HCUP Quality Control Procedures

Make the data usable without extensive further editing.
Confirm that data values are valid, internally consistent, and consistent with established norms, when feasible.
Use some edit procedures to set questionable and inconsistent values to inconsistent (.C or negative 6-filled). Use other edit procedures only to tabulate edit failures. Use the latter to evaluate whether systematic problems exist.
Never "fix" or impute data. Set invalid or inconsistent values to special missing values. This preserves the analyst's ability to investigate data anomalies.
Tabulate instances of edit failures and use these to assess data quality for each data source.

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QUALITY REVIEW

The following statistics were reviewed by an independent contractor for each year and data source (or for each different layout if the source changed file layouts during the year):

For all numeric data elements - means, number of missing and nonmissing values, minimum, and maximum.
For continuous variables such as length of stay and charges - mean, median, and extreme values.
For all categorical and some continuous data elements - frequency distributions.
For closely related data elements (e.g., point of origin compared to admission type) - cross frequencies.

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AUTOMATED QUALITY CONTROL PROCEDURES

The following procedures were applied to each discharge record:

To assess validity of values -

Verify numeric data as numeric.
Check the range against legal values documented by the data source.
Check the range against standard norms (e.g., length of stay is a non-negative value; age in years is between 0 and 124, the maximum allowed by the DRG grouper).
Check the values against the maximum allowed for the data element (e.g., birth weight less than 20 pounds).

Verify against norms, when feasible (e.g., diagnosis codes and procedure codes).

To assess internal consistency -

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If discharge date falls before admission date, retain discharge date and set admission date and length of stay to inconsistent (.C or negative 6-filled).
If discharge date is invalid (e.g., February 30), retain discharge quarter and discharge year.

To assess consistency with established norms -

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HCUP Edit Checks

The HCUP edit checks have changed over time. The original HCUP edits spanned the data years 1988-1997 and were revised starting with data year 1998 after a review of the editing procedures performed by several of the HCUP State Partners and Medicare. Further, because the United States transitioned from using ICD-9-CM to ICD-10-CM/PCS¹ code sets for reporting clinical diagnoses and inpatient procedures on October 1, 2015 (the beginning of the fiscal year 2016), the HCUP edit checks were updated to reflect the new coding system. Prior to October 2015, the HCUP edits checks specific to clinical diagnoses and inpatient procedures were based on ICD-9-CM coding. The reporting of outpatient procedures in Healthcare Common Procedure Coding System (HCPCS) Current Procedural Terminology (CPT®) was not affected by the switch to ICD-10-PCS. Edit checks based on HCPCS/CPT were implemented beginning in data year 2000.

For every year and HCUP database, summary counts and percentages of edit failures were calculated and reviewed.

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HCUP Edit Checks on Data with ICD-10-CM/PCS Coding (Beginning in October 2015)

The following table lists the edit checks performed on the HCUP databases beginning with data on October 1, 2015 with ICD-10-CM/PCS and HCPCS/CPT coding. For each edit check there is an edit check value (e.g., EAGE01), a description of the edit check, and a description of the action that is taken if the record fails the edit check. The screens used to define specific conditions employed in the editing procedures are listed separately under ICD-10-CM/PCS Diagnosis and Procedure Screens and HCPCS/CPT Procedure Screens.

Note that the inclusion of the HCUP tools software based on the ICD-10-CM/PCS coding system in the HCUP databases has changed over time as the HCUP tools software are transitioned out of beta and into finalized versions. Once a given HCUP tool is finalized, it is added to the HCUP databases.

