HL7 Terminology
2.1.30 - Continuous Process Integration (ci build)

HL7 Terminology, published by HL7 International - Vocabulary Work Group. This is not an authorized publication; it is the continuous build for version 2.1.30). This version is based on the current content of https://github.com/HL7/UTG/ and changes regularly. See the Directory of published versions

CodeSystem: CMS Present on Admission (POA) Indicator

Summary

Defining URL:https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding
Version:07/14/2020
Name:PresentOnAdmission
Title:CMS Present on Admission (POA) Indicator
Status:Active as of 2021-06-24T00:00:00.000-07:00
Definition:

This code system consists of Present on Admission (POA) indicators which are assigned to the principal and secondary diagnoses (as defined in Section II of the Official Guidelines for Coding and Reporting) and the external cause of injury codes to indicate the presence or absence of the diagnosis at the time of inpatient admission.

Publisher:Centers for Medicare & Medicaid Services
Copyright:

The POA Indicator Codes are in the public domain and are free to use without restriction.

Content:Complete: All the concepts defined by the code system are included in the code system resource
OID:2.16.840.1.113883.6.301.11 (for OID based terminology systems)
Source Resource:XML / JSON / Turtle

This Code system is referenced in the content logical definition of the following value sets:

This code system https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding defines the following codes:

CodeDefinition
Y Diagnosis was present at time of inpatient admission. CMS will pay the CC/MCC DRG for those selected HACs that are coded as "Y" for the POA Indicator.
N Diagnosis was not present at time of inpatient admission. CMS will not pay the CC/MCC DRG for those selected HACs that are coded as "N" for the POA Indicator.
U Documentation insufficient to determine if the condition was present at the time of inpatient admission. CMS will not pay the CC/MCC DRG for those selected HACs that are coded as "U" for the POA Indicator.
W Clinically undetermined. Provider unable to clinically determine whether the condition was present at the time of inpatient admission. CMS will pay the CC/MCC DRG for those selected HACs that are coded as "W" for the POA Indicator.
1 Unreported/Not used. Exempt from POA reporting. This code is equivalent to a blank on the UB-04, however; it was determined that blanks are undesirable when submitting this data via the 4010A. CMS will not pay the CC/MCC DRG for those selected HACs that are coded as "1" for the POA Indicator. The “1” POA Indicator should not be applied to any codes on the HAC list. For a complete list of codes on the POA exempt list, see the Official Coding Guidelines for ICD-10-CM.

History

DateActionAuthorCustodianComment
2021-09-17reviseMarc DuteauCQIAdding codes the CMS Present on Admission (POA) Indicator code system stub; UP-214
2021-03-08createMarc DuteauHTACreate new CodeSystem and NamingSystem for CMS POA;UP-160