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Back  RFI # 391: DRG reporting

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Submitter

Dyan Anderson

Description

Clearinghouse is requiring 3 digit DRG codes in the HI*DR segment. Valid DRGs are 1 to 3 digits long. Is it compliant for them to require a HIS vendor to report all DRGs as 3 digit, with leading zeros??? Where is the DRG code set obtained?

Submitter Assigned Keywords

DRG

Response

This issue is explicitly addressed in guide 004010X096A1. The DRG codes are referenced to code source 229. Page C5 identifies the source for those codes. The code source owner specifies the size and requirement or lack of a requirement for leading zeroes.
Submission 3/6/2006
Status Date 3/13/2006
Status F - Final
Primary References
Document 004010X096A1
SectionHI
Page230
Set IDunknwn
LoopHI
External Code List1271