HCUP Edit Checks (Beginning in October 2015)
Edit Check	Description	Action
Summary
EANY	ANY EDIT Summary edit check that indicates that any edit has been triggered.	For tabulation purposes only
Age and Date of Birth ²
EAGE01	DATA OF BIRTH MISSING OR INVALID The date of birth (DOB) is missing (.) or invalid (.A)	For tabulation purposes only
EAGE02	DATE OF BIRTH IS AFTER ADMISSION DATE (FOR INPATIENT DATA) OR START OF SERVICE DATE (FOR OUTPATIENT DATA) The date of birth (DOB) is greater than the starting date (ADATE) causing the age in years (AGE) to be negative.	Set DOB and AGE to inconsistent (.C). AGEDAY and AGEMONTH are set to missing (.).
EAGE03	AGE IN YEARS IS GREATER THAN 124 YEARS The age in years (AGE) is greater than 124.	Set AGE to inconsistent (.C). AGEDAY and AGEMONTH are set to missing (.).
EAGE04	NEONATAL DIAGNOSIS INCONSISTENT WITH AGE A diagnosis (I10_DXn) on the record satisfies the neonatal screen and the age in years (AGE) is greater than zero. Age is retained for records that satisfy both the neonatal and maternal screens. Prior to data year 2019, I10_NEOMAT³ was used (and for combined neonatal/maternal records, age was retained (I10_NEOMAT = 3).	Set offending I10_DXn to "incn". Starting with Clinical Classifications Software Refined (CCSR) version 2021.1, the corresponding CCSR are set to "invlDX". For data prior to January 2016, the corresponding I10_DXCCSn are set to inconsistent (.C). Further, set - AGE to inconsistent (.C), - AGEDAY to inconsistent (.C), and - AGEMONTH to inconsistent (.C).
EAGE05	MATERNAL DIAGNOSIS INCONSISTENT WITH AGE A diagnosis (I10_DXn) on the record satisfies the maternal screen, and the nonmissing age in years (AGE) is less than 10 or greater than 55. Age is retained for records that satisfy both the neonatal and maternal screens. Prior to data year 2019, I10_NEOMAT⁴ was used (and for combined neonatal/maternal records, age was retained (I10_NEOMAT = 3).	Set offending I10_DXn to "incn". Starting with Clinical Classifications Software Refined (CCSR) version 2021.1, the corresponding CCSR are set to "invlDX". For data prior to January 2016, the corresponding I10_DXCCSn are set to inconsistent (.C). Further, set - AGE to inconsistent (.C), - AGEDAY to inconsistent (.C), and - AGEMONTH to inconsistent (.C).
EAGE	ANY AGE EDIT Summary age edit check that indicates that an edit in the range EAGE01-EAGE05 has been triggered.	For tabulation purposes only.
Admission Date, Discharge Date, and Length of Stay ⁵
ELOS01	ADMISSION DATE (FOR INPATIENT DATA) OR START OF SERVICE DATE (FOR OUTPATIENT DATA) IS MISSING OR INVALID The date (ADATE) is missing (.) or invalid (.A)	For tabulation purposes only.
ELOS02	DISCHARGE DATE (FOR INPATIENT DATA) OR END OF SERVICE DATE (FOR OUTPATIENT DATA) IS MISSING OR INVALID The date (DDATE) is missing (.) or invalid (.A)	For tabulation purposes only.
ELOS03	ADMISSION DATE (FOR INPATIENT DATA) OR START OF SERVICE DATE (FOR OUTPATIENT DATA) IS AFTER DISCHARGE DATE The starting date (ADATE) is greater than the ending date (DDATE) causing the length of stay (LOS) to be negative.	Set ADATE and LOS to inconsistent (.C). LOS_X retains uncleaned value.
ELOS04	EXCESSIVELY LONG LENGTH OF STAY The length of stay (LOS) is excessively long. For inpatient data, the maximum allowed length of stay is 365 days. For outpatient data, the maximum allowed length of stay changed over time: Prior to December 2016, the maximum is 3 days. The three day limit for outpatient records allows for observation time that would be allowable for Medicare payment. Beginning in January 2017, the maximum is extended to 30 days to allow for the retention of length of stay on outpatient records that represent a span of services such as physical therapy.	Set LOS to inconsistent (.C). LOS_X retains uncleaned value.
ELOS	ANY LENGTH OF STAY EDIT Summary length of stay edit check that indicates that an edit in the range ELOS01-ELOS04 has been triggered.	For tabulation purposes only.
Procedure Day
EPRDAY01	DAY OF PROCEDURE NOT DURING STAY A day of procedure on the record occurred more than 4 days before the stay began or occurred more than 3 days after the stay ended. The limit of four-days prior to the stay allows for pre-operative procedures that are bundled into the payment for the hospital stay. The limit of three-days after the stay allows for observation time that would be allowable for Medicare payment. If the length of stay is excessively long (edit check ELOS04), then EPRDAY01 will also be triggered if the day of procedure is greater than the maximum allowed for length of stay.	Set PRDAYn and PRDATEn to inconsistent (.C).
Total Charge
ETCHG01	EXCESSIVELY LOW TOTAL CHARGES The total charges (TOTCHG) are less than $100.	Set TOTCHG to inconsistent (.C). TOTCHG_X retains uncleaned value.
ETCHG02	EXCESSIVELY HIGH TOTAL CHARGES The total charges (TOTCHG) are excessively high. For inpatient data, the maximum total charges allowed are: $10.0 million starting in January 2016 $5.0 million from October 2015 - December 2016 For outpatient data, the maximum total charges allowed is $950,000.	Set TOTCHG to inconsistent (.C). TOTCHG_X retains uncleaned value.
ETCHG	ANY TOTAL CHARGE EDIT Summary total charge edit check that indicates that an edit in the range ETCHG01-ETCHG02 has been triggered.	For tabulation purposes only.
ICD-10-CM Diagnoses
EDX01	NO PRINCIPAL DIAGNOSIS CODED ON THE RECORD There is no principal diagnosis (I10_DX1) coded on the record.	For tabulation purposes only.
EDX02	DIAGNOSIS CODE IS INVALID AS OF THE DISCHARGE DATE The record contains at least one diagnosis code (I10_DXn) that is invalid as of the discharge date, plus or minus six months (to allow for anticipation of or lags in response to official coding changes).	Set I10_DXn to "invl". Starting with Clinical Classifications Software Refined (CCSR) version 2021.1, the corresponding CCSR are set to "invlDX". For data prior to January 2016, the corresponding I10_DXCCSn are set to invalid (.A).
