER80.4This is the coding system to which the code belongs.
1.11pdx exclusion code1;11POINTER82.13This is a Primary Diagnosis Exclusion Code (file #82.13) containing a list of Diagnosis codes that, when used as the primary diagnosis code with this code will cause the CC (Complication/Comorbidity) to be zero (meaning "no CC").
1.2identifier1;2FREE TEXTThis field contains Identifier codes providing more detail on the DRG.
1.3unacceptable as principal dx1;3BOOLEAN1:YES
This field contains a flag indicating that this code is unacceptable as the principal diagnosis.
1.4mdc131;4NUMERICField is set to 13 when the Major Diagnostic Code (MDC) equals 13 (Female Reproductive System)
1.5mdc241;5SET OF CODES0:PRINCIPAL DX
1:HEAD
2:CHEST
3:ABDOMEN
4:KIDNEY
5:URINARY
6:PELVIS
7:UPPER LIMB
8:LOWER LIMB
Code entry of body site of Multiple Significant Trauma.
1.6mdc251;6SET OF CODES1:HIV INFECTION
2:MAJOR HIV CONDITION
3:NON-MAJOR HIV CONDITION
Set of codes refers to type of HIV code or related condition.
1.7icd expanded1;7BOOLEAN1:YES
0:NO
This field is a flag indicating that the ICD code was expanded by the VA (local code).
1.8exclude from lookupCOMPUTEDThis is a computed field to indicate if a record in the Diagnosis file #80 should be excluded from lookup. Records excluded from lookup either have no activation history (sub-file 80.066) or have been modified by the VA (ICD EXPANDED field 1.7). If this computed field returns a 1, then it should not be used for lookup or included in lookup cross-references.
1.9poa exempt1;9SET OF CODES0:Not POA Exempt
1:POA Exempt
The value in this field is used to determine whether Present On Admission (POA) processing applies to this code.
10sex5;0MULTIPLE80.04This is a history of the Sex designation (Male/Female) for the diagnosis and includes the Sex with the date it became effective.
11age low6;0MULTIPLE80.011This is a history of lowest age reasonable for a procedure and includes the lowest age and the date it became effective.
12age high7;0MULTIPLE80.012This is a history of highest age reasonable for a procedure and includes the highest age and the date it became effective.
20icd codes not to use withN;0MULTIPLE80.01This is a listing of ICD codes that cannot be used in conjunction with this code.
30icd codes required withR;0MULTIPLE80.02This is a listing of ICD codes required when this code is used.
40icd codes not cc with2;0MULTIPLE80.03This is a listing of codes not considered as Complication/comorbidity with this code.
66status66;0MULTIPLE80.066This multiple contains versioned information for an ICD code. A new entry is created whenever an ICD code's status is changed.
67diagnosis67;0MULTIPLE80.067This is a history of the Diagnosis (short text) to include the date the text was first used along with the text.
68description68;0MULTIPLE80.068This is a history of the descriptive text to include the date the text was first used and the text used.
71drg grouper3;0MULTIPLE80.071This field sets the effective date for the DRGs for a given fiscal year. It should normally be the first day of October of the fiscal year. Each year a new entry will be created and the DRG's hierachy will reside within this field.
72major diagnostic category4;0MULTIPLE80.072This is a listing of Major Diagnostic Categories (MDC) associated with this ICD Diagnosis by fiscal year.
73drg diagnosis identifier codes73;0MULTIPLE80.073This is a listing of identifier codes used in the DRG rules processing to determine DRG.
103complication/comorbidity69;0MULTIPLE80.0103This is a history of the Complication/Comorbidity (CC) designation for the diagnosis and includes the CC designation with the date it became effective.

