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Data ElementOther ICD-9-CM or ICD-10-CM Procedure Code – 1
Description

First secondary inpatient ICD-9-CM or ICD-10-CM procedure code. The decimal point is not coded. The ICD-9-CM or ICD-10-CM procedure must be repeated for all lines of the claim, if necessary.

See Appendix K - External Code Sources.

TypeText
Formatvarchar
Length7
Threshold30% if MC036 begins with 11, 12 and MC094 = 002
RequiredRequired
Tip / NotesDefinition updated to include institution level information as well as inpatient level information as of 9/1/2022. This field represents only to inpatient admissions for data requests pulled prior to 9/1/2022.
Rank064