EDX03	DIAGNOSIS INCONSISTENT WITH SEX The reported sex of the patient (FEMALE) does not agree with the sex of at least one of the diagnoses (DXn) coded on the record.	Set I10_DXn to "incn", FEMALE to inconsistent (.C). Starting with Clinical Classifications Software Refined (CCSR) version 2021.1, the corresponding CCSR are set to "invlDX". For data prior to January 2016, the corresponding I10_DXCCSn are set to inconsistent (.C).
EDX04	PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS (Inpatient data only) The principal diagnosis is invalid as a discharge diagnosis as indicated by the assignment of Diagnosis Related Group (DRG) 998 Principal Diagnosis Invalid as Discharge Diagnosis.	For tabulation purposes only.
EDX	ANY DIAGNOSIS EDIT Summary diagnosis edit check that indicates that an edit in the range EDX01-EDX04 has been triggered.	For tabulation purposes only.
ICD-10-PCS Procedures
EPR01	RECORDS IN THE STATE AMBULATORY SURGERY AND SERVICES DATABASES FLAGGED AS AMBULATORY SURGERY RECORDS BY THE STATE, BUT WITHOUT A PROCEDURE CODE No procedures (ICD-10-PCS or HCPCS/CPT) are reported on the record.	For tabulation purposes only.
EPR02	PROCEDURE CODE IS INVALID AS OF THE DISCHARGE DATE The record contains at least one procedure code (I10_PRn) that is invalid as of the discharge date, plus or minus six months (to allow for anticipation of or lags in response to official coding changes).	Set I10_PRn to "invl". Starting with Clinical Classifications Software Refined (CCSR) version 2021.1, the corresponding CCSR are set to "invlPR". For data prior to January 2016, the corresponding I10_PRCCSn are set to invalid (.A).
EPR03	PROCEDURE INCONSISTENT WITH SEX The reported sex of the patient (FEMALE) does not agree with the sex of at least one of the procedures (I10_PRn) coded on the record.	Set PRn to "incn", FEMALE to inconsistent (.C). Starting with Clinical Classifications Software Refined (CCSR) version 2021.1, the corresponding CCSR are set to "invlPR". For data prior to January 2016, the corresponding I10_PRCCSn are set to inconsistent (.C).
EPR	ANY PROCEDURE EDIT Summary procedure edit check that indicates that an edit in the range EPR01-EPR03 has been triggered.	For tabulation purposes only.
ICD-10-CM/PCS Diagnoses and Procedures
EDXPR01	MIXED MATERNAL AND NEONATAL RECORD Codes in the diagnosis vector satisfy both the maternal and neonatal screens. Prior to data year 2019, the neonatal-maternal flag (I10_NEOMAT)⁶ was set to 3.	For tabulation purposes only.
EDXPR02	PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS (Inpatient data only) The procedure is unrelated to the principal diagnosis as indicated by DRGs 981-989 O.R. procedure unrelated to principal diagnosis.	For tabulation purposes only.
EDXPR03	DISCHARGE RECORD IS UNGROUPABLE (Inpatient data only) Inpatient discharge is ungroupable as indicated by DRG equals 999 Ungroupable.	For tabulation purposes only.
EDXPR	ANY DIAGNOSIS AND PROCEDURE EDIT Summary diagnosis and procedure edit check that indicates that an edit in the range EDXPR01-EDXPR03 has been triggered.	For tabulation purposes only.
External Cause of Morbidity Codes
ECODE01	EXTERNAL CAUSE OF MORBIDITY CODE IS INVALID AS OF THE DISCHARGE DATE (October 2015 - December 2016) The record contains at least one external cause of morbidity code (codes starting with the letters "V" through "Y") that is invalid as of the discharge date, plus or minus six months (to allow for anticipation of or lags in response to official coding changes). Starting in data year 2017, the external cause of morbidity codes are included in the diagnosis array I10_DXn and will be evaluated by the diagnosis-specific edits checks EDXnn.	For data prior to January 2017, set I10_ECAUSEn to "invl" and, for data prior to January 2016, set the corresponding I10_EcauseCCSn to invalid (.A).
ECODE	ANY EXTERNAL CAUSE OF MORBIDITY CODE EDIT (October 2015 - December 2016) Summary external cause of morbidity code edit check that indicates that edit EECODE01 has been triggered. Starting in data year 2017, the external cause of morbidity codes are included in the diagnosis array I10_DXn and will be evaluated by the diagnosis-specific edits checks EDXnn.	For data prior to January 2017, for tabulation purposes only.
HCPCS/CPT Procedures
ECPT01	HCPCS/CPT PROCEDURE IS INVALID AS OF THE DISCHARGE DATE (Outpatient data only) The record contains at least one HCPCS/CPT procedure code (CPTn) that is invalid as of the discharge date plus or minus 6 months (to allow for anticipation of or lags in response to official HCPCS/CPT coding changes). HCUP validates Level I (numeric) and Level II codes (A0000-V9999) but does not validate the Level III codes (W0000-Z9999).	Set CPTn to "invl" and set the corresponding CPT_CCSn to invalid (.A).
ECPT02	HCPCS/CPT PROCEDURE INCONSISTENT WITH SEX (Outpatient data only) The reported sex of the patient (FEMALE) does not agree with the sex of at least one of the HCPCS/CPT procedures (CPTn) coded on the record.	Set CPTn to "incn" and set the corresponding CPT_CCSn to inconsistent (.C).
ECPT03	HCPCS/CPT PROCEDURE INCONSISTENT WITH AGE (Outpatient data only) The age of the patient (AGE) does not agree with the age of at least one of the HCPCS/CPT procedures (CPTn) coded on the record. Beginning in data year 2011, age edits for HCPCS level I codes were discontinued; and beginning in data year 2015, age edits for all other HCPCS codes were discontinued.	Prior to January 2015, set CPTn to "incn" and set the corresponding CPT_CCS to inconsistent (.C).
ECPT	ANY HCPCS/CPT PROCEDURE EDIT (Outpatient data only) Summary HCPCS/CPT procedure edit check that indicates that an edit in the range ECPT01-ECPT03 has been triggered.	For tabulation purposes only.
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HCUP Edit Checks on Data with ICD-9-CM Coding (January 1998 - September 2015)

