source: FOIAVistA/tag/r/DRG_GROUPER-ICD--ICPT/ICDTLB6B.m@ 636

Last change on this file since 636 was 636, checked in by George Lilly, 14 years ago

WorldVistAEHR overlayed on FOIAVistA
File size: 8.7 KB
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1ICDTLB6B ;ALB/EG/MRY - GROUPER UTILITY FUNCTIONS FY 2006; 9/29/03 2:47pm ; 6/28/05 4:06pm
2 ;;18.0;DRG Grouper;**20,22**;Oct 20, 2000;Build 1
3DRG403 S ICDRG=$S(ICDPD["l":$S(AGE="":470,AGE<18:405,1:473),ICDOR["O"!(ICDORNI["O"):$S(ICDCC:401,1:402),ICDCC:403,1:404),ICDRTC=$S(ICDRG=470:3,1:ICDRTC) Q
4DRG404 S ICDRG=$S(ICDPD["l":$S(AGE="":470,AGE<18:405,1:473),ICDOR["O"!(ICDORNI["O"):$S(ICDCC:401,1:402),ICDCC:403,1:404),ICDRTC=$S(ICDRG=470:3,1:ICDRTC) Q
5DRG405 D DRG404 Q
6DRG406 ;
7 I ICDORNI["K" D
8 .S ICDRG=$S((ICDPD["L")&(ICDCC):539,ICDPD["L":540,ICDCC:406,1:407)
9 I ICDORNI'["K" D DRG408
10 Q
11DRG407 D DRG406 Q
12DRG408 I $D(ICDDX(1))&(ICDOPCT=0) D Q:ICDRG=409
13 .I ICDDX(1)=$O(^ICD9("AB","V58.0 ",0)) S ICDRG=409 Q
14 .I ICDDX(1)=$O(^ICD9("AB","V67.1 ",0)) S ICDRG=409 Q
15 .Q
16 I $D(ICDDX(1))&(ICDOPCT=0) D Q:"410^492"[ICDRG
17 .I ICDDX(1)=$O(^ICD9("AB","V58.11 ",0)) S ICDRG=$S(ICDSD["2":492,1:410) Q
18 .I ICDDX(1)=$O(^ICD9("AB","V58.12 ",0)) S ICDRG=$S(ICDSD["2":492,1:410) Q
19 .I ICDDX(1)=$O(^ICD9("AB","V67.2 ",0)) S ICDRG=$S(ICDSD["2":492,1:410) Q
20 I ICDOPCT>0 S ICDRG=$S(ICDPD'["L":408,ICDCC:401,1:402) Q
21 I ICDOPCT=0 D DRG412
22 Q
23DRG411 S ICDRG=$S(ICDOR["O"!(ICDORNI["O"):408,ICDOR["N":412,1:411) Q
24DRG412 ;S ICDRG=$S(ICDOR["O"!(ICDORNI["O"):408,ICDOR["N"&($D(ICDPDRG(412))):412,$D(ICDPDRG(411)):411,ICDCC:413,1:414)
25 I ICDOPCT>0 D DRG408 Q
26 D DRG412^ICDTLB61
27 Q
28DRG413 S ICDRG=$S(ICDCC:413,1:414) Q
29DRG414 S ICDRG=$S(ICDCC:413,1:414) Q
30DRG416 S ICDRG=$S(ICDOR["O":415,AGE="":470,AGE>17:416,1:417),ICDRTC=$S(ICDRG=470:3,1:ICDRTC) Q
31DRG417 S ICDRG=$S(ICDOR["O":415,AGE="":470,AGE>17:416,1:417),ICDRTC=$S(ICDRG=470:3,1:ICDRTC) Q
32DRG418 S ICDRG=$S(ICDOR["O":415,1:418) Q
33DRG419 S ICDRG=$S(ICDOR["O":415,AGE="":470,AGE<18:422,ICDCC:419,1:420),ICDRTC=$S(ICDRG=470:3,1:ICDRTC) Q
34DRG420 S ICDRG=$S(ICDOR["O":415,AGE="":470,AGE<18:422,ICDCC:419,1:420),ICDRTC=$S(ICDRG=470:3,1:ICDRTC) Q
35DRG421 S ICDRG=$S(ICDOR["O":415,AGE="":470,AGE>17:421,1:422),ICDRTC=$S(ICDRG=470:3,1:ICDRTC) Q
36DRG422 S ICDRG=$S(ICDOR["O":415,AGE="":470,AGE>17:421,1:422),ICDRTC=$S(ICDRG=470:3,1:ICDRTC) Q
37DRG423 S ICDRG=$S(ICDOR["O":415,1:423) Q
