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DBIA418 ICR (418)

DBIA418    ICR (418)

Name Value
NUMBER 418
IA # 418
FILE NUMBER 45
GLOBAL ROOT DGPT
DATE CREATED 1994/04/05
CUSTODIAL PACKAGE REGISTRATION
CUSTODIAL ISC Albany
USAGE Controlled Subscription
TYPE File
DBIC APPROVAL STATUS APPROVED
NAME DBIA418
ORIGINAL NUMBER 418
GENERAL DESCRIPTION
This ICR supports access to PTF (#45) file
cross-references and data fields.  Data fields may be accessed using a Direct
Global Read or with Fileman.

NOTE: Existing subscribers to this ICR are grandfathered in for accessing PTF
(#45) Diagnosis, Present on Admission (POA), Procedure code, and Surgical code
data fields. However, current subscribers are encouraged to use ICR 6130 in
the future.  ICR 6130 supports the use of PTF Utility API's to access PTF
(#45) Diagnosis, Present on Admission (POA) indicators, Procedure code, and
Surgical code fields, instead of accessing fields directly or using Fileman.
New subscribers should not be added to this ICR if PTF (#45) file data fields
may be obtained using the PTF Utility API's supported by ICR 6130.
GLOBAL REFERENCE
GLOBAL REFERENCE FIELD NUMBER GLOBAL DESCRIPTION
DGPT(D0,0)
FIELD NUMBER ACCESS FIELD DESCRIPTION FIELD NAME LOCATION
.01 Pointed to
This pointer is needed to find the associated PTF record
for a claim and extract the required data.
PATIENT 0;1
2 Direct Global Read & w/Fileman
The admission date is used to the end of the date range
for a claim
ADMISSION DATE 0;2
4 Direct Global Read & w/Fileman
This field is used to determine if the PTF update routine
must be called (not called for Fee admissions).
FEE BASIS 0;4
6 Direct Global Read & w/Fileman
This field is used to determine if the PTF record has
been closed.
STATUS 0;6
DGPT(D0,70)
FIELD NUMBER ACCESS FIELD DESCRIPTION FIELD NAME LOCATION
70 Direct Global Read & w/Fileman
The discharge date is used to determine the end of the
date range for the claim.
DISCHARGE DATE 70;1
71 Direct Global Read & w/Fileman
The discharge specialty is used to determine if the
admission is billable.
DISCHARGE SPECIALTY 70;2
72 Direct Global Read & w/Fileman
The type of disposition is used to determine the
discharge status for the claim.
TYPE OF DISPOSITION 70;3
79 Direct Global Read & w/Fileman
The PRINCIPAL DIAGNOSIS is printed on the Amb Proc check
off sheet.
PRINCIPAL DX 70;10
79.16 Direct Global Read & w/Fileman
The SECONDARY DIAGNOSIS 1 is printed on the Amb Proc
check off sheet.
SECONDARY DX 1 70;16
79.17 Direct Global Read & w/Fileman
The SECONDARY DIAGNOSIS 2 is printed on the Amb Proc
check off sheet.
SECONDARY DX 2 70;17
79.1 Direct Global Read & w/Fileman PROVIDER 70;15
79.18 Direct Global Read & w/Fileman SECONDARY DX 3 70;18
79.19 Direct Global Read & w/Fileman SECONDARY DX 4 70;19
79.201 Direct Global Read & w/Fileman SECONDARY DX 5 70;20
79.21 Direct Global Read & w/Fileman SECONDARY DX 6 70;21
79.22 Direct Global Read & w/Fileman SECONDARY DX 7 70;22
79.23 Direct Global Read & w/Fileman SECONDARY DX 8 70;23
79.24 Direct Global Read & w/Fileman SECONDARY DX 9 70;24
79.25 Direct Global Read & w/Fileman TREATED FOR SC CONDITION 70;25
DGPT('B',
The "B" cross-reference is used to find a specific PTF
record for a patient.
DGPT('AAD',
The "AAD" cross reference is used to find all admissions
for a patient within a specified date range.
DGPT('AFEE',
The "AFEE" cross reference is used to find all Fee
admissions for a patient within a specified date range.