The following table lists the edit checks performed on the HCUP databases from January 1998 through September 2015 with ICD-9-CM and HCPCS/CPT coding. For each edit check there is an edit check number (e.g., EAGE01), a description of the edit check, and a description of the action that is taken if the record fails the edit check. The screens used to define specific conditions employed in the editing procedures are listed separately under ICD-9-CM Diagnosis and Procedure Screens and HCPCS/CPT Procedure Screens.

HCUP Edit Checks (January 1998 - September 2015)
Edit Check	Description	Action
Summary
EANY	ANY EDIT Summary edit check that indicates that any edit has been triggered.	For tabulation purposes only
Age and Date of Birth
EAGE01	DATE OF BIRTH MISSING OR INVALID The date of birth (DOB) is missing (.) or invalid (.A)	For tabulation purposes only
EAGE02	DATE OF BIRTH IS AFTER ADMISSION DATE (FOR INPATIENT DATA) OR START OF SERVICE DATE (FOR OUTPATIENT DATA) The date of birth (DOB) is greater than the starting date (ADATE) causing the age in years (AGE) to be negative.	Set DOB and AGE to inconsistent (.C). AGEDAY and AGEMONTH are set to missing (.).
EAGE03	AGE IN YEARS IS GREATER THAN 124 YEARS The age in years (AGE) is greater than 124.	Set AGE to inconsistent (.C). AGEDAY and AGEMONTH are set to missing (.).
EAGE04	NEONATAL DIAGNOSIS INCONSISTENT WITH AGE A diagnosis (DXn) on the record satisfies the NEONATE screen, and the age in years (AGE) is greater than zero. Retain age on a combined neonatal/maternal record.	Set offending DXn to "incn" and corresponding DXCCSn to inconsistent (.C). If NEOMAT ne 3, set - AGE to inconsistent (.C), - AGEDAY to inconsistent (.C), and - AGEMONTH to inconsistent (.C).
EAGE05	MATERNAL DIAGNOSIS OR PROCEDURE INCONSISTENT WITH AGE A diagnosis (DXn) or procedure (PRn) on the record satisfies the MATERNAL screen, and the nonmissing age in years (AGE) is less than 10 or greater than 55. Retain age on a combined maternal/neonatal record.	Set offending DXn/PRn to "incn" and corresponding DXCCSn/PRCCSn to inconsistent (.C). If NEOMAT ne 3, set - AGE to inconsistent (.C), - AGEDAY to inconsistent (.C), and - AGEMONTH to inconsistent (.C).
EAGE	ANY AGE EDIT Summary age edit check that indicates that an edit in the range EAGE01-EAGE05 has been triggered.	For tabulation purposes only.
Admission Date, Discharge Date, and Length of Stay
ELOS01	ADMISSION DATE (FOR INPATIENT DATA) OR START OF SERVICE DATE (FOR OUTPATIENT DATA) IS MISSING OR INVALID The date (ADATE) is missing (.) or invalid (.A)	For tabulation purposes only
ELOS02	DISCHARGE DATE (FOR INPATIENT DATA) OR END OF SERVICE DATE (FOR OUTPATIENT DATA) IS MISSING OR INVALID The date (DDATE) is missing (.) or invalid (.A)	For tabulation purposes only
ELOS03	ADMISSION DATE (FOR INPATIENT DATA) OR END OF SERVICE DATE (FOR OUTPATIENT DATA) IS AFTER DISCHARGE DATE The starting date (ADATE) is greater than the ending date (DDATE) causing the length of stay (LOS) to be negative.	Set ADATE and LOS to inconsistent (.C). LOS_X retains uncleaned value.
ELOS04	EXCESSIVELY LONG LENGTH OF STAY The length of stay (LOS) is excessively long. For inpatient data, the maximum allowed length of stay is 365 days. For outpatient data, the maximum allowed length of stay is 3 days. The three-day limit for outpatient records allows for observation time that would be allowable for Medicare payment.	Set LOS to inconsistent (.C). LOS_X retains uncleaned value.
ELOS	ANY LENGTH OF STAY EDIT Summary length of stay edit check that indicates that an edit in the range ELOS01-ELOS04 has been triggered.	For tabulation purposes only.
Procedure Day
EPRDAY01	DAY OF PROCEDURE NOT DURING STAY A day of procedure on the record occurred more than 4 days before the stay began or occurred more than 3 days after the stay ended. The three day limit allows for observation time that would be allowable for Medicare payment. If the length of stay is excessively long (edit check ELOS04), then EPRDAY01 will also be triggered if the day of procedure is greater than the maximum allowed for length of stay (365 days for inpatient data and 3 days for outpatient data).	Set PRDAYn and PRDATEn to inconsistent (.C).
Total Charge
ETCHG01	EXCESSIVELY LOW TOTAL CHARGES The total charges (TOTCHG) are less than $100 for data from 2007- September 2015) and less than $25 for data from 1998 - 2006.	Set TOTCHG to inconsistent (.C). TOTCHG_X retains uncleaned value.
ETCHG02	EXCESSIVELY HIGH TOTAL CHARGES The total charges (TOTCHG) are excessively high. For inpatient data, the maximum total charges allowed are: $5.0 million from 2011-2015 $1.5 million from 2007-2010 $1.0 million from 1998-2006 For outpatient data, the maximum total charges allowed are: $950,000 from 2011-2015 $75,000 from 2007-2010 $50,000 from 1998-2006.	Set TOTCHG to inconsistent (.C). TOTCHG_X retains uncleaned value.
ETCHG	ANY TOTAL CHARGE EDIT Summary total charge edit check that indicates that an edit in the range ETCHG01-ETCHG02 has been triggered.	For tabulation purposes only.
Diagnoses
EDX01	NO PRINCIPAL DIAGNOSIS CODED ON THE RECORD There is no principal diagnosis (DX1) coded on the record.	For tabulation purposes only.
EDX02	DIAGNOSIS CODE IS INVALID AS OF THE DISCHARGE DATE The record contains at least one diagnosis code (DXn) that is invalid as of the discharge date, plus or minus six months (to allow for anticipation of or lags in response to official coding changes).	Set DXn to "invl" and DXCCSn to invalid (.A).
EDX03	DIAGNOSIS INCONSISTENT WITH SEX The reported sex of the patient (FEMALE) does not agree with the sex of at least one of the diagnoses (DXn) coded on the record.	Set DXn to "incn", FEMALE to inconsistent (.C), and DXCCSn to inconsistent (.C).
EDX04	PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS (Inpatient data only, beginning in 2000) The principal diagnosis is invalid as a discharge diagnosis. January 2000 to September 30, 2007: The Diagnosis Related Group (DRG) equals 469 Principal Diagnosis Invalid as Discharge Diagnosis. Starting October 1, 2007: The DRG equals 998 Principal Diagnosis Invalid as Discharge Diagnosis.	For tabulation purposes only.
