source: WorldVistAEHR/trunk/r/DRG_GROUPER-ICD--ICPT/ICDTLB6C.m@ 1046

ICDTLB6C ;ALB/EG/MRY - GROUPER UTILITY FUNCTIONS FY 2007; 9/29/03 2:47pm ; 6/28/05 4:06pm
 ;;18.0;DRG Grouper;**24,30**;Oct 20, 2000;Build 5
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","V58.11 ",0)) S ICDRG=$S(ICDSD["2":492,1:410) Q
 .I ICDDX(1)=$O(^ICD9("AB","V58.12 ",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=$S(ICDOR["O":578,AGE="":470,AGE>17:576,1:417),ICDRTC=$S(ICDRG=470:3,1:ICDRTC) I ICDRG=576&($D(ICDOP(" 96.72"))) S ICDRG=575
 Q
DRG417 S ICDRG=$S(ICDOR["O":578,AGE="":470,AGE>17:576,1:417),ICDRTC=$S(ICDRG=470:3,1:ICDRTC) Q
DRG418 S ICDRG=$S(ICDOR["O":579,1:418) Q
DRG419 S ICDRG=$S(ICDOR["O":578,AGE="":470,AGE<18:422,ICDCC:419,1:420),ICDRTC=$S(ICDRG=470:3,1:ICDRTC) Q
DRG420 S ICDRG=$S(ICDOR["O":578,AGE="":470,AGE<18:422,ICDCC:419,1:420),ICDRTC=$S(ICDRG=470:3,1:ICDRTC) Q
DRG421 S ICDRG=$S(ICDOR["O":578,AGE="":470,AGE>17:421,1:422),ICDRTC=$S(ICDRG=470:3,1:ICDRTC) Q
DRG422 S ICDRG=$S(ICDOR["O":578,AGE="":470,AGE>17:421,1:422),ICDRTC=$S(ICDRG=470:3,1:ICDRTC) Q
DRG423 S ICDRG=$S(ICDOR["O":578,1:423) I ICDRG=578&(ICDDX(1)=7615) S ICDRG=579
 Q
DRG424 S ICDRG=$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=$S(ICDOR["O"&ICDCC:478,1:479)
 I ICDRG=478 D DRG553^ICDTLB6C
 Q
DRG479 G DRG478
DRG493 ;I (ICDI-1)=1,'ICDCC S ICDCC=$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)
     I ICDRG=497!(ICDRG=498) I ICDPD["6" S ICDRG=546 Q
     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
     Q 
DRG497 G DRG496  ;S ICDRG=$S(ICDOR["F":496,ICDCC:497,1:498) Q
DRG498 G DRG496  ;S ICDRG=$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 ; DRG 516,517,526 and 527 replaced by DRG 555-558 respectively
 ; ICD*18*30 DRG551 is higher in surgical hierarchy
 I ICDRG=551 Q
 S ICDRG=518
 D DRG555
 I $D(ICDOP(" 36.06"))!$D(ICDOP(" 92.27")) D DRG556
 I $D(ICDOP(" 36.07")) D DRG557
 Q
DRG517 D DRG516 Q
DRG518 D DRG516 Q
DRG519 S ICDRG=$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) I $D(ICDOP(" 00.61"))&($D(ICDOP(" 00.63"))) S ICDRG=577
 Q
DRG534 D DRG533 Q
DRG535 N ICDE1,ICDE2,ICDE3,ICDE4
 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 ICDE4=$S($D(ICDOP(" 37.74"))&(($D(ICDOP(" 37.96")))!($D(ICDOP(" 37.98")))!($D(ICDOP(" 00.54")))):1,1:0)
 S ICDRG=470
