============================================================================= Run Date: FEB 08, 2005 Designation: ICD*18*14 Package : ICD - DRG GROUPER Priority: Mandatory Version : 18 SEQ #14 Status: Released Compliance Date: FEB 15, 2005 ============================================================================= Associated patches: (v)ICD*18*12 <<= must be installed BEFORE `ICD*18*14' (v)LEX*2*31 <<= must be installed BEFORE `ICD*18*14' Subject: DRG Grouper Code Set FY05 1st Qtr Update Category: - Informational - Routine - Enhancement (Mandatory) - Data Dictionary Description: ============ Note: Patches ICD*18.0*14 and LEX*2.0*33 are being released in a single distribution and will be installed together. Gail Graham, Director of Information Assurance, is requesting modifications to the VISTA Patient Information Management System (PIMS) Package that would allow the use of multiple versions of the code sets employed in financial transactions. This includes multiple versions of the Veterans Health Administration (VHA) diagnostic related grouping software, also known as the "VHA Grouper". The Health Insurance Portability and Accessibility Act (HIPAA) stipulates that diagnostic and procedure codes used for billing purposes must be the codes that were applicable at the time the service was provided. Code sets required by the HIPAA legislation to be date-sensitive and included in this request are: o ICD-9-CM (International Classification of Diseases-9-Clinical Modifications) o DRG Codes (Diagnostic Related Group which is part of the ICD-9 code set) This patch modifies the logic and restructures the file in which the ICDs and DRGs are stored and resolved. This patch addresses the following New Service Request (NSR): ============================================================= Request ID: 20010604 This patch addresses the following NOIS message(s): =================================================== none Overview of NOIS Message(s): ============================ none TEST SITES =========== White River Junction, Vt Louisville, Ky Milwaukee, Wi Minneapolis, Mn El Paso, Tx ICD DIAGNOSIS (File #80) ======================== 80.071,.01 DRG GROUPER EFFECTIVE DATE 0;1 DATE (Multiply asked) DESCRIPTION: This field sets the effective date for the DRGs for a given fiscal year. It should normally be October 1st which is the first day of the fiscal year. Each year a new entry will be created and the DRGs hierarchy will reside within this field. 80.071,1 DRG 1;0 POINTER Multiple #80.711 80.711,.01 DRG 0;1 POINTER TO DRG FILE (#80.2) DESCRIPTION: DRG(s) associated with corresponding ICD Diagnosis for a given fiscal year. FILE POINTED TO FIELD DRG (#80.2) DRG:DRG (#.01) Major Diagnostic Category (MDC) effective date associated with ICD Diagnosis. A new MDC effective date will be created each fiscal year for year versioning of the MDCs. 80.072,.01 MDC EFFECTIVE DATE 0;1 DATE (Multiply asked) 80.072,1 MDC 0;2 POINTER TO MAJOR DIAGNOSTIC CATEGORY FILE (#80.3) DESCRIPTION: Major Diagnostic Category (MDC) associated with ICD Diagnosis for a given fiscal year. FILES POINTED TO FIELDS MAJOR DIAGNOSTIC CATEGORY(80.3) MDC (#1) ICD OPERATION/PROCEDURE (FILE # 80.1) ===================================== DRG GROUPER EFFECTIVE DATE - This field sets the effective date for the DRGs for a given fiscal year. It should normally be the first day of October of the fiscal year. Each year a new entry will be created and the DRG's hierarchy will reside within this field. 80.171,.01 DRG GROUPER EFFECTIVE DATE 0;1 DATE DESCRIPTION: This field sets the effective date for the DRGs for a given fiscal year. It should normally be the first day of October of the fiscal year. Each year a new entry will be created and the DRG's hierarchy will reside within this field. 80.171,1 MAJOR DIAGNOSTIC CATEGORY 1;0 POINTER Multiple #80.1711 DESCRIPTION: Major Diagnostic Category (MDC) associated with ICD Operation/Procedure. 