EDX	ANY DIAGNOSIS EDIT Summary diagnosis edit check that indicates that an edit in the range EDX01-EDX04 has been triggered.	For tabulation purposes only.
Procedures
EPR01	RECORDS IN THE STATE AMBULATORY SURGERY AND SERVICES DATABASES FLAGGED AS AMBULATORY SURGERY RECORDS BY THE STATE, BUT WITHOUT A PROCEDURE CODE No procedures (ICD-9-CM, ICD-10-CM, CPT, or HCPCS) are coded.	For tabulation purposes only.
EPR02	PROCEDURE CODE IS INVALID AS OF THE DISCHARGE DATE The record contains at least one procedure code (PRn) that is invalid as of the discharge date, plus or minus six months (to allow for anticipation of or lags in response to official coding changes).	Set PRn to "invl" and PRCCSn to invalid (.A).
EPR03	PROCEDURE INCONSISTENT WITH SEX The reported sex of the patient (FEMALE) does not agree with the sex of at least one of the procedures (PRn) coded on the record.	Set PRn to "incn", FEMALE to inconsistent (.C), and PRCCSn to inconsistent (.C).
EPR	ANY PROCEDURE EDIT Summary procedure edit check that indicates that an edit in the range EPR01-EPR03 has been triggered.	For tabulation purposes only.
Diagnoses and Procedures
EDXPR01	MIXED MATERNAL AND NEONATAL RECORD Codes in the diagnosis vector or the procedure vector satisfy both the maternal and neonatal screens. The neonatal-maternal flag (NEOMAT) is set to 3.	For tabulation purposes only.
EDXPR02	PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS (Inpatient data only) January 2000 to September 30, 2007: DRG equals 468 Extensive O.R. Procedure Unrelated to Principal Diagnosis, or 476 Prostatic O.R. Procedure Unrelated to Principal Diagnosis, or 477 Non extensive O.R. Procedure Unrelated to Principal Diagnosis. Starting October 1, 2007: The DRG equals 981-989 O.R. procedure unrelated to principal diagnosis.	For tabulation purposes only.
EDXPR03	DISCHARGE RECORD IS UNGROUPABLE (Inpatient data only) January 2000 to September 30, 2007: The DRG equals 470 Ungroupable. Starting October 1, 2007: The DRG equals 999 Ungroupable.	For tabulation purposes only.
EDXPR	ANY DIAGNOSIS AND PROCEDURE EDIT Summary diagnosis and procedure edit check that indicates that an edit in the range EDXPR01-EDXPR03 has been triggered.	For tabulation purposes only.
External Cause of Injury Codes (E Codes)
EECODE01	EXTERNAL CAUSE OF INJURY CODE IS INVALID AS OF THE DISCHARGE DATE (Beginning in 2003) The record contains at least one external cause of injury code that is invalid as of the discharge date, plus or minus six months (to allow for anticipation of or lags in response to official coding changes).	Set ECODEn to "invl" and E_CCSn to invalid (.A).
EECODE02	INJURY DIAGNOSIS WITHOUT AN EXTERNAL CAUSE OF INJURY CODE (Beginning in 2003) At least one diagnosis indicates an injury and no injury-related external cause of injury code is reported on the record.	For tabulation purposes only.
EECODE03	MEDICAL MISADVENTURE OR ADVERSE REACTION (MM/AR) DIAGNOSIS WITHOUT A MM/AR EXTERNAL CAUSE OF INJURY CODE (Beginning in 2003) At least one diagnosis indicates a medical misadventure or adverse reaction and no MM/AR external cause of injury code is reported on the record.	For tabulation purposes only.
EECODE04	INJURY EXTERNAL CAUSE OF INJURY CODE WITHOUT AN INJURY DIAGNOSIS (Beginning in 2003) At least one external cause of injury code indicates an injury and no injury-related diagnosis is reported on the record.	For tabulation purposes only.
EECODE05	MEDICAL MISADVENTURE OR ADVERSE REACTION (MM/AR) EXTERNAL CAUSE OF INJURY CODE WITHOUT A MM/AR DIAGNOSIS (Beginning in 2003) At least one external cause of injury code indicates a medical misadventure or adverse reaction and no MM/AR diagnosis is reported on the record.	For tabulation purposes only.
EECODE	ANY EXTERNAL CAUSE OF INJURY CODE EDIT (Beginning in 2003) Summary external cause of injury code edit check that indicates that an edit in the range EECODE01-EECODE05 has been triggered.	For tabulation purposes only.
HCPCS/CPT Procedures
ECPT01	HCPCS/CPT PROCEDURE IS INVALID AS OF THE DISCHARGE DATE (Outpatient data only, beginning in 2000) The record contains at least one HCPCS/CPT procedure code (CPTn) that is invalid as of the discharge date plus or minus 6 months (to allow for anticipation of or lags in response to official HCPCS/CPT coding changes). HCUP validates Level I (numeric) and Level II codes (A0000-V9999), but does not validate the Level III codes (W0000-Z9999).	Set CPTn to "invl" and CPT_CCSn to invalid (.A).
ECPT02	HCPCS/CPT PROCEDURE INCONSISTENT WITH SEX (Outpatient data only, beginning in 2000) The reported sex of the patient (FEMALE) does not agree with the sex of at least one of the HCPCS/CPT procedures (CPTn) coded on the record.	Set CPTn to "incn2" and CPT_CCSn to inconsistent (.C).
ECPT03	HCPCS/CPT PROCEDURE INCONSISTENT WITH AGE (Outpatient data only, beginning in 2000) The age of the patient (AGE) does not agree with the age of at least one of the HCPCS/CPT procedures (CPTn) coded on the record.	Set CPTn to "incn3" and CPT_CCS to inconsistent (.C).
ECPT	ANY HCPCS/CPT PROCEDURE EDIT (Outpatient data only, beginning in 2000) Summary HCPCS/CPT procedure edit check that indicates that an edit in the range ECPT01-ECPT03 has been triggered.	For tabulation purposes only.
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HCUP Edit Checks on Data with ICD-9-CM Coding (January 1988 - December 1997)
Edit checks for the 1988-1997 HCUP databases were developed during the HCUP Feasibility Study (AHCPR Hospital Cost Database Feasibility Study, Contract No. 282-90-0029). Binary data elements that identify inconsistencies between related data elements on the same record were retained on some HCUP databases. The edit check data elements (EDnnn) have the following values: 0 The problem was not found, or the edit check was not applicable. 1 The record failed the edit check. To conserve space on the restricted access public release HCUP files, the edit check data elements were not included. The following table lists the edit checks performed on the HCUP databases in the 1988-1997 data. For each edit check the edit check number (e.g., E010) corresponds to the edit check data element. Included in the table is a description of the edit check and the action that is taken if the record fails the edit check. HCUP uses many diagnosis and procedure screens to define specific conditions employed in the editing procedures. These screens are defined in the section ICD-9-CM Diagnosis and Procedure Screens.