DGPT(D0,'M',D1,0)
FIELD NUMBER ACCESS FIELD DESCRIPTION FIELD NAME LOCATION
2 Direct Global Read & w/Fileman
The specialty is used to determine if a 501 movement is
billable.
LOSING SPECIALTY 0;2
3 Direct Global Read & w/Fileman
Leave days are used to determine the number of billable
days of care.
LEAVE DAYS 0;3
4 Direct Global Read & w/Fileman
Pass days are used to determine the number of billable
days of care.
PASS DAYS 0;4
5 Direct Global Read & w/Fileman ICD 1 0;5
6 Direct Global Read & w/Fileman ICD 2 0;6
7 Direct Global Read & w/Fileman ICD 3 0;7
8 Direct Global Read & w/Fileman ICD 4 0;8
9 Direct Global Read & w/Fileman ICD 5 0;9
10 Direct Global Read & w/Fileman
The movement date is used to determine if the 501
movement is within the date range of the bill
MOVEMENT DATE 0;10
18 Direct Global Read & w/Fileman
This flag is used to determine if the 501 movement is
billable.
TREATED FOR SC CONDITION 0;18
11 Direct Global Read & w/Fileman ICD 6 0;11
12 Direct Global Read & w/Fileman ICD 7 0;12
13 Direct Global Read & w/Fileman ICD 8 0;13
14 Direct Global Read & w/Fileman ICD 9 0;14
15 Direct Global Read & w/Fileman ICD 10 0;15
DGPT(D0,'M','AM',
The "AM" cross reference is used to find all 501
movements based on a specified date range.
DGPT(D0,'P',D1,0)
FIELD NUMBER ACCESS FIELD NAME LOCATION
.01 Direct Global Read & w/Fileman PROCEDURE DATE 0;1
4 Direct Global Read & w/Fileman PROCEDURE CODE 1 0;5
5 Direct Global Read & w/Fileman PROCEDURE CODE 2 0;6
6 Direct Global Read & w/Fileman PROCEDURE CODE 3 0;7
7 Direct Global Read & w/Fileman PROCEDURE CODE 4 0;8
8 Direct Global Read & w/Fileman PROCEDURE CODE 5 0;9
9 Direct Global Read & w/Fileman PROCEDURE CODE 6 0;10
10 Direct Global Read & w/Fileman PROCEDURE CODE 7 0;11
11 Direct Global Read & w/Fileman PROCEDURE CODE 8 0;12
12 Direct Global Read & w/Fileman PROCEDURE CODE 9 0;13
13 Direct Global Read & w/Fileman PROCEDURE CODE 10 0;14
14 Direct Global Read & w/Fileman PROCEDURE CODE 11 0;15
15 Direct Global Read & w/Fileman PROCEDURE CODE 12 0;16
16 Direct Global Read & w/Fileman PROCEDURE CODE 13 0;17
17 Direct Global Read & w/Fileman PROCEDURE CODE 14 0;18
18 Direct Global Read & w/Fileman PROCEDURE CODE 15 0;19
19 Direct Global Read & w/Fileman PROCEDURE CODE 16 0;20
20 Direct Global Read & w/Fileman PROCEDURE CODE 17 0;21
21 Direct Global Read & w/Fileman PROCEDURE CODE 18 0;22
22 Direct Global Read & w/Fileman PROCEDURE CODE 19 0;23
23 Direct Global Read & w/Fileman PROCEDURE CODE 20 0;24
DGPT(D0,'S',D1,0)
FIELD NUMBER ACCESS FIELD DESCRIPTION FIELD NAME LOCATION
.01 Direct Global Read & w/Fileman
The surgery/procedure date is included on the claim.
