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SAS Name
DRG_OUTLIER_STAY_CD
The code identifying (1) for PPS providers if the stay has an unusually long length (day outlier) or high cost (cost outlier); or (2) for non-PPS providers the source for developing the DRG.
Applicable to Non-PPS Providers:
Applicable to Non-PPS Providers:
| Code | Code value |
|---|---|
| 6 | Valid DRG Received From Intermediary |
| 7 | HCFA-Developed DRG |
| 8 | HCFA-Developed DRG Using Claim Status Code |
| 9 | Not Groupable |
| 6 | Valid DRG Received From Intermediary |
| 7 | HCFA-Developed DRG |
| 8 | HCFA-Developed DRG Using Claim Status Code |
| 9 | Not Groupable |
Source: NCH