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Diagnosis Procedure ICD indicator

CLM_DGNS_PRCDR_ICD_IND

This is the claim product version code which is spaces or 9 for ICD-9 and 0 for ICD-10.

Field Metadata

FHIR Resource
ExplanationOfBenefit
FHIRPath
ExplanationOfBenefit.procedure.procedure.coding.system
Coverage / Claim Type
  • HHA
  • Hospice
  • Inpatient
  • Outpatient
  • SNF
Source View
V2_MDCR_CLM_PROD
Source Column
CLM_DGNS_PRCDR_ICD_IND
Sources
  • FISS
  • NCH
Profiles
  • Basis
  • Regular
  • CMS

Example

http://www.cms.gov/Medicare/Coding/ICD10

Mappings

CCLF
  • CCLF3.DGNS_PRCDR_ICD_IND
CCW
  • ICD_PRCDR_VRSN_CD1
  • ICD_PRCDR_VRSN_CD2
  • ICD_PRCDR_VRSN_CD3
  • ICD_PRCDR_VRSN_CD4
  • ICD_PRCDR_VRSN_CD5
  • ICD_PRCDR_VRSN_CD6
  • ICD_PRCDR_VRSN_CD7
  • ICD_PRCDR_VRSN_CD8
  • ICD_PRCDR_VRSN_CD9
  • ICD_PRCDR_VRSN_CD10
  • ICD_PRCDR_VRSN_CD11
  • ICD_PRCDR_VRSN_CD12
  • ICD_PRCDR_VRSN_CD13
  • ICD_PRCDR_VRSN_CD14
  • ICD_PRCDR_VRSN_CD15
  • ICD_PRCDR_VRSN_CD16
  • ICD_PRCDR_VRSN_CD17
  • ICD_PRCDR_VRSN_CD18
  • ICD_PRCDR_VRSN_CD19
  • ICD_PRCDR_VRSN_CD20
  • ICD_PRCDR_VRSN_CD21
  • ICD_PRCDR_VRSN_CD22
  • ICD_PRCDR_VRSN_CD23
  • ICD_PRCDR_VRSN_CD24
  • ICD_PRCDR_VRSN_CD25

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