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Back  RFI # 999: 5 Char APR-DRG in 835

Formal vs. Informal Help Informal Formal

Submitter

Jean Lama

Description

We as a Payer are working with Institutions to implement payment based on APR-DRG. The Providers would like to receive the full APR-DRG used for adjudication back on the 835. Our challenge is that the 2100 CLP11 is maximum 4 characters and the full APR-DRG is 5 characters.
How, in the 835 4010 and 5010, can we present the full APR-DRG back to the Provider?

Submitter Assigned Keywords

APR-DRG 835 CLP11

Response

Sending anything other than what is defined in code source 229 for CLP11 is not allowed.
Submission 3/24/2010
Status Date 7/12/2010
Status F - Final
Primary References
Document 005010X221
Section2
Page123
Set ID835
Table2
Loop2100
Segment IDCLP
Element Position11
Industry NameDRG Code