 I $D(ICDOP(" 37.94"))!$D(ICDOP(" 00.51")) I ICDE1+ICDE2+ICDE3+ICDE4=0 S ICDRG=515
 I '$D(ICDOP(" 37.94"))&('$D(ICDOP(" 00.51"))) I ICDE1!ICDE2!ICDE3!ICDE4 S ICDRG=515
 ; "HN" in ICDOR represents OR proc 37.21-.23, 37.26, 88.52-.58
 I ICDRG=515 I ICDOR["HN" I '$D(ICDOP(" 37.26")) S ICDRG=$S(ICDPD["A":535,1:536)
 I ICDRG=470 D DRG115^ICDTLB2C
 Q
DRG536 D DRG535 Q
DRG537 S ICDRG=$S(ICDCC:537,1:538) Q
DRG538 D DRG537 Q
DRG539 I ICDPD["L"&(ICDMAJ'[3) D DRG401^ICDTLB5C Q:"401^402^403^404^405^470^473"[ICDRG
 S ICDRG=$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,$D(ICDOP(" 02.93"))&($D(ICDOP(" 86.95"))):543,1:ICDRG) Q
DRG544 Q
DRG545 Q
DRG546 Q
DRG547 ; called from DRG106^ICDTLB2C     
 D MCV
 S ICDRG=$S(ICDMCV:547,ICDMCV1:547,1:548) Q
DRG548 G DRG547
DRG549 ; called from DRG106^ICDTLB2C
 D MCV
 S ICDRG=$S(ICDMCV:549,ICDMCV1:549,1:550) Q
DRG550 G DRG549
DRG551 ; called from DRG115^ICDTLB2C 
 D MCV
 I ICDMCV!(ICDMCV2) S ICDRG=551
 Q
DRG552 Q
DRG553 ; called from DRG478
 D MCV
 S ICDRG=$S(ICDMCV:553,ICDMCV1:553,1:554) Q
DRG554 G DRG553
DRG555 ; called from DRG516
 D MCV
 I ICDMCV!(ICDMCV1) S ICDRG=555
 Q
DRG556 ; called from DRG516
 D MCV
 I 'ICDMCV&('ICDMCV1) S ICDRG=556
 Q
DRG557 ; called from DRG516
 D MCV
 I ICDMCV!ICDMCV1 S ICDRG=557
 E  S ICDRG=558
 Q
DRG558 G DRG516
DRG559 ;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
 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
 Q
DRG560 Q
DRG561 Q
DRG562 Q
DRG563 Q
DRG564 Q
DRG565 Q
DRG566 Q
DRG567 Q
DRG568 Q
DRG569 Q
DRG570 Q
DRG571 Q
DRG572 Q
DRG573 Q
DRG574 Q
DRG575 Q
DRG576 Q
DRG577 Q
DRG578 Q
DRG579 Q
MCV ; checks to see if case qualifies as an MCV (major cardiovascular complications or complex conditions)
 S (ICDMCV,ICDMCV1,ICDMCV2)=0
 ; ICDPD=identifier for prime dx  ICDSD=identifier for any secondary dx
 ; DGDX(1)=prime dx  ICDDX(1)=ien of prime dx ICDDXT=any secondary dx  
 I ICDPD["c"!(ICDSD["c") S ICDMCV=1
 I ICDSD["s" S ICDMCV=1
 ;I DGDX(1)["426.0"!(DGDX(1)["426.53")!(DGDX(1)["426.54") S ICDMCV1=1
 I $G(ICDDX(1))=9056!($G(ICDDX(1))=2548)!($G(ICDDX(1))=2549) S ICDMCV1=1
 I $D(ICDDXT("426.0"))!($D(ICDDXT("426.53")))!($D(ICDDXT("426.54"))) S ICDMCV1=1
 ;I DGDX(1)["411.1"!(DGDX(1)["411.81") S ICDMCV2=1
 I $G(ICDDX(1))=2500!($G(ICDDX(1))=12477) S ICDMCV2=1
 I $D(ICDDXT("411.1"))!($D(ICDDXT("411.81"))) S ICDMCV2=1
 Q