| # | Name | Location | Type | Details | Index | Description |
|---|---|---|---|---|---|---|
| .01 | code number(+) | 0;1 | FREE TEXT | ICD 9 code number | ||
| 2 | identifier | 0;2 | FREE TEXT | This field contains Identifier codes providing more detail on the DRG. | ||
| 3 | diagnosis(+) | 0;3 | FREE TEXT | Diagnosis that code represents. | ||
| 5 | major diagnostic category | 0;5 | POINTER | 80.3 | MDC within which this code falls. | |
| 5.5 | mdc13 | 0;6 | NUMERIC | Entered if MDC=13. | ||
| 5.7 | mdc24 | 0;12 | SET OF CODES | 0: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. | |
| 5.9 | mdc25 | 0;13 | SET OF CODES | 1:HIV INFECTION 2:MAJOR HIV CONDITION 3:NON-MAJOR HIV CONDITION | Set of codes refers to type of HIV code or related condition. | |
| 8 | icd expanded | 0;8 | BOOLEAN | 1:YES 0:NO | This field contains thr ICD code as expanded by the VA | |
| 9.5 | use only with sex | 0;10 | SET OF CODES | M:MALE F:FEMALE | For codes that are gender-specific, enter sex. | |
| 10 | description | 1;1 | FREE TEXT | Complete description of ICD9 diagnosis represented by code. | ||
| 20 | icd9 codes not to use with | N;0 | MULTIPLE | 80.71 | ICD9 codes that cannot be used in conjunction with this code. | |
| 30 | icd9 codes required with | R;0 | MULTIPLE | 80.72 | Codes required when this code is used. | |
| 40 | code not cc with | 2;0 | MULTIPLE | 80.73 | Code not considered as Complication/comorbidity with this code. | |
| 60 | drga | DRG;1 | POINTER | 80.2 | DRG (Diagnostic Related Group) that this code may be part of. | |
| 61 | drgb | DRG;2 | POINTER | 80.2 | DRG (Diagnostic Related Group) that this code may be part of. | |
| 62 | drgc | DRG;3 | POINTER | 80.2 | DRG (Diagnostic Related Group) that this code may be part of. | |
| 63 | drgd | DRG;4 | POINTER | 80.2 | DRG (Diagnostic Related Group) that this code may be part of | |
| 64 | drge | DRG;5 | POINTER | 80.2 | DRG (Diagnostic Related Group) that this code may be part of. | |
| 65 | drgf | DRG;6 | POINTER | 80.2 | DRG (Diagnostic Related Group) that this code may be part of. | |
| 70 | complication/comorbidity | 0;7 | SET OF CODES | 1:COMPLICATION/COMORBIDITY | Set =1 if this ICD9 refers to code with c/c. | |
| 100 | inactive flag | 0;9 | SET OF CODES | 1:INACTIVE | Set =1 when this code is no longer active. | |
| 101 | unacceptable as principal dx | 0;4 | BOOLEAN | 1:YES | This field contains a flag indicating that this code is unacceptable as the principal diagnosis. | |
| 102 | inactive date | 0;11 | DATE-TIME | Date as of which this code is inactive. |
Not Referenced