SURGERY/PROCEDURE DATE 0;1
8 Direct Global Read & w/Fileman OPERATION CODE 1 0;8
9 Direct Global Read & w/Fileman OPERATION CODE 2 0;9
10 Direct Global Read & w/Fileman OPERATION CODE 3 0;10
11 Direct Global Read & w/Fileman OPERATION CODE 4 0;11
12 Direct Global Read & w/Fileman OPERATION CODE 5 0;12
13 Direct Global Read & w/Fileman OPERATION CODE 6 0;13
14 Direct Global Read & w/Fileman OPERATION CODE 7 0;14
15 Direct Global Read & w/Fileman OPERATION CODE 8 0;15
16 Direct Global Read & w/Fileman OPERATION CODE 9 0;16
17 Direct Global Read & w/Fileman OPERATION CODE 10 0;17
18 Direct Global Read & w/Fileman OPERATION CODE 11 0;18
19 Direct Global Read & w/Fileman OPERATION CODE 12 0;19
20 Direct Global Read & w/Fileman OPERATION CODE 13 0;20
21 Direct Global Read & w/Fileman OPERATION CODE 14 0;21
22 Direct Global Read & w/Fileman OPERATION CODE 15 0;22
23 Direct Global Read & w/Fileman OPERATION CODE 16 0;23
24 Direct Global Read & w/Fileman OPERATION CODE 17 0;24
25 Direct Global Read & w/Fileman OPERATION CODE 18 0;25
26 Direct Global Read & w/Fileman OPERATION CODE 19 0;26
27 Direct Global Read & w/Fileman OPERATION CODE 20 0;27
DGPT(D0,300)
FIELD NUMBER ACCESS FIELD NAME LOCATION
300.06 Direct Global Read & w/Fileman CURRENT FUNCTIONAL ASSESSMENT 300;6
DGPT(D0,'M',D1,'P')
FIELD NUMBER ACCESS FIELD NAME LOCATION
20 Direct Global Read & w/Fileman TRANSFER DRG P;1
24 Direct Global Read & w/Fileman PROVIDER P;5
DGPT(D0,535,D1,0)
FIELD NUMBER ACCESS FIELD NAME LOCATION
6 Direct Global Read & w/Fileman LOSING WARD 0;6
10 Direct Global Read & w/Fileman MOVEMENT DATE 0;10
DGPT('AF',
Admission date cross-reference.
DGPT('ADS',
For discharge date ranges
DGPT(D0,71
FIELD NUMBER ACCESS FIELD NAME LOCATION
79.241 Direct Global Read & w/Fileman SECONDARY DX 10 71;1
79.242 Direct Global Read & w/Fileman SECONDARY DX 11 71;2
79.243 Direct Global Read & w/Fileman SECONDARY DX 12 71;3
79.244 Direct Global Read & w/Fileman SECONDARY DX 13 71;4
79.245 Direct Global Read & w/Fileman SECONDARY DX 14 71;5
79.246 Direct Global Read & w/Fileman SECONDARY DX 15 71;6
79.247 Direct Global Read & w/Fileman SECONDARY DX 16 71;7
79.248 Direct Global Read & w/Fileman SECONDARY DX 17 71;8
79.249 Direct Global Read & w/Fileman SECONDARY DX 18 71;9
79.2491 Direct Global Read & w/Fileman SECONDARY DX 19 71;10
79.24911 Direct Global Read & w/Fileman SECONDARY DX 20 71;11
79.24912 Direct Global Read & w/Fileman SECONDARY DX 21 71;12
79.24913 Direct Global Read & w/Fileman SECONDARY DX 22 71;13
79.24914 Direct Global Read & w/Fileman SECONDARY DX 24 71;14
79.24915 Direct Global Read & w/Fileman SECONDARY DX 24 71;15
DGPT(D0,82
FIELD NUMBER ACCESS FIELD NAME LOCATION
82.01 Direct Global Read & w/Fileman POA PRINCIPAL DX 82;1
82.02 Direct Global Read & w/Fileman POA SECONDARY DX 1 82;2
82.03 Direct Global Read & w/Fileman POA SECONDARY DX 2 82;3
82.04 Direct Global Read & w/Fileman POA SECONDARY DX 3 82;4
82.05 Direct Global Read & w/Fileman POA SECONDARY DX 4 82;5
82.06 Direct Global Read & w/Fileman POA SECONDARY DX 5 82;6
82.07 Direct Global Read & w/Fileman POA SECONDARY DX 6 82;7
