Tip: ICD Diagnosis and Procedure Codes for 99EBD1
- Trang Riley (Unlicensed)
- Kenley Money
- Kathleen Hart (Unlicensed)
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’
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Action / Resolution | |
Category 1 | ICD Codes |
Category 2 | Data quality |
Tip / Issue | Tip |