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HCUP Edit Checks (1988-1997)
Edit Check	Description	Action
ED010	REPORTED LOS IS NOT EQUAL TO CALCULATED LOS (Inpatient data only) The length of stay calculated from admission date and discharge date does not equal the reported length of stay.	For tabulation purposes only
ED011	ADMIT DATE IS AFTER DISCHARGE DATE The length of stay is negative.	Set ADATE and LOS to inconsistent (.C).
ED020	REPORTED AGE IN YEARS DOES NOT EQUAL CALCULATED AGE (Inpatient data only) The age in years calculated from birthdate and admission date does not equal the reported age.	For tabulation purposes only
ED021	AGE IN YEARS INCONSISTENT WITH INFANT AGE (Inpatient data only) Infant age is nonmissing, but the age in years is greater than zero.	Set AGEDAY and AGE to inconsistent (.C).
ED030	AMBULATORY SURGERY STAY GREATER THAN 1 DAY (Outpatient data only) The length of stay is greater than 0.	For tabulation purposes only.
ED100	MATERNAL AND NEONATAL RECORD (Inpatient data only) Codes in the diagnosis vector or the procedure vector satisfy both the maternal and neonatal screens.	For tabulation purposes only.
ED101 - ED1nn	DIAGNOSIS INCONSISTENT WITH SEX The sex coded for the patient does not agree with the sex of the diagnosis.	Set DXVn and SEX to inconsistent (.C).
ED201 - ED2nn	PROCEDURE INCONSISTENT WITH SEX The sex coded for the patient does not agree with the sex of the procedure.	Set PRVn and SEX to inconsistent (.C).
ED301 - ED3nn	NEONATAL DIAGNOSIS INCONSISTENT WITH AGE (Inpatient data only) The diagnosis satisfies the NEONATE screen, and the age in years is greater than zero. Retain age on a combined neonatal/maternal record.	Set DXVn to inconsistent (.C). If NEOMAT ne 3, set AGE and AGEDAY to inconsistent (.C).
ED401 - ED4nn	MATERNAL DIAGNOSIS INCONSISTENT WITH AGE (Inpatient data only) The diagnosis satisfies the MATERNAL screen, and the nonmissing age in years is less than 10 or greater than 55. Retain age on a combined maternal/neonatal record.	Set DXVn to inconsistent (.C). If NEOMAT ne 3, set AGE and AGEDAY to inconsistent (.C).
ED501 - ED5nn	MATERNAL PROCEDURE INCONSISTENT WITH AGE (Inpatient data only) A procedure satisfies the MATERNAL screen, and the nonmissing age in years is less than 10 or greater than 55. Retain age on a combined maternal/neonatal record.	Set PRVn to inconsistent (.C). If NEOMAT ne 3, set AGE and AGEDAY to inconsistent (.C).
ED600	LONG LOS, JUSTIFIED (Inpatient data only) The length of stay is over 365 days, and is justified by a long-term-care diagnosis, a perinatal diagnosis, discharge to another facility, or the patient's death.	For tabulation purposes only.
ED601	LONG LOS, UNJUSTIFIED (Inpatient data only) The length of stay is over 365 days, and is not justified by a long-term-care diagnosis, a perinatal diagnosis, discharge to another facility, or the patient's death.	Set LOS to inconsistent (.C).
ED700	AMBULATORY SURGERY PATIENT WITH NO SURGERY (Outpatient data only) No procedures (ICD-9-CM, CPT-4, or HCPCS) are coded.	For tabulation purposes only.
ED701 - ED7nn	DAY OF PROCEDURE WITHOUT CORRESPONDING PROCEDURE (Inpatient data only) There is a nonmissing day of procedure without a corresponding procedure code.	Set PRDAYn and PRDATEn to missing (.) and move up all subsequent procedure date pairs.
ED801 - ED8nn	DAY OF PROCEDURE NOT DURING STAY The nonmissing day of procedure is less than (-4) or greater than the length of stay plus one.	Set PRDAYn and PRDATEn to inconsistent (.C).
ED910	INPATIENT CHARGES PER DAY ARE EXCESSIVELY LOW, JUSTIFIED (Inpatient data only) Total charges and length of stay are both nonmissing; charges per day are less than $100, and are justified by discharge to another facility or by the patient's death.	For tabulation purposes only.
ED911	INPATIENT CHARGES PER DAY ARE EXCESSIVELY LOW, UNJUSTIFIED (Inpatient data only) Total charges and length of stay are both nonmissing; charges per day are less than $100, and are not justified by discharge to another facility or by the patient's death.	Set TOTCHG and LOS to inconsistent (.C).
ED912	AMBULATORY SURGERY CHARGES ARE EXCESSIVELY LOW (Outpatient data only) Total charges are less than $10.	Set TOTCHG to inconsistent (.C).
ED920	INPATIENT CHARGES PER DAY ARE EXCESSIVELY HIGH, JUSTIFIED (Inpatient data only) Total charges and length of stay are both nonmissing; charges per day are more than $20,000, and are justified by discharge to another facility or by the patient's death.	For tabulation purposes only.
ED921	INPATIENT CHARGES PER DAY ARE EXCESSIVELY HIGH, UNJUSTIFIED (Inpatient data only) Total charges and length of stay are both nonmissing; charges per day are more than $20,000, and are not justified by discharge to another facility or by the patient's death.	Set TOTCHG and LOS to inconsistent (.C).
ED922	AMBULATORY SURGERY CHARGES ARE EXCESSIVELY HIGH (Outpatient data only) Total charges are $10,000 or more.	Set TOTCHG to inconsistent (.C).
ED951	UNACCEPTABLE UNIFORM PAY SOURCE COMBINATION The uniform primary pay source and secondary pay source are the same, and the sources are Medicare or Medicaid.	Set PAY2 and PAY2_N to inconsistent (.C).
ED952	UNACCEPTABLE NON-UNIFORM PAY SOURCE COMBINATION The non-uniform primary pay source and secondary pay source are the same, and the sources are CHAMPUS, Worker's Compensation, or Title V.	Set PAY2 and PAY2_N to inconsistent (.C).
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ICD-10-CM/PCS DIAGNOSIS AND PROCEDURE SCREENS

