MEDPAR DRG/Outlier Stay Code

This variable is contained in the following files:

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.

Comments

Source: NCH

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