82.08 Direct Global Read & w/Fileman POA SECONDARY DX 7 82;8
82.09 Direct Global Read & w/Fileman POA SECONDARY DX 8 82;9
82.1 Direct Global Read & w/Fileman POA SECONDARY DX 9 82;10
82.11 Direct Global Read & w/Fileman POA SECONDARY DX 10 82;11
82.12 Direct Global Read & w/Fileman POA SECONDARY DX 11 82;12
82.13 Direct Global Read & w/Fileman POA SECONDARY DX 12 82;13
82.14 Direct Global Read & w/Fileman POA SECONDARY DX 13 82;14
82.15 Direct Global Read & w/Fileman POA SECONDARY DX 14 82;15
82.16 Direct Global Read & w/Fileman POA SECONDARY DX 15 82;16
82.17 Direct Global Read & w/Fileman POA SECONDARY DX 16 82;17
82.18 Direct Global Read & w/Fileman POA SECONDARY DX 17 82;18
82.19 Direct Global Read & w/Fileman POA SECONDARY DX 18 82;19
82.2 Direct Global Read & w/Fileman POA SECONDARY DX 19 82;20
82.21 Direct Global Read & w/Fileman POA SECONDARY DX 20 82;21
82.22 Direct Global Read & w/Fileman POA SECONDARY DX 21 82;22
82.23 Direct Global Read & w/Fileman POA SECONDARY DX 22 82;23
82.24 Direct Global Read & w/Fileman POA SECONDARY DX 23 82;24
82.25 Direct Global Read & w/Fileman POA SECONDARY DX 24 82;25
DGPT(D0,'M',D1,81
FIELD NUMBER ACCESS FIELD NAME LOCATION
81.01 Direct Global Read & w/Fileman ICD 11 81;1
81.02 Direct Global Read & w/Fileman ICD 12 81;2
81.03 Direct Global Read & w/Fileman ICD 13 81;3
81.04 Direct Global Read & w/Fileman ICD 14 81;4
81.05 Direct Global Read & w/Fileman ICD 15 81;5
81.06 Direct Global Read & w/Fileman ICD 16 81;6
81.07 Direct Global Read & w/Fileman ICD 17 81;7
81.08 Direct Global Read & w/Fileman ICD 18 81;8
81.09 Direct Global Read & w/Fileman ICD 19 81;9
81.1 Direct Global Read & w/Fileman ICD 20 81;10
81.12 Direct Global Read & w/Fileman ICD 22 81;12
81.11 Direct Global Read & w/Fileman ICD 21 81;11
81.13 Direct Global Read & w/Fileman ICD 23 81;13
81.14 Direct Global Read & w/Fileman ICD 24 81;14
81.15 Direct Global Read & w/Fileman ICD 25 81;15
DGPT(D0,'M',D1,82
FIELD NUMBER ACCESS FIELD NAME LOCATION
82.01 Direct Global Read & w/Fileman POA FOR ICD 1 82;1
82.02 Direct Global Read & w/Fileman POA FOR ICD 2 82;2
82.03 Direct Global Read & w/Fileman POA FOR ICD 3 82;3
82.04 Direct Global Read & w/Fileman POA FOR ICD 4 82;4
82.05 Direct Global Read & w/Fileman POA FOR ICD 5 82;5
82.06 Direct Global Read & w/Fileman POA FOR ICD 6 82;6
82.07 Direct Global Read & w/Fileman POA FOR ICD 7 82;7
82.08 Direct Global Read & w/Fileman POA FOR ICD 8 82;8
82.09 Direct Global Read & w/Fileman POA FOR ICD 9 82;9
82.1 Direct Global Read & w/Fileman POA FOR ICD 10 82;10
82.11 Direct Global Read & w/Fileman POA FOR ICD 11 82;11
82.12 Direct Global Read & w/Fileman POA FOR ICD 12 82;12
82.13 Direct Global Read & w/Fileman POA FOR ICD 13 82;13
82.14 Direct Global Read & w/Fileman POA FOR ICD 14 82;14
82.15 Direct Global Read & w/Fileman POA FOR ICD 15 82;15
82.16 Direct Global Read & w/Fileman POA FOR ICD 16 82;16
82.17 Direct Global Read & w/Fileman POA FOR ICD 17 82;17
82.18 Direct Global Read & w/Fileman POA FOR ICD 18 82;18
82.19 Direct Global Read & w/Fileman POA FOR ICD 19 82;19
