Blue Button 2.0 Implementation Guide

Claim Diagnosis Code I Diagnosis Present on Admission (POA) Indicator Code

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Raw xml


<ValueSet xmlns="https://bluebutton.cms.gov/assets/ig">
  <id value="clm-poa-ind-sw1"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><h2>Claim Diagnosis Code I Diagnosis Present on Admission (POA) Indicator Code</h2><div><p>The present on admission (POA) indicator code associated with the diagnosis codes (principal and secondary). In response to the Deficit Reduction Act of 2005, CMS began to distinguish between hospitalization diagnoses that occurred prior to versus during the admission. The objective was to eventually not pay hospitals more if the patient acquired a condition (e.g., infection) during the admission. This present on admission (POA) field is used to indicate whether the diagnosis was present on admission. Medicare claims did not indicate whether a diagnosis was POA until 2011. Source: https://bluebutton.cms.gov/resources/variables/clm<em>poa</em>ind_sw1</p>
</div><p>This value set includes codes from the following code systems:</p><ul><li>Include all codes defined in <a href="CodeSystem-clm-poa-ind-sw1.html"><code>https://bluebutton.cms.gov/assets/ig/CodeSystem-clm-poa-ind-sw1</code></a></li></ul></div>
  </text>
  <url value="https://bluebutton.cms.gov/assets/ig/ValueSet-clm-poa-ind-sw1"/>
  <version value="1.1.1"/>
  <name
        value="Claim Diagnosis Code I Diagnosis Present on Admission (POA) Indicator Code"/>
  <status value="draft"/>
  <date value="2018-11-27T15:56:35+00:00"/>
  <description
               value="The present on admission (POA) indicator code associated with the diagnosis codes (principal and secondary). In response to the Deficit Reduction Act of 2005, CMS began to distinguish between hospitalization diagnoses that occurred prior to versus during the admission. The objective was to eventually not pay hospitals more if the patient acquired a condition (e.g., infection) during the admission. This present on admission (POA) field is used to indicate whether the diagnosis was present on admission. Medicare claims did not indicate whether a diagnosis was POA until 2011. Source: https://bluebutton.cms.gov/resources/variables/clm_poa_ind_sw1"/>
  <compose>
    <include>
      <system value="https://bluebutton.cms.gov/assets/ig/CodeSystem-clm-poa-ind-sw1"/>
    </include>
  </compose>
</ValueSet>