Updated research request forms and data security approval requirement effective 4/24/23
SAS Name
POA_DGNS_E_{x}_IND_CD
Effective with Version 'J', the code used to identify the Present on Admission (POA) indicator code associated with the diagnosis E codes.
| Code | Code value |
|---|---|
| Y | Diagnosis was present at the time of inpatient admission. CMS will pay the CC/MCC DRG for those selected HACs that are coded as 'Y' for the POA Indicator. |
| N | Diagnosis was not present at the time of inpatient admission. CMS will not pay the CC/MCC DRG for those selected HACs that are coded as 'N' for the POA Indicator. |
| U | Documentation is insufficient to determine if the condition was present at the time of inpatient admission. CMS will not pay the CC/MCC DRG for those selected HACs that are coded as 'U' for the POA Indicator. |
| W | Clinically undetermined. Provider is unable to clinically determine whether condition was present at the time of inpatient admission. CMS will pay the CC/MCC DRG for those selected HACs that are coded as 'W' for the POA Indicator. |
| 1 | Unreported/not used -- exempt from POA reporting -- This code is equivalent to a blank pn the UB-04, however, it was determined that blanks are undesirable when submitting this data via the 4010A. CMS will not pay the CC/MCC DRG for those selected HACs that are coded as '1' for the POA Indicator. The '1' POA Indicator should not be applied to any codes on the HAC list. |
| Z | Denotes the end of the POA indicators (terminated 1/2011). |
| X | Denotes the end of the POA indicators in special data processing situations that may be identified by CMS in the future (terminated 1/2011). |
| Blank | Identifies diagnosis codes that are exempt from the POA reporting requirements (replaces the '1'). NOTE: NCH/NMUD will carry a '0' in place of a blank. |