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Back  RFI # 742: Code set 897 in 5010 X220 -834

Formal vs. Informal Help Informal Formal

Submitter

Kristine Weinberger

Description

The 5010 version of the 834 Enrollment transactions references the 896 ICD-10-PCS Inpatient Hospital Procedure code set instead of the 897 ICD-10-DM Diagnosis code set. Please clarify which codes are to be used in DSB07 in loop 2200.

DSB07 provides the 'ZZ Mutually Defined' qualifier follwed the this explanation:
To be used for the International Classification of
Diseases, 10th Revision, Clinical Modification (ICD-
10-CM) - Diagnosis.
CODE SOURCE: 896 International Classification of
Diseases, 10th Revision, Procedure Coding System
(ICD-10-PCS)

It appears that it should only reference code source 897 for the use of ICD-10 Diagnosis Codes, not Inpatient Hospital Procedure codes.

Submitter Assigned Keywords

5010 X220 834 ICD-10-CM ICD-10-PCS DSB07 diagnosis

Response

The workgroup has approved Errata for this change. We are currently working it through the process to publish Errata as soon as possible to have the change made from the 896 code source to the 897 code source.
Submission 3/18/2009
Status Date 6/10/2009
Status F - Final
Primary References
Document 005010X220
Section2.4
Page138
Set ID834
Table2
Loop2200
Segment Position2000
Segment IDDSB
Element Position07
Component Position08
Industry NameDiagnosis Code
External Code List897 and 896
Secondary References
RFI ID 667
Document 005010X220
SectionA.1
PageA.8
Set ID834
External Code List896 PCS present 897 Dx missing