United States Health Information Knowledgebase

 

All Payer Claims: Data Element Comparison

Selected Items
Action Name Data Element ID Version State/Organization
DRG MC071 August 2011 - v3 Colorado
DRG MC071 March 2013 - v5 Colorado
DRG MC071 March 2014 - v6 Colorado
Data Element: DRG MC071 - August 2011 - v3
(Colorado)
DRG MC071 - March 2013 - v5
(Colorado)
DRG MC071 - March 2014 - v6
(Colorado)
[Shared]Data Element ID MC071 MC071 MC071
[Shared]Definition Insurers and health care claims processors shall code using the CMS methodology when available. Precedence shall be given to DRGs transmitted from the hospital provider. When the CMS methodology for DRGs is not available, but the DRG system is used, the insurer shall format the DRG and the complexity level within the same field with an "A" prefix, and with a hyphen separating the DRG and the complexity level (e.g. AXXX-XX). Insurers and health care claims processors shall code using the CMS methodology when available. Precedence shall be given to DRGs transmitted from the hospital provider. When the CMS methodology for DRGs is not available, but the DRG system is used, the insurer shall format the DRG and the complexity level within the same field with an "A" prefix, and with a hyphen separating the DRG and the complexity level (e.g. AXXX-XX). Insurers and health care claims processors shall code using the CMS methodology when available. Precedence shall be given to DRGs transmitted from the hospital provider. When the CMS methodology for DRGs is not available, but the DRG system is used, the insurer shall format the DRG and the complexity level within the same field with an "A" prefix, and with a hyphen separating the DRG and the complexity level (e.g. AXXX-XX).
[Shared] State / Source Colorado
Colorado
Colorado
[Shared]Data Type varchar varchar varchar
[Shared]Length 10 10 10
[Shared]Required O O O
[Unshared]Reference 837/2300/HI/DR/01 -2 837/2300/HI/DR/01- 2 837/2300/HI/DR/01- 2
Data Element: DRG MC071 - August 2011 - v3
(Colorado)
DRG MC071 - March 2013 - v5
(Colorado)
DRG MC071 - March 2014 - v6
(Colorado)
There are no enumerated permissible values for these data elements.
Scroll To Top