source: FOIAVistA/trunk/r/DRG_GROUPER-ICD--ICPT/ICDTLB6A.m@ 1123

ICDTLB6A ;ALB/EG/MRY - GROUPER UTILITY FUNCTIONS FY 2005; 9/29/03 2:47pm ; 6/16/05 1:31pm
 ;;18.0;DRG Grouper;**14,17**;Oct 20, 2000
DRG403 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
DRG404 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
DRG405 D DRG404 Q
DRG406 ;
 I ICDORNI["K" D
 .S ICDRG=$S((ICDPD["L")&(ICDCC):539,ICDPD["L":540,ICDCC:406,1:407)
 I ICDORNI'["K" D DRG408
 Q
DRG407 D DRG406 Q
DRG408 I $D(ICDDX(1))&(ICDOPCT=0) D  Q:ICDRG=409
 .I ICDDX(1)=$O(^ICD9("AB","V58.0 ",0)) S ICDRG=409 Q
 .I ICDDX(1)=$O(^ICD9("AB","V67.1 ",0)) S ICDRG=409 Q
 .Q
 I $D(ICDDX(1))&(ICDOPCT=0) D  Q:"410^492"[ICDRG
 .I ICDDX(1)=$O(^ICD9("AB","V58.1 ",0)) S ICDRG=$S(ICDSD["2":492,1:410) Q
 .I ICDDX(1)=$O(^ICD9("AB","V67.2 ",0)) S ICDRG=$S(ICDSD["2":492,1:410) Q
 I ICDOPCT>0 S ICDRG=$S(ICDPD'["L":408,ICDCC:401,1:402) Q
 I ICDOPCT=0 D DRG412
 Q
DRG411 S ICDRG=$S(ICDOR["O"!(ICDORNI["O"):408,ICDOR["N":412,1:411) Q
DRG412 ;S ICDRG=$S(ICDOR["O"!(ICDORNI["O"):408,ICDOR["N"&($D(ICDPDRG(412))):412,$D(ICDPDRG(411)):411,ICDCC:413,1:414)
 I ICDOPCT>0 D DRG408 Q
 D DRG412^ICDTLB61
 Q
DRG413 S ICDRG=$S(ICDCC:413,1:414) Q
DRG414 S ICDRG=$S(ICDCC:413,1:414) Q
DRG416 S ICDRG=$S(ICDOR["O":415,AGE="":470,AGE>17:416,1:417),ICDRTC=$S(ICDRG=470:3,1:ICDRTC) Q
DRG417 S ICDRG=$S(ICDOR["O":415,AGE="":470,AGE>17:416,1:417),ICDRTC=$S(ICDRG=470:3,1:ICDRTC) Q
DRG418 S ICDRG=$S(ICDOR["O":415,1:418) Q
DRG419 S ICDRG=$S(ICDOR["O":415,AGE="":470,AGE<18:422,ICDCC:419,1:420),ICDRTC=$S(ICDRG=470:3,1:ICDRTC) Q
DRG420 S ICDRG=$S(ICDOR["O":415,AGE="":470,AGE<18:422,ICDCC:419,1:420),ICDRTC=$S(ICDRG=470:3,1:ICDRTC) Q
DRG421 S ICDRG=$S(ICDOR["O":415,AGE="":470,AGE>17:421,1:422),ICDRTC=$S(ICDRG=470:3,1:ICDRTC) Q
DRG422 S ICDRG=$S(ICDOR["O":415,AGE="":470,AGE>17:421,1:422),ICDRTC=$S(ICDRG=470:3,1:ICDRTC) Q
DRG423 S ICDRG=$S(ICDOR["O":415,1:423) Q
DRG424 S ICDRG=$S(ICDOR["O":424,1:425) Q
DRG425 S ICDRG=$S(ICDOR["O":424,1:425) Q
DRG426 S ICDRG=$S(ICDOR["O":424,1:426) Q
DRG427 S ICDRG=$S(ICDOR["O":424,1:427) Q
DRG428 S ICDRG=$S(ICDOR["O":424,1:428) Q
DRG429 S ICDRG=$S(ICDOR["O":424,1:429) Q
DRG430 S ICDRG=$S(ICDOR["O":424,1:430) Q
DRG431 S ICDRG=$S(ICDOR["O":424,1:431) Q
DRG432 S ICDRG=$S(ICDOR["O":424,1:432) Q