The International Classification of Diseases, 10th Edition, Clinical Modification/Procedure Coding System (ICD-10-CM/PCS) diagnosis and procedure screens used in HCUP data processing are specified below. The screens for maternal, neonate, and sex-specific codes are from the Medicare Code Edits that are part of the Medicare Severity Diagnosis Related Grouper (MS-DRG) software. The screens have been updated for ICD-10-CM/PCS coding changes to diagnoses and procedures through fiscal year 2022 (ending date September 30, 2022) based on the following resources:

Fiscal Year 2022 Medicare Code Edits:
- FY 2022 Final Rule and Correction Notice Data Files page: https://www.cms.gov/medicare/acute-inpatient-pps/fy-2022-ipps-final-rule-home-page
- File: https://www.cms.gov/files/zip/definition-medicare-code-edits-v391.zip

Fiscal Year 2021 Medicare Code Edits:
- FY 2021 Final Rule and Correction Notice Data Files page: https://www.cms.gov/medicare/acute-inpatient-pps/fy-2021-ipps-final-rule-home-page
- File: https://www.cms.gov/files/zip/definition-medicare-code-edits-v381.zip
Fiscal Year 2020 Medicare Code Edits:
- FY 2020 Final Rule and Correction Notice Data Files page: https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/FY2020-IPPS-Final-Rule-Home-Page
- File: https://www.cms.gov/files/zip/definitions-medicare-code-edits-v371.zip
Fiscal Year 2019 Medicare Code Edits:
- FY 2019 Final Rule and Correction Notice Data Files page: https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/FY2019-IPPS-Final-Rule-Home-Page-Items/FY2019-IPPS-Final-Rule-Data-Files
- File: https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/FY2019-IPPS-Final-Rule-Home-Page-Items/FY2019-IPPS-Final-Rule-Data-Files
Fiscal Year 2018 Medicare Code Edits:
- FY 2018 Final Rule and Correction Notice Data Files page: https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/Acute-Inpatient-Files-for-Download-Items/FY2018-Final-Rule-Correction-Notice-Files
- File: https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/Acute-Inpatient-Files-for-Download-Items/FY2018-Final-Rule-Correction-Notice-Files
Fiscal Year 2017 Medicare Code Edits:
- FY 2017 Final Rule and Correction Notice Data Files page: https://www.cms.gov/medicaremedicare-fee-service-paymentacuteinpatientppsacute-inpatient-files-download/files-fy-2017-final-rule-and-correction-notice
- File: https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/Downloads/FY2018-CMS-1677-FR-Code-Edits.zip

