Code | Description | Code | Description |
---|---|---|---|
1 | Bad principal diagnosis | 6 | Unspecified DRG error |
2 | Bad prin dx for MDC | 7 | Invalid prin diagnosis |
3 | Invalid age | 8 | No DRG file this version |
4 | Invalid sex | 9 | HAC violation |
5 | Invalid discharge status | 10 | Error in DRG file |
GRC Explanations
- Error 1 means EITHER that there were no diagnosis codes given or that the given principal dx code does not have an MDC (ie is not valid as a principal dx).
- Error 2 means no DRG could be found to match MDC and principal dx.
- Error 3 means that the given age was not between 0-124.
- Error 4 means that the given sex was not 1=male or 2=female
- Error 5 is no longer used; Discharge Status is defaulted depending on various factors (disposition status coding system, eg)
- Error 6 depends on various factors; for example, for some DRG versions this means that birthweight was not between 200 and 9000 grammes.
- Error 7 means that the principal dx code was not a valid choice as a primary diagnosis; the code may be valid, but it is not an allowed starting point for assigning a DRG.
- Error 8 means that the DRG masks file could not be found or initialized by the run-time environment.
- Error 9 means that the given case requires HAC processing but has a problem (invalid or missing POA data)
- Error 10 means that the DRG masks file has internal structural errors.
NOTE: at least in v33, CMS sometimes calls the Grouper with an invalid exempt flag value (2) to intentionally generate GRC=9
In addition, starting with version 33, the VB-callable DLL returns pre-grouping errors which are < 0 to let you know that they are not from the DAE:
- -2 Age parameter is missing
- -3 Version parameter is missing
- -4 Version parameter not support by this DLL
- -5 Masks directory parameter is missing
- -6 Version could not be initialized (missing, unreadable or invalid masks file?)
- -7 Version could be be initialized, call errdesc() or mherrdesc() as appropriate
- -8 Sex parameter is missing
No comments:
Post a Comment