80.1711,.01 MAJOR DIAGNOSTIC CATEGORY 0;1 POINTER TO MAJOR DIAGNOSTIC CATEGORY FILE (#80.3) 80.1711,1 DRG 1;0 POINTER Multiple #80.17111 DESCRIPTION: DRG(s) associated with corresponding ICD Operation/Procedure for a given fiscal year. 80.17111,.01 DRG 0;1 POINTER TO DRG FILE (#80.2) FILES POINTED TO FIELDS DRG (#80.2) DRG:DRG (#.01) MAJOR DIAGNOSTIC CATEGORY (#80.3) MAJOR DIAGNOSTIC CATEGORY:MAJOR DIAGNOSTIC CATEGORY (#.01) DRG (FILE # 80.2) ================= DRG GROUPER EFFECIVE DATE 80.271,.01 DRG GROUPER EFFECIVE DATE 0;1 DATE DESCRIPTION: This field sets the effective date for the DRGs reference table for a given fiscal year. It should normally be the first day of October of the fiscal year. Each year a new entry will be created and the DRG's reference table to be used will reside within this field. 80.271,1 REFERENCE 0;3 FREE TEXT ROUTINE SUMMARY: ================ The following is a list of the routine(s) included in this patch. The second line of each of these routine(s) will look like: ;;18.0;DRG Grouper;**[patch list]**;Oct 20, 2000 CHECK^XTSUMBLD results Routine name Before Patch After Patch Patch List ============ ============ =========== ========== ICDCODE 9860985 9919747 6,12,14 ICDDRG 10514799 10876868 2,7,10,14 ICDDRG0 13317595 13946481 1,2,7,10,14 ICDDRG14 678754 828073 14 ICDDRGX 7838475 9090502 1,2,5,7,10,14 ICDGTDRG 12513862 12371989 7,12,14 ICDHLPD 1384673 1534351 10,14 ICDHLPO 1270146 1468369 10,14 ICDREF N/A 549413 14 ICDTLB1A N/A 6720875 14 ICDTLB2A N/A 10878451 14 ICDTLB3 7318440 7283201 14 ICDTLB3A N/A 7299188 14 ICDTLB4A N/A 8003662 14 ICDTLB5A N/A 10043142 14 ICDTLB6A N/A 11870587 14 Total Number of Routines: 16 SOFTWARE AND DOCUMENTATION RETRIEVAL ==================================== This distribution is a multi-package combined build containing the following patches. DRG FY05 1st Quarter Update LEX*2.0*33 ICD*18.0*14 The combined build and its associated Data Global can be found in the following [ANONYMOUS.SOFTWARE] directories: Preferred Address First available FTP server: download.vista.med.va.gov Specific Field Office FTD Address: Albany ftp.fo-albany.med.va.gov Hines ftp.fo-hines.med.va.gov Salt Lake City ftp.fo-slc.med.va.gov Retrieve the following files using the specified FTP Protocol: File Name Content Protocol -------------------- ---------------------- -------- LEX_2_33.KID KIDs Distribution File ASCII LEX_2_33.GBL Data Global ASCII DRG_18_FY2005_TM.PDF Grouper TM Update PDF BINARY INSTALLATION INSTRUCTIONS: ========================== Patches ICD*18.0*14 and LEX*2.0*33 are being released in a single distribution and will be installed together. See patch LEX*2.0*33 for complete installation instructions. Routine Information: ==================== Routine Name: - ICDDRG Routine Checksum: Routine Name: - ICDCODE Routine Checksum: Routine Name: - ICDGTDRG Routine Checksum: Routine Name: - ICDDRGX Routine Checksum: Routine Name: - ICDDRG0 Routine Checksum: Routine Name: - ICDDRG14 Routine Checksum: Routine Name: - ICDHLPD Routine Checksum: Routine Name: - ICDHLPO Routine Checksum: Routine Name: - ICDREF Routine Checksum: Routine Name: - ICDTLB1A Routine Checksum: Routine Name: - ICDTLB2A Routine Checksum: Routine Name: - ICDTLB3 Routine Checksum: Routine Name: - ICDTLB3A Routine Checksum: Routine Name: - ICDTLB4A Routine Checksum: Routine Name: - ICDTLB5A Routine Checksum: Routine Name: - ICDTLB6A Routine Checksum: ============================================================================= User Information: Entered By : CORONA,JOSE Date Entered : AUG 02, 2004 Completed By: LAVERTY,TIM Date Completed: FEB 03, 2005 Released By : CANNEDY,JOELLEN Date Released : FEB 08, 2005 ============================================================================= Packman Mail Message: ===================== No routines included