Referenced by 39 types

  1. CATASTROPHIC DISABILITY REASONS (27.17) -- icd or cpt code
  2. PTF (45) -- principal diagnosis, secondary diagnosis 1, secondary diagnosis 2, secondary diagnosis 3, secondary diagnosis 4, secondary diagnosis 5, secondary diagnosis 6, secondary diagnosis 7, secondary diagnosis 8, secondary diagnosis 9, secondary diagnosis 10, secondary diagnosis 11, secondary diagnosis 12, secondary diagnosis 13, secondary diagnosis 14, secondary diagnosis 15, secondary diagnosis 16, secondary diagnosis 17, secondary diagnosis 18, secondary diagnosis 19, secondary diagnosis 20, secondary diagnosis 21, secondary diagnosis 22, secondary diagnosis 23, secondary diagnosis 24, principal diagnosis pre 1986
  3. PTF EXPANDED CODE (45.89) -- diagnosis/procedure code
  4. INPATIENT CPT CODE (46) -- primary diagnosis, secondary diagnosis 1, secondary diagnosis 2, secondary diagnosis 3, secondary diagnosis 4, secondary diagnosis 5, secondary diagnosis 6, secondary diagnosis 7
  5. INPATIENT POV (46.1) -- diagnosis
  6. RAD/NUC MED ORDERS (75.1) -- primary ordering icd diagnosis
  7. DRG DIAGNOSIS (83.5) -- diagnosis
  8. DRG PDX EXCLUSION GROUPS (83.51) -- principal diagnosis
  9. MEDICAL RECORD (90) -- *principal icd9 diagnosis, *x icd9 diagnosis
  10. SURGERY (130) -- prin pre-op icd diagnosis code, planned prin diagnosis code, other respiratory occurrence, other urinary tract occurrence, other cns occurrence, other cardiac occurrence, other occurrences (icd), other wound occurrence
  11. SURGERY PROCEDURE/DIAGNOSIS CODES (136) -- prin postop diagnosis code
  12. ONCOLOGY PATIENT (160) -- cause of death, comorbidity/complication #1, comorbidity/complication #2, comorbidity/complication #3, comorbidity/complication #4, comorbidity/complication #5, comorbidity/complication #6, comorbidity/complication #7, comorbidity/complication #8, comorbidity/complication #9, comorbidity/complication #10, secondary diagnosis #1, secondary diagnosis #2, secondary diagnosis #3, secondary diagnosis #4, secondary diagnosis #5, secondary diagnosis #6, secondary diagnosis #7, secondary diagnosis #8, secondary diagnosis #9, secondary diagnosis #10
  13. FEE BASIS INVOICE (162.5) -- icd1, icd2, icd3, icd4, icd5, icd6, icd7, icd8, icd9, icd10, icd11, icd12, icd13, icd14, icd15, icd16, icd17, icd18, icd19, icd20, icd21, icd22, icd23, icd24, icd25, admitting diagnosis
  14. FEE BASIS UNAUTHORIZED CLAIMS (162.7) -- icd diagnosis
  15. ONCOLOGY PRIMARY (165.5) -- lng co-morbid condition 1, lng co-morbid condition 2, lng co-morbid condition 3, lng co-morbid condition 4, lng co-morbid condition 5, lng co-morbid condition 6, lng complication #1, lng complication #2, lng complication #3, lng complication #4, lng complication #5, gas co-morbid condition 1, gas co-morbid condition 2, gas co-morbid condition 3, gas co-morbid condition 4, gas co-morbid condition 5, gas co-morbid condition 6, gas complication #1, gas complication #2, gas complication #3, gas complication #4, gas complication #5
  16. IB SITE PARAMETERS (350.9) -- default rx refill dx, default rx refill dx icd-10
  17. INSURANCE REVIEW (356.2) -- diagnosis authorized
  18. INPATIENT DIAGNOSIS (356.9) -- diagnosis
  19. IB BILL/CLAIMS DIAGNOSIS (362.3) -- diagnosis
  20. BILL/CLAIMS (399) -- *icd diagnosis code (2), *icd diagnosis code (3), *icd diagnosis code (4), *icd diagnosis code (5), admitting diagnosis, prv diagnosis (1), prv diagnosis (2), prv diagnosis (3)
  21. OUTPATIENT DIAGNOSIS (409.43) -- diagnosis
  22. DIAGNOSTIC RESULTS - MENTAL HEALTH (627.8) -- diagnosis
  23. HBHC PATIENT (631) -- primary diagnosis @ admission, primary diagnosis @ discharge
  24. RECORD OF PROS APPLIANCE/REPAIR (660) -- suspense icd, primary icd diagnosis code, secondary icd diagnosis code 1, secondary icd diagnosis 2, secondary icd diagnosis 3
  25. PROSTHETIC SUSPENSE (668) -- icd, primary icd diagnosis code, secondary icd diagnosis 1, secondary icd diagnosis 2, secondary icd diagnosis 3
  26. MEDICAL DESCRIPTION (693) -- icd pointer
  27. MEDICAL DIAGNOSIS/ICD CODES (697.5) -- integrator icd code
  28. EVENT CAPTURE PATIENT (721) -- primary icd code
  29. REMINDER DIALOG (801.41) -- additional findings
  30. TIU PROBLEM LINK (8925.9) -- icd9 diagnosis
  31. LOCAL KEYWORD (8984.1) -- entry
  32. LOCAL SHORTCUT (8984.2) -- entry
  33. A&SP DIAGNOSTIC CONDITION (509850.1) -- code
  34. V POV (9000010.07) -- pov
  35. V IMMUNIZATION (9000010.11) -- ancillary pov, primary diagnosis
  36. V SKIN TEST (9000010.12) -- primary diagnosis, diagnosis 2, diagnosis 3, diagnosis 4, diagnosis 5, diagnosis 6, diagnosis 7, diagnosis 8
  37. V CPT (9000010.18) -- diagnosis, diagnosis 2, diagnosis 3, diagnosis 4, diagnosis 5, diagnosis 6, diagnosis 7, diagnosis 8
  38. PROBLEM (9000011) -- diagnosis
  39. V IMMUNIZATION DELETED (9000080.11) -- ancillary pov, primary diagnosis