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Maternal:

Diagnoses: A34, M830, O000 to O9A53; Z0371 to Z0379; Z3201, Z331 to Z379; Z390 to Z3A49; Z640.

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Neonate:

Diagnoses: A33, D807, E71511, E8411, H04531 to H04539; N470, P000 to P269; P280 to P834; P836 to P965; P9682 to P969; Q861, Z00110 to Z00111; Z3800 to Z388.

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Male diagnoses:

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Male procedures:

Procedures: 0V1N07J to 0VWSXKZ; 0W0M07Z to 0W0M4ZZ; 0W2MX0Z to 0W2MXYZ; 0W3M0ZZ to 0W3M4ZZ; 0W4M070 to 0W4M0Z0; 0W9M00Z to 0W9M4ZZ; 0WBM0ZX to 0WBMXZZ; 0WJM0ZZ to 0WJMXZZ; 0WMM0ZZ, 0WPM00Z to 0WPMXYZ; 0WQM0ZZ to 0WQMXZZ; 0WUM07Z to 0WUM4KZ; 0WWM00Z to 0WWMXYZ; 3E0N304 to 3E0N8TZ; 3E1N38X to 3E1N88Z; 8E0VX1C, 8E0VX63, BV000ZZ to BV2310Z; BV23Y0Z to BV4BZZZ; CV191ZZ to CV1YYZZ; DV000ZZ to DVY1FZZ.

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Female diagnoses:

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Female procedures:

Procedures: 04LE0CT, 04LE0DT, 04LE0ZT, 04LE3CT, 04LE3DT, 04LE3ZT, 04LE4CT, 04LE4DT, 04LE4ZT, 04LF0CU, 04LF0DU, 04LF0ZU, 04LF3CU, 04LF3DU, 04LF3ZU, 04LF4CU, 04LF4DU, 04LF4ZU, 0U15075 to 0UY10Z2; 0W0N07Z to 0W0N4ZZ; 0W2NX0Z to 0W2NXYZ; 0W3N0ZZ to 0W3N4ZZ; 0W4N071 to 0W8NXZZ; 0W9N00Z to 0W9N40Z; 0W9N4ZZ, 0WBN0ZX to 0WBNXZZ; 0WHN03Z to 0WHN0YZ; 0WHN33Z to 0WHN3YZ; 0WHN43Z to 0WHN4YZ; 0WJN0ZZ to 0WJNXZZ; 0WMN0ZZ, 0WPN00Z to 0WPNXYZ; 0WQN0ZZ to 0WQNXZZ; 0WUN07Z to 0WUN4KZ; 0WWN00Z to 0WWNXYZ; 102073Z to 10Y07ZY; 2Y04X5Z, 2Y44X5Z, 2Y54X5Z, 30273H1 to 30277W1; 3E0E304 to 3E0E8TZ; 3E0P05Z to 3E0P8TZ; 3E1P38X to 3E1P88Z; 4A0H74Z to 4A0JXBZ; 4A1H74Z to 4A1JXBZ; 8E0HX62, 8E0UXY7, BU000ZZ to BU4CZZZ; BY30Y0Z to BY33ZZZ; BY34YZZ to BY4GZZZ; DU000ZZ to DUY2FZZ.

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ICD-9-CM DIAGNOSIS AND PROCEDURE SCREENS