DRG434 S ICDRG=$S(ICDPD["t"!(ICDSD["t"):$S(ICDOR["D":437,ICDOR["R":436,ICDCC:434,1:435),ICDCC:434,1:435) Q
DRG435 S ICDRG=$S(ICDPD["t"!(ICDSD["t"):$S(ICDOR["D":437,ICDOR["R":436,ICDCC:434,1:435),ICDCC:434,1:435) Q
DRG436 S ICDRG=$S(ICDPD["t"!(ICDSD["t"):$S(ICDOR["D":437,ICDOR["R":436,ICDCC:434,1:435),ICDCC:434,1:435) Q
DRG437 S ICDRG=$S(ICDPD["t"!(ICDSD["t"):$S(ICDOR["D":437,ICDOR["R":436,ICDCC:434,1:435),ICDCC:434,1:435) Q
DRG439 S ICDRG=$S($D(ICDODRG(440)):440,1:439) Q
DRG442 S ICDRG=$S(ICDCC:442,1:443) Q
DRG443 D EN1^ICDDRG5 S ICDRG=$S(ICDCC3:$S(ICDCC:442,1:443),1:"") Q
DRG444 S ICDRG=$S(AGE<18:446,ICDCC:444,1:445) I AGE="" S ICDRG=470,ICDRTC=3
 Q
DRG445 S ICDRG=$S(AGE<18:446,ICDCC:444,1:445) I AGE="" S ICDRG=470,ICDRTC=3
 Q
DRG446 S ICDRG=$S(AGE<18:446,ICDCC:444,1:445) I AGE="" S ICDRG=470,ICDRTC=3
 Q
DRG447 S ICDRG=$S(AGE>17:447,1:448) I AGE="" S ICDRG=470,ICDRTC=3
 Q
DRG448 S ICDRG=$S(AGE>17:447,1:448) I AGE="" S ICDRG=470,ICDRTC=3
 Q
DRG449 S ICDRG=$S(AGE<18:451,ICDCC:449,1:450) I AGE="" S ICDRG=470,ICDRTC=3
 Q
DRG450 S ICDRG=$S(AGE<18:451,ICDCC:449,1:450) I AGE="" S ICDRG=470,ICDRTC=3
 Q
DRG451 S ICDRG=$S(AGE<18:451,ICDCC:449,1:450) I AGE="" S ICDRG=470,ICDRTC=3
 Q
DRG452 S ICDRG=$S(ICDCC:452,1:453) Q
DRG453 S ICDRG=$S(ICDCC:452,1:453) Q
DRG454 S ICDRG=$S(ICDCC:454,1:455) Q
DRG455 S ICDRG=$S(ICDCC:454,1:455) Q
DRG462 S ICDRG=$S(ICDOR["O":461,1:462) Q
DRG463 S ICDRG=$S(ICDOR["O":461,ICDCC:463,1:464) Q
DRG464 S ICDRG=$S(ICDOR["O":461,ICDCC:463,1:464) Q
DRG465 S ICDRG=$S(ICDOR["O":461,ICDSD["m":465,1:466) Q
DRG466 S ICDRG=$S(ICDOR["O":461,ICDSD["m":465,1:466) Q
DRG467 S ICDRG=$S(ICDOR["O":461,1:467) Q
DRG471 S ICDRG=$S($F($P(ICDOR,"M",2,99),"M"):471,1:"") Q
DRG475 S ICDRG=$S(ICDOR["V":475,1:$S($D(ICDPDRG):$O(ICDPDRG(0)),1:468)) I ICDRG<468 D DODRG^ICDDRG0
 Q
DRG478 S ICDRG=$S(ICDOR["O"&ICDCC:478,1:479) Q
DRG479 S ICDRG=$S(ICDOR["O"&ICDCC:478,1:479) Q
DRG493 ;I (ICDI-1)=1,'ICDCC S ICDCC=$S($D(^ICD9("ACC",ICDDX(1),ICDDX(1))):1,1:0)
 S ICDRG=$S(ICDCC:493,1:494) Q
DRG494 ;I (ICD-1),'ICDCC S ICDCC=$S($D(^ICD9("ACC",ICDDX(1),ICDDX(1))):1,1:0)
 S ICDRG=$S(ICDCC:493,1:494) Q
DRG495 Q
DRG496 S ICDRG=$S(ICDOR["F":496,ICDCC:497,1:498) Q
DRG497 S ICDRG=$S(ICDOR["F":496,ICDCC:497,1:498) Q
