Tip: ICD Diagnosis and Procedure Codes for 99EBD1





Number

0021

Submitting Entities

99EBD1

Add Date

Mar 1, 2019

Update Date

 May 18, 2023

Update

Updated with date restrictions

Description

Inconsistencies and truncation exist in this SE’s ICD Diagnosis Code and Procedure Code fields resulting from the third party administrator (TPA) transition from ICD9 to ICD10. Two issues occurred:1) the ICD10 codes were truncated to six characters, and 2) they were inconsistently populated between Diagnosis Code and Procedure Code fields.

Note: While complete ICD codes are more granular, the first 1 to 6 characters can still be used to identify diagnoses.

NEW: These issues exist in the oldest data. only where MC001 = ‘99EBD1’ and MC059 <= ‘2014-12-31’

 

Action / Resolution

Category 1

ICD Codes

Category 2

Data quality

Tip / Issue

Tip