82.2 Direct Global Read & w/Fileman POA FOR ICD 20 82;20
82.21 Direct Global Read & w/Fileman POA FOR ICD 21 82;21
82.22 Direct Global Read & w/Fileman POA FOR ICD 22 82;22
82.23 Direct Global Read & w/Fileman POA FOR ICD 23 82;23
82.24 Direct Global Read & w/Fileman POA FOR ICD 24 82;24
82.25 Direct Global Read & w/Fileman POA FOR ICD 25 82;25
DGPT(D0,'P',D1,1
FIELD NUMBER ACCESS FIELD NAME LOCATION
24 Direct Global Read & w/Fileman PROCEDURE CODE 21 1;1
25 Direct Global Read & w/Fileman PROCEDURE CODE 22 1;2
26 Direct Global Read & w/Fileman PROCEDURE CODE 23 1;3
27 Direct Global Read & w/Fileman PROCEDURE CODE 24 1;4
28 Direct Global Read & w/Fileman PROCEDURE CODE 25 1;5
DGPT(D0,'S',D1,1
FIELD NUMBER ACCESS FIELD NAME LOCATION
28 Direct Global Read & w/Fileman OPERATION CODE 21 1;1
29 Direct Global Read & w/Fileman OPERATION CODE 22 1;2
30 Direct Global Read & w/Fileman OPERATION CODE 23 1;3
31 Direct Global Read & w/Fileman OPERATION CODE 24 1;4
32 Direct Global Read & w/Fileman OPERATION CODE 25 1;5
COMPUTED
FIELD NUMBER ACCESS FIELD DESCRIPTION FIELD NAME LOCATION
9 Read w/Fileman
Only Integrated Billing has permission to reference this
field.
DRG COMPUTED
STATUS Active
KEYWORDS
  • PTF
  • DGPT
DURATION Till Otherwise Agreed
ID DGPT
SUBSCRIBING PACKAGE
SUBSCRIBING PACKAGE ISC SUBSCRIBING DETAILS
INTEGRATED BILLING Albany
LAB SERVICE Birmingham
MENTAL HEALTH Dallas
ORDER ENTRY/RESULTS REPORTING
ACCOUNTS RECEIVABLE
AR references only the ADMISSION DATE and the DISCHARGE
DATE.
ONCOLOGY
added 2/25/09
CREATOR LOUCK,KEVIN
DBA Comments
09/16/14 DT: Added Kevin Louck as editor.The ICD-10 PTF
Modifications project (DG*5.3*884) will be expanding on the work originally
done by Alan Skinner for released patch DG*5.3*850. The ICD-10 PTF
Modifications project will also be making the changes in IB and Lab to consume
and utilize the new fields.

9/18/15-MM:  Kevin added a descripiton to the ICR along with the new fields
associated with DG*5.3*850 and DG*5.3*884.  DG*5.3*884 build included patches
DG*5.3*884, LR*5.2*442, ROR*1.5*25, GMTS*2.7*111, IB*2.0*522, and OR*3.0*406.

9/22/15-MM:  The ICR team received a request to add Spinal Cord Dysfunction as
a subscriber to ICR #418 in June 2012. Alan Skinner provided concurrence but
Spinal Cord was never added as a subscriber.

ICD-10 PTF Modification Project (Kevin Louck and Tarazia Bennett) indicated
Spinal Cord application is being decommissioned and there is no need to add
the application as a subscriber to the ICR.

Kevin also indicated changes to ICR #418 did not impact Mental Health,
Accounts Receivable or Oncology.  Subscribing packages IB, Lab and CPRS
required remediation to use the new fields being added to the PTF (#45) file.
Changes to these packages were released as part of a combined multi-package
build in DG*5.3*884 released nationally on 9/2/15.
MAIL MESSAGE 29756507
DATE/TIME EDITED
DATE/TIME EDITED ACTION AT THE REQUEST OF WITH CONCURRENCE OF
2009/02/25 16:29 SUBSCRIBER ADDED RIKARD,KEN MULLER,RICHARD
2014/09/16 11:48 DEACTIVATED FOR EDITS LOUCK,KEVIN
Generated from SEP 10, 2019@ IA Listing Descriptions