38DRG424 S ICDRG=$S(ICDOR["O":424,1:425) Q
39DRG425 S ICDRG=$S(ICDOR["O":424,1:425) Q
40DRG426 S ICDRG=$S(ICDOR["O":424,1:426) Q
41DRG427 S ICDRG=$S(ICDOR["O":424,1:427) Q
42DRG428 S ICDRG=$S(ICDOR["O":424,1:428) Q
43DRG429 S ICDRG=$S(ICDOR["O":424,1:429) Q
44DRG430 S ICDRG=$S(ICDOR["O":424,1:430) Q
45DRG431 S ICDRG=$S(ICDOR["O":424,1:431) Q
46DRG432 S ICDRG=$S(ICDOR["O":424,1:432) Q
47DRG434 S ICDRG=$S(ICDPD["t"!(ICDSD["t"):$S(ICDOR["D":437,ICDOR["R":436,ICDCC:434,1:435),ICDCC:434,1:435) Q
48DRG435 S ICDRG=$S(ICDPD["t"!(ICDSD["t"):$S(ICDOR["D":437,ICDOR["R":436,ICDCC:434,1:435),ICDCC:434,1:435) Q
49DRG436 S ICDRG=$S(ICDPD["t"!(ICDSD["t"):$S(ICDOR["D":437,ICDOR["R":436,ICDCC:434,1:435),ICDCC:434,1:435) Q
50DRG437 S ICDRG=$S(ICDPD["t"!(ICDSD["t"):$S(ICDOR["D":437,ICDOR["R":436,ICDCC:434,1:435),ICDCC:434,1:435) Q
51DRG439 S ICDRG=$S($D(ICDODRG(440)):440,1:439) Q
52DRG442 S ICDRG=$S(ICDCC:442,1:443) Q
53DRG443 D EN1^ICDDRG5 S ICDRG=$S(ICDCC3:$S(ICDCC:442,1:443),1:"") Q
54DRG444 S ICDRG=$S(AGE<18:446,ICDCC:444,1:445) I AGE="" S ICDRG=470,ICDRTC=3
55 Q
56DRG445 S ICDRG=$S(AGE<18:446,ICDCC:444,1:445) I AGE="" S ICDRG=470,ICDRTC=3
57 Q
58DRG446 S ICDRG=$S(AGE<18:446,ICDCC:444,1:445) I AGE="" S ICDRG=470,ICDRTC=3
59 Q
60DRG447 S ICDRG=$S(AGE>17:447,1:448) I AGE="" S ICDRG=470,ICDRTC=3
61 Q
62DRG448 S ICDRG=$S(AGE>17:447,1:448) I AGE="" S ICDRG=470,ICDRTC=3
63 Q
64DRG449 S ICDRG=$S(AGE<18:451,ICDCC:449,1:450) I AGE="" S ICDRG=470,ICDRTC=3
65 Q
66DRG450 S ICDRG=$S(AGE<18:451,ICDCC:449,1:450) I AGE="" S ICDRG=470,ICDRTC=3
67 Q
68DRG451 S ICDRG=$S(AGE<18:451,ICDCC:449,1:450) I AGE="" S ICDRG=470,ICDRTC=3
69 Q
70DRG452 S ICDRG=$S(ICDCC:452,1:453) Q
71DRG453 S ICDRG=$S(ICDCC:452,1:453) Q
72DRG454 S ICDRG=$S(ICDCC:454,1:455) Q
73DRG455 S ICDRG=$S(ICDCC:454,1:455) Q
74DRG462 S ICDRG=$S(ICDOR["O":461,1:462) Q
75DRG463 S ICDRG=$S(ICDOR["O":461,ICDCC:463,1:464) Q
76DRG464 S ICDRG=$S(ICDOR["O":461,ICDCC:463,1:464) Q
77DRG465 S ICDRG=$S(ICDOR["O":461,ICDSD["m":465,1:466) Q
78DRG466 S ICDRG=$S(ICDOR["O":461,ICDSD["m":465,1:466) Q
79DRG467 S ICDRG=$S(ICDOR["O":461,1:467) Q
80DRG471 S ICDRG=$S($F($P(ICDOR,"M",2,99),"M"):471,1:"") Q
81DRG475 S ICDRG=$S(ICDOR["V":475,1:$S($D(ICDPDRG):$O(ICDPDRG(0)),1:468)) I ICDRG<468 D DODRG^ICDDRG0
82 Q
83DRG478 S ICDRG=$S(ICDOR["O"&ICDCC:478,1:479)
84 I ICDRG=478 D DRG553^ICDTLB6B
85 Q
86DRG479 G DRG478
87DRG493 ;I (ICDI-1)=1,'ICDCC S ICDCC=$S($D(^ICD9("ACC",ICDDX(1),ICDDX(1))):1,1:0)
