Files > DRG DIAGNOSIS CODE COMBINATIONS

name

DRG DIAGNOSIS CODE COMBINATIONS

number

82.12

location

^ICDIDD(

description

This file contains data which is used in DRG Grouper calculations. These data specify combinations of diagnosis codes that, when found to occur together in one patient case, will lead to a specific DRG code. The DRG Grouper routines will check the contents of the "One Of" field and each "With One Of" field to make this determination.

Fields

#	Name	Location	Type	Details	Index	Description
.01	identifier code(+)	0;1	POINTER	82	B	This is a code which is used in DRG Grouper processing. It specifies a particular patient condition which further explains a diagnosis.
1	block	BL;0	MULTIPLE	82.121		This multiple contains blocks of specific combinations of diagnoses (located in the "ONE OF" and the "WITH ONE OF n" multiples), which, when found to occur together for a patient, confirm that the patient has the specific patient case identified in the IDENTIFIER CODE (#.01) field. It also supplies the DRGs (located in the "MDC" multiple) associated with the patient case. Patient cases are divided in such a way that any one BLOCK has to be satisfied. For a BLOCK to be satisfied, at least one diagnosis code from each code set should have match with patient's diagnosis codes. Whichever BLOCK is satisfied, we get DRG, MDC from that BLOCK.