United States Health Information Knowledgebase

 

All Payer Claims: Data Element Comparison

Selected Items
Action Name Data Element ID Version State/Organization
DRG MC071 December 1, 2010 - v2.1 Massachusetts
DRG MC071 June 7, 2013 - v3.1 Massachusetts
DRG MC071 October 1, 2014 - v4.0 Massachusetts
Data Element: DRG MC071 - December 1, 2010 - v2.1
(Massachusetts)
DRG MC071 - June 7, 2013 - v3.1
(Massachusetts)
DRG MC071 - October 1, 2014 - v4.0
(Massachusetts)
[Shared]Data Element ID MC071 MC071 MC071
[Unshared]Definition Diagnostic Related Group (DRG) Code Diagnostic Related Group Code Diagnostic Related Group Code
[Shared] State / Source Massachusetts
Massachusetts
Massachusetts
[Unshared]Data Type Text External Code Source 15 - Text External Code Source 15 - Text
[Unshared]Data Type Description DRG External Code Source 15 - DRG External Code Source 15 - DRG
[Unshared]Format External Code Source 11 varchar[7] varchar[7]
[Unshared]Length 10 7 7
[Shared]Column 72 72 72
[Unshared]Threshold 0 1 1
[Unshared]Encrypted No
[Unshared]Required Inpatient Discharges
[Unshared]APCD - GIC Carrier Threshold 1 Not Supplied Not Supplied
[Unshared]Cat Not Supplied B B
[Unshared]Condition Not Supplied Required when MC094 = 002 and MC069 is populated Required when MC094 = 002 and MC069 is populated
[Unshared]Date Active (version) '6/24/2010 Not Supplied Not Supplied
[Unshared]Element Submission Guideline 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 All Payer 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). Report the DRG number applied to this claim on every line to which it's applicable. Insurers and health care claims processors shall code using the CMS methodology when available. When the CMS methodology for DRGs is not available, but the All Payer DRG system is used, the insurer shall format the DRG and the complexity level within the same element with the prefix of "A" and with a hyphen separating the AP DRG from the complexity level (e.g. AXXX-XX) Report the DRG number applied to this claim on every line to which it's applicable. Insurers and health care claims processors shall code using the CMS methodology when available. When the CMS methodology for DRGs is not available, but the All Payer DRG system is used, the insurer shall format the DRG and the complexity level within the same element with the prefix of "A" and with a hyphen separating the AP DRG from the complexity level (e.g. AXXX-XX)
[Shared]File MC MC MC
[Unshared]Old Length 10 Not Supplied Not Supplied
Data Element: DRG MC071 - December 1, 2010 - v2.1
(Massachusetts)
DRG MC071 - June 7, 2013 - v3.1
(Massachusetts)
DRG MC071 - October 1, 2014 - v4.0
(Massachusetts)
There are no enumerated permissible values for these data elements.
Scroll To Top