United States Health Information Knowledgebase

 

Diagnosis Code Qualifier

Name:Diagnosis Code Qualifier
Field:492-WE
Definition:Code qualifying the 'Diagnosis Code' (424-DO).
Type:Data Element
$attribute_name$:$attribute_value$
Version:04-2014
Registration Authority:National Council for Prescription Drug Programs
Source:National Council for Prescription Drug Programs
Values for: Diagnosis Code Qualifier
Value Value Meaning
00 Not Specified
01 International Classification of Diseases (ICD9) - Code indicating the diagnosis is defined according to the International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) is a statistical classification system that arranges diseases and injuries into groups according to established criteria. Most codes are numeric and consist of 3, 4, or 5 numbers and a description. The codes are maintained by the World Health Organization and published by the Centers for Medicare and Medicaid Services.
02 International Classification of Diseases-10-Clinical Modifications (ICD-10-CM) - Code indicating that the following information is a diagnosis as defined by ICD-10-CM. As of January 1, 1999, the ICD-10 is used to code and classify mortality data from death certificates. The International Classification of Diseases, 10th Revision, Clinical Modification (ICD-9-CM) is a statistical classification system that arranges diseases and injuries into groups according to established criteria. The codes are 3 to 7 digits with the first digit alpha, the second and third numeric and the remainder A/N. The codes are maintained by the World Health Organization and published by the Centers for Medicare and Medicaid Services.
03 National Criteria Care Institute (NCCI) - The CMS-developed Correct Coding Initiative (CCI) to promote national correct coding methodologies and to control improper coding leading to inappropriate payment in Part B claims. The CMS developed its coding policies based on coding conventions defined in the American Medical Association's CPT manual, national and local policies and edits, coding guidelines developed by national societies, analysis of standard medical and surgical practices, and a review of current coding practices.
04 The Systematized Nomenclature of Medicine Clinical Terms® (SNOMED) - A clinical health care terminology and infrastructure that provides a common language that enables a consistent way of capturing, sharing and aggregating health data across specialties and sites of care.
05 Common Dental Terminology (CDT) - Current Dental Terminology (CDT) is the published Code on Dental Procedures and Nomenclature (the Code) providing descriptive terms, codes and guidance for the accurate reporting of dental procedures. The Code is maintained by the Code Revision Committee and published by the American Dental Association. The procedure codes and descriptions are also published as part of the Healthcare Common Procedure System (HCPCS) Level II through agreement with Centers for Medicare and Medicaid Services.
07 American Psychiatric Association Diagnostic Statistical Manual of Mental Disorders (DSM IV) - Diagnostic criteria for the most common mental disorders including: description, diagnosis, treatment, and research findings. Comments: The Diagnostic and Statistical Manual of Mental Disorders - Fourth Edition (DSM-IV) is published by the American Psychiatric Association, Washington D.C.
 
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