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This variable is contained in the following files:
SAS Name
DGNS_POA_IND_3
A code to indicate that the diagnosis (in DGNS_CD_1-12 fields) was present at the time the order for inpatient admission (POA) occurred.
| Code | Code value |
|---|---|
| Y | Diagnosis was present at time of inpatient admission |
| N | Diagnosis was not present at time of inpatient admission |
| U | Documentation insufficient to determine if condition was present at the time of inpatient admission |
| W | Clinically undetermined. Provider unable to clinically determine whether the condition was present at the time of inpatient admission |
| 1 | Unreported/Not used. Exempt from POA reporting |
| Null/missing | source value is missing, unknown, or not on the valid value list or within the range of valid values |
POA indicator is used to identify certain preventable conditions that are:
(a) high cost or high volume or both,
(b) result in the assignment of a case to a Diagnosis Related Group (DRG)* that has a higher payment when present as a secondary diagnosis, and
(c) could reasonably have been prevented through the application of evidence- based guidelines.
*States that do not use the grouper methodology may use CMS- approved methodology that is prospective in nature.
There is a POA indicator code associated with each diagnosis code (principal and secondary).
Source: T-MSIS Analytic File (TAF) Claims