MEDPAR DRG/Outlier Stay Code

SAS Name
DRG_OUTLIER_STAY_CD

The code identifying (1) for PPS providers if the stay has an unusually long length (day outlier) or high cost (cost outlier); or (2) for non-PPS providers the source for developing the DRG.

Comments

Source: NCH

Applicable to Non-PPS Providers:
Applicable to Non-PPS Providers:
Code Code value
6 Valid DRG Received From Intermediary
7 HCFA-Developed DRG
8 HCFA-Developed DRG Using Claim Status Code
9 Not Groupable
6 Valid DRG Received From Intermediary
7 HCFA-Developed DRG
8 HCFA-Developed DRG Using Claim Status Code
9 Not Groupable