Delivery code (MAX IP)

SAS Name
RCPNT_DLVRY_CD

CODE INDICATING WHETHER THIS IS A DELIVERY CLAIM

Comments

USER NOTES: SOME INPATIENT HOSPITAL DELIVERY CLAIMS ARE ONLY FOR THE MOTHER, SOME ARE ONLY FOR THE NEWBORN, AND SOME ARE COMBINED MOTHER/NEWBORN CLAIMS.

INPATIENT HOSPITAL PROCEDURE CODES WERE NOT USED TO IDENTIFY DELIVERIES BECAUSE THEY ARE NOT AS RELIABLE AS DIAGNOSIS CODES.

A SMALL PERCENTAGE OF MEDICAID DELIVERIES OCCUR IN PLACES OF SERVICE OTHER THAN THE INPATIENT HOSPITAL.

COUNTS OF DELIVERIES MAY OVERCOUNT THE ACTUAL NUMBER OF DELIVERIES BECAUSE THERE MAY BE MORE THAN ONE CLAIM FOR THE SAME MATERNAL DELIVERY (E.G. CLAIMS FOR FALSE LABOR AND/OR CLAIMS FOR DELIVERY-RELATED COMPLICATIONS, WHICH DID NOT RESULT IN A DELIVERY, ARE CODED INCORRECTLY AS A DELIVERY). COUNTS OF NEWBORN DELIVERIES MAY UNDERCOUNT THE ACTUAL NUMBER OF MEDICAID NEWBORNS, BECAUSE THE STATES MAY BE REPORTING NEWBORN DELIVERIES ONLY FOR PROCESSING PURPOSES.

IN MAX 1999-2005 THE DELIVERY INDICATOR ON THE PS FILE INCORRECTLY INCLUDED BOTH MOTHERS AND NEWBORNS INSTEAD OF JUST MOTHERS. STARTING WITH MAX 2006 IT INCLUDES ONLY MATERNAL DELIVERIES. THE DELIVERY INDICATOR ON THE IP FILE CAN BE USED TO PROPERLY IDENTIFY EITHER MATERNAL AND/OR NEWBORN DELIVERIES DURING 1999-2005.

IN MAX 2006 A FEW MORE DIAGNOSIS CODES WERE ADDED TO THE LIST OF NEWBORN DIAGNOSIS CODES

NOTE: IN MAX 2006, THIS SPECIFICATION WAS UPDATED AND ADDITIONAL DIAGNOSIS CODES WERE ADDED TO THE LIST OF NEWBORN DIAGNOSIS CODES.

SOURCE: MSIS CLAIM FILE