HL7 Terminology (THO)
3.1.5 - Continuous Process Integration (ci build) World

HL7 Terminology (THO), published by HL7 International - Vocabulary Work Group. This is not an authorized publication; it is the continuous build for version 3.1.5). This version is based on the current content of https://github.com/HL7/UTG/ and changes regularly. See the Directory of published versions

: CMS Present on Admission (POA) Indicator - XML Representation

Active as of 2021-06-24

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<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="presentOnAdmission"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p>This code system https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding defines the following codes:</p><table class="codes"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Definition</b></td></tr><tr><td style="white-space:nowrap">Y<a name="presentOnAdmission-Y"> </a></td><td>Diagnosis was present at time of inpatient admission. CMS will pay the CC/MCC DRG for those selected HACs that are coded as &quot;Y&quot; for the POA Indicator.</td></tr><tr><td style="white-space:nowrap">N<a name="presentOnAdmission-N"> </a></td><td>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 &quot;N&quot; for the POA Indicator.</td></tr><tr><td style="white-space:nowrap">U<a name="presentOnAdmission-U"> </a></td><td>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 &quot;U&quot; for the POA Indicator.</td></tr><tr><td style="white-space:nowrap">W<a name="presentOnAdmission-W"> </a></td><td>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 &quot;W&quot; for the POA Indicator.</td></tr><tr><td style="white-space:nowrap">1<a name="presentOnAdmission-1"> </a></td><td>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 &quot;1&quot; 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.</td></tr></table></div>
  </text>
  <url
       value="https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.6.301.11"/>
  </identifier>
  <version value="07/14/2020"/>
  <name value="PresentOnAdmission"/>
  <title value="CMS Present on Admission (POA) Indicator"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2021-06-24T00:00:00.000-07:00"/>
  <publisher value="Centers for Medicare &amp; Medicaid Services"/>
  <contact>
    <name
          value="Centers for Medicare &amp; Medicaid Services; 7500 Security Boulevard, Baltimore, MD 21244,  USA"/>
  </contact>
  <contact>
    <name value="Marilu Hue"/>
    <telecom>
      <system value="email"/>
      <value value="marilu.hue@cms.hhs.gov"/>
    </telecom>
  </contact>
  <contact>
    <name value="James Poyer"/>
    <telecom>
      <system value="email"/>
      <value value="james.poyer@cms.hhs.gov"/>
    </telecom>
  </contact>
  <description
               value="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."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
    </coding>
  </jurisdiction>
  <copyright
             value="The POA Indicator Codes are in the public domain and are free to use without restriction."/>
  <caseSensitive value="false"/>
  <compositional value="false"/>
  <versionNeeded value="false"/>
  <content value="complete"/>
  <count value="5"/>
  <concept>
    <code value="Y"/>
    <definition
                value="Diagnosis was present at time of inpatient admission. CMS will pay the CC/MCC DRG for those selected HACs that are coded as &quot;Y&quot; for the POA Indicator."/>
  </concept>
  <concept>
    <code value="N"/>
    <definition
                value="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 &quot;N&quot; for the POA Indicator."/>
  </concept>
  <concept>
    <code value="U"/>
    <definition
                value="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 &quot;U&quot; for the POA Indicator."/>
  </concept>
  <concept>
    <code value="W"/>
    <definition
                value="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 &quot;W&quot; for the POA Indicator."/>
  </concept>
  <concept>
    <code value="1"/>
    <definition
                value="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 &quot;1&quot; 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."/>
  </concept>
</CodeSystem>