88 S ICDRG=$S(ICDCC:493,1:494) Q
89DRG494 ;I (ICD-1),'ICDCC S ICDCC=$S($D(^ICD9("ACC",ICDDX(1),ICDDX(1))):1,1:0)
90 S ICDRG=$S(ICDCC:493,1:494) Q
91DRG495 Q
92DRG496 S ICDRG=$S(ICDOR["F":496,ICDCC:497,1:498)
93 I ICDRG=497!(ICDRG=498) I ICDPD["6" S ICDRG=546 Q
94 I ICDRG=497!(ICDRG=498) I $D(ICDDXT("737.40"))!($D(ICDDXT("737.41")))!($D(ICDDXT("737.42")))!($D(ICDDXT("737.43"))) S ICDRG=546
95 Q
96DRG497 G DRG496 ;S ICDRG=$S(ICDOR["F":496,ICDCC:497,1:498) Q
97DRG498 G DRG496 ;S ICDRG=$S(ICDOR["F":496,ICDCC:497,1:498) Q
98DRG499 S ICDRG=$S(ICDCC:499,1:500) Q
99DRG500 S ICDRG=$S(ICDCC:499,1:500) Q
100DRG501 D
101 . I (ICDPD["k") D
102 .. I ICDCC S ICDRG=501
103 .. I 'ICDCC S ICDRG=502
104 . E S ICDRG=503
105 Q
106DRG502 D DRG501 Q
107DRG503 D DRG501 Q
108DRG514 ; Replaced with DRG535
109 N ICDE1,ICDE2
110 S ICDE1=$S($D(ICDOP(" 37.95"))&($D(ICDOP(" 37.96"))):1,1:0)
111 S ICDE2=$S($D(ICDOP(" 37.97"))&($D(ICDOP(" 37.98"))):1,1:0)
112 S ICDRG=470
113 I $D(ICDOP(" 37.94")) I ICDE1+ICDE2=0 S ICDRG=515
114 I '$D(ICDOP(" 37.94")) I ICDE1!ICDE2 S ICDRG=515
115 ; "HN" in ICDOR represents OR proc 37.21-.23, 37.26, 88.52-.58
116 I ICDRG=515 I ICDOR["HN" S ICDRG=514
117 Q
118DRG515 D DRG535 Q
119DRG516 ; DRG 516,517,526 and 527 replaced by DRG 555-558 respectively
120 S ICDRG=518
121 D DRG555
122 I $D(ICDOP(" 36.06"))!$D(ICDOP(" 92.27")) D DRG556
123 I $D(ICDOP(" 36.07")) D DRG557
124 Q
125DRG517 D DRG516 Q
126DRG518 D DRG516 Q
127DRG519 S ICDRG=$S(ICDOR["F":496,ICDCC:519,1:520) Q
128DRG520 D DRG519 Q
129DRG521 S ICDRG=$S(ICDCC:521,ICDOR["D"!(ICDOR["R"):522,1:523) Q
130DRG522 D DRG521 Q
131DRG523 D DRG521 Q
132DRG526 D DRG516 Q
133DRG527 D DRG516 Q
134DRG531 S ICDRG=$S(ICDCC:531,1:532) Q
135DRG532 D DRG531 Q
136DRG533 S ICDRG=$S(ICDCC:533,1:534) Q
137DRG534 D DRG533 Q
138DRG535 N ICDE1,ICDE2,ICDE3
139 S ICDE1=$S($D(ICDOP(" 37.95"))&(($D(ICDOP(" 37.96")))!($D(ICDOP(" 00.54")))):1,1:0)
140 S ICDE2=$S($D(ICDOP(" 37.97"))&(($D(ICDOP(" 37.98")))!($D(ICDOP(" 00.54")))):1,1:0)
141 S ICDE3=$S($D(ICDOP(" 00.52"))&($D(ICDOP(" 00.54"))):1,1:0)
142 ;S ICDE4=$S($D(ICDOP(" 00.54"))&($D(ICDOP(" 37.95"))):1,1:0)
143 S ICDRG=470
144 I $D(ICDOP(" 37.94"))!$D(ICDOP(" 00.51")) I ICDE1+ICDE2+ICDE3=0 S ICDRG=515
145 I '$D(ICDOP(" 37.94"))&('$D(ICDOP(" 00.51"))) I ICDE1!ICDE2!ICDE3 S ICDRG=515
146 ; "HN" in ICDOR represents OR proc 37.21-.23, 37.26, 88.52-.58
147 I ICDRG=515 I ICDOR["HN" I '$D(ICDOP(" 37.26")) S ICDRG=$S(ICDPD["A":535,1:536)
148 I ICDRG=470 D DRG115^ICDTLB2B
149 Q
150DRG536 D DRG535 Q
151DRG537 S ICDRG=$S(ICDCC:537,1:538) Q
152DRG538 D DRG537 Q
153DRG539 I ICDPD["L"&(ICDMAJ'[3) D DRG401^ICDTLB5B Q:"401^402^403^404^405^470^473"[ICDRG
154 S ICDRG=$S((ICDPD["L")&(ICDCC):539,ICDPD["L":540,ICDCC:406,1:407) Q
155DRG540 D DRG539 Q
156DRG543 S ICDRG=$S((ICDPD["Q")&(ICDOR["Q"):543,ICDOR["Q"&$D(ICDOP(" 00.10")):543,1:ICDRG) Q
157DRG544 Q
158DRG545 Q
159DRG546 Q
160DRG547 ; called from DRG106^ICDTLB2B
161 D MCV
162 S ICDRG=$S(ICDMCV:547,ICDMCV1:547,1:548) Q
163DRG548 G DRG547
164DRG549 ; called from DRG106^ICDTLB2B
165 D MCV
166 S ICDRG=$S(ICDMCV:549,ICDMCV1:549,1:550) Q
167DRG550 G DRG549
168DRG551 ; called from DRG115^ICDTLB2B
169 D MCV
170 I ICDMCV!(ICDMCV2) S ICDRG=551
171 Q
172DRG552 Q
173DRG553 ; called from DRG478
174 D MCV
175 S ICDRG=$S(ICDMCV:553,ICDMCV1:553,1:554) Q
176DRG554 G DRG553
177DRG555 ; called from DRG516
178 D MCV
179 I ICDMCV!(ICDMCV1) S ICDRG=555
180 Q
181DRG556 ; called from DRG516
182 D MCV
183 I 'ICDMCV&('ICDMCV1) S ICDRG=556
184 Q
185DRG557 ; called from DRG516
186 D MCV
187 I ICDMCV!ICDMCV1 S ICDRG=557
188 E S ICDRG=558
189 Q
190DRG558 G DRG516
191DRG559 ;I DGDX(1)["433.01"!(DGDX(1)["433.11")!(DGDX(1)["433.21")!(DGDX(1)["433.31")!(DGDX(1)["433.81")!(DGDX(1)["433.91")!(DGDX(1)["434.01")!(DGDX(1)["434.11")!(DGDX(1)["434.91") S ICDRG=559
192 I $G(ICDDX(1))=12856!($G(ICDDX(1))=12858)!($G(ICDDX(1))=12860)!($G(ICDDX(1))=12862)!($G(ICDDX(1))=12864)!($G(ICDDX(1))=12866)!($G(ICDDX(1))=12868)!($G(ICDDX(1))=12870)!($G(ICDDX(1))=12872) S ICDRG=559
193 Q
194MCV ; checks to see if case qualifies as an MCV (major cardiovascular complications or complex conditions)
195 S (ICDMCV,ICDMCV1,ICDMCV2)=0
196 ; ICDPD=identifier for prime dx ICDSD=identifier for any secondary dx
197 ; DGDX(1)=prime dx ICDDX(1)=ien of prime dx ICDDXT=any secondary dx
198 I ICDPD["c"!(ICDSD["c") S ICDMCV=1
199 I ICDSD["s" S ICDMCV=1
200 ;I DGDX(1)["426.0"!(DGDX(1)["426.53")!(DGDX(1)["426.54") S ICDMCV1=1
201 I $G(ICDDX(1))=9056!($G(ICDDX(1))=2548)!($G(ICDDX(1))=2549) S ICDMCV1=1
202 I $D(ICDDXT("426.0"))!($D(ICDDXT("426.53")))!($D(ICDDXT("426.54"))) S ICDMCV1=1
203 ;I DGDX(1)["411.1"!(DGDX(1)["411.81") S ICDMCV2=1
204 I $G(ICDDX(1))=2500!($G(ICDDX(1))=12477) S ICDMCV2=1
205 I $D(ICDDXT("411.1"))!($D(ICDDXT("411.81"))) S ICDMCV2=1
206 Q
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