Case Cart Diagnostics

The Case Cart Diagnostic file primarily stores all valid diagnostic codes. Before anyone can use the codes on preference templates or cases, the codes must be in this file. Before you set up this file, you must decide what diagnostic types you want to define. The diagnostic type is the first of two fields used to uniquely identify a diagnosis. The diagnostic type is used to identify different coding systems such as HCPCS (HCFA's (Health Care Financing Administration's) Common Procedure Coding System), CPT-4 (Current Procedural Terminology, 1994), ICD-9 (International Classification of Diseases, 9th Revision), and a code for your organization's own coding system. Use CX03.1 (Diagnostics) to add, delete, or change records in this file. The Case Carts system uses diagnostic codes to assign and validate diagnostic codes on preference templates and cases. In addition, form CX235 (Procedure Cost Vs DRG) uses the codes for reimbursement calculations. The Case Carts system uses the diagnostic code descriptions in all reporting and all applicable forms.

REFERENCED BY

CX05.1	CX05.2	CX100	CX20.1	CX20.2	CX20.3
CX20.4	CX20.5	CX207	CX220	CX235	CX30.1
CX300	CX506	CX805	CXCP.1	WH130	WH132
WH190	WH222	WH30.1	WH30.2	WH30.3	WH30.4
WH31.1	WH31.2	WH31.3	WH31.4	WH32.1	WH32.2
WH32.3	WH32.4	WH32.5	WH33.5	WH34.1	WH34.2
WH34.3	WH34.4	WH40.1	WH40.2	WH520	WH830

UPDATED BY

CX03.1

CX503

FIELD NAME	DESCRIPTION/VALID VALUES	UPDATED BY
CDI-DIAG-TYPE Element: Diag Type	Alpha 8 The diagnostic type is the first of two fields used to uniquely identify a diagnosis. The diagnostic type is used to identify different coding systems such as HCPCS (HCFA's (Health Care Financing Administration's) Common Procedure Coding System), CPT-4 (Current Procedural Terminology, 1994), ICD-9 (International Classification of Diseases, 9th Revision), and a code for your organization's own coding system.	CX03.1 CX503
CDI-DIAG-CODE Element: Diag Code	Alpha 6 The diagnostic code is the second of two fields that uniquely identify a diagnosis. The diagnostic code is an identifier for a specific diagnosis within a diagnostic type. Diagnostic codes can come from many sources such as HCPCS (HCFA's (Health Care Financing Administration's) Common Procedure Coding System), CPT-4 (Current Procedural Terminology, 1994), ICD-9 (International Classification of Diseases, 9th Revision), and a code for your organization's own coding system.	CX03.1 CX503
CDI-DIAG-DESC Element: Diag Desc	Alpha 250 (Lower Case) This field contains the description of the diagnosis.	CX03.1 CX503
CDI-RELATIVE-WGHTS Element: Relative Wghts	Signed 8.4 This field contains the relative weight. Relative weight is a multiplier used to calculate the reimbursement for treating a diagnosis. The higher the relative weight, the greater the payment to the hospital.	CX03.1 CX503
CDI-GEOMETRIC-LOS Element: Arithmetic Los	Signed 5.2 This field contains the geometric mean length of stay (GMLOS), when applicable. The GMLOS is a measure for the central tendency of nationally reported lengths of stay for a specific diagnostic-related group. A company compares its length of stay results with this value for monitoring purposes.	CX03.1 CX503
CDI-ARITHMETIC-LOS Element: Arithmetic Los	Signed 5.2 This value is the arithmetic mean length of stay (AMLOS). AMLOS is the average number of days patients assigned a given diagnostic code stay in the hospital (also referred to as the average length of stay). Practitioners can try to get the lowest patient length of stay (LOS), using the AMLOS as a guide.	CX03.1 CX503
CDI-OUTLIER Element: Outlier	Numeric 2 This value is the length of stay that triggers a reimbursement exception. The Health Care Financing Administration (HCFA) or another insurer provides this value.	CX03.1 CX503
CDI-STATUS Element: Status	Numeric 1 This value is the transaction status. 0 = Active 1 = Inactive	CX503
CDI-DIAG-DESC50 Element: Diag Desc50	Derived This field contains the Diagnostic description.

CXDIAGNOST FILE INDEX

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