DRG498 S ICDRG=$S(ICDOR["F":496,ICDCC:497,1:498) Q
DRG499 S ICDRG=$S(ICDCC:499,1:500) Q
DRG500 S ICDRG=$S(ICDCC:499,1:500) Q
DRG501 D
 . I (ICDPD["k") D
 .. I ICDCC S ICDRG=501
 .. I 'ICDCC S ICDRG=502
 . E  S ICDRG=503
 Q
DRG502 D DRG501 Q
DRG503 D DRG501 Q
DRG514 ; Replaced with DRG535
 N ICDE1,ICDE2
 S ICDE1=$S($D(ICDOP(" 37.95"))&($D(ICDOP(" 37.96"))):1,1:0)
 S ICDE2=$S($D(ICDOP(" 37.97"))&($D(ICDOP(" 37.98"))):1,1:0)
 S ICDRG=470
 I $D(ICDOP(" 37.94")) I ICDE1+ICDE2=0 S ICDRG=515
 I '$D(ICDOP(" 37.94")) I ICDE1!ICDE2 S ICDRG=515
 ; "HN" in ICDOR represents OR proc 37.21-.23, 37.26, 88.52-.58
 I ICDRG=515 I ICDOR["HN" S ICDRG=514
 Q
DRG515 D DRG535 Q
DRG516 I ICDOR["1" S ICDRG=518
 I (ICDOR["1") I $D(ICDOP(" 36.06"))!($D(ICDOP(" 92.27"))) S ICDRG=517
 I (ICDOR["1")&(ICDPD["AIC") S ICDRG=516
 I (ICDOR["1")&(ICDPD["AIC")&$D(ICDOP(" 36.07")) S ICDRG=526
 I (ICDOR["1")&(ICDPD'["AIC")&$D(ICDOP(" 36.07")) S ICDRG=527 ; ICD*18*5
 Q
DRG517 D DRG516 Q
DRG518 D DRG516 Q
DRG519 S ICDRG=$S(ICDOR["F":496,ICDCC:519,1:520) Q
DRG520 D DRG519 Q
DRG521 S ICDRG=$S(ICDCC:521,ICDOR["D"!(ICDOR["R"):522,1:523) Q
DRG522 D DRG521 Q
DRG523 D DRG521 Q
DRG526 D DRG516 Q
DRG527 D DRG516 Q
DRG531 S ICDRG=$S(ICDCC:531,1:532) Q
DRG532 D DRG531 Q
DRG533 S ICDRG=$S(ICDCC:533,1:534) Q
DRG534 D DRG533 Q
DRG535 N ICDE1,ICDE2,ICDE3
 S ICDE1=$S($D(ICDOP(" 37.95"))&(($D(ICDOP(" 37.96")))!($D(ICDOP(" 00.54")))):1,1:0)
 S ICDE2=$S($D(ICDOP(" 37.97"))&(($D(ICDOP(" 37.98")))!($D(ICDOP(" 00.54")))):1,1:0)
 S ICDE3=$S($D(ICDOP(" 00.52"))&($D(ICDOP(" 00.54"))):1,1:0)
 ;S ICDE4=$S($D(ICDOP(" 00.54"))&($D(ICDOP(" 37.95"))):1,1:0)
 S ICDRG=470
 I $D(ICDOP(" 37.94"))!$D(ICDOP(" 00.51")) I ICDE1+ICDE2+ICDE3=0 S ICDRG=515
 I '$D(ICDOP(" 37.94"))&('$D(ICDOP(" 00.51"))) I ICDE1!ICDE2!ICDE3 S ICDRG=515
 ; "HN" in ICDOR represents OR proc 37.21-.23, 37.26, 88.52-.58
 I ICDRG=515 I ICDOR["HN" S ICDRG=$S(ICDPD["A":535,1:536)
 I ICDRG=470 D DRG115^ICDTLB2A
 Q
DRG536 D DRG535 Q
DRG537 S ICDRG=$S(ICDCC:537,1:538) Q
DRG538 D DRG537 Q
DRG539 I ICDPD["L"&(ICDMAJ'[3) D DRG401^ICDTLB5A Q:"401^402^403^404^405^470^473"[ICDRG
 S ICDRG=$S((ICDPD["L")&(ICDCC):539,ICDPD["L":540,ICDCC:406,1:407) Q
DRG540 D DRG539 Q
DRG543 S ICDRG=$S((ICDPD["Q")&(ICDOR["Q"):543,ICDOR["Q"&$D(ICDOP(" 00.10")):543,1:ICDRG)