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CXDIAGNOST FILE
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
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 WH33.5
WH34.1 WH34.2 WH34.3 WH34.4 WH40.1 WH40.2
WH520 WH830
FIELD NAME DESCRIPTION/VALID VALUES UPDATED BY
CDI-DIAG-TYPE Alpha 8
Element: Diag Type 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.
CDI-DIAG-CODE Alpha 6
Element: Diag Code 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.
CDI-DIAG-DESC Alpha 250 (Lower Case)
Element: Diag Desc This field contains the description of
the diagnosis.
CDI-RELATIVE-WGHTS Signed 8.4
Element: Relative WghtsThis 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.
CDI-GEOMETRIC-LOS Signed 5.2
Element: Arithmetic LosThis 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.
CDI-ARITHMETIC-LOS Signed 5.2
Element: Arithmetic LosThis 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.
CDI-OUTLIER Numeric 2
Element: Outlier This value is the length of stay that
triggers a reimbursement exception.
The Health Care Financing
Administration (HCFA) or another insurer
provides this value.
CDI-STATUS Numeric 1
Element: Status This value is the transaction status.
0 = Active
1 = Inactive
CDI-DIAG-DESC50 Derived
Element: Diag Desc50 This field contains the Diagnostic
description.
CXDIAGNOST FILE INDEX
NAME KEY FIELDS DESCRIPTION / SUBSET CONDITION USED IN
CDISET1 DIAG-TYPE This index is used to access the Case CXCP.1 WH130
DIAG-CODE Cart Diagnostics file records in WH132 WH190
Diagnostic Type followed by Diagnostic WH222 WH30.1
Code order. WH30.2 WH30.3
WH30.4 WH31.1
WH31.2 WH31.3
WH31.4 WH32.1
WH32.2 WH32.3
WH32.4 WH33.5
WH34.1 WH34.2
WH34.3 WH34.4
WH40.1 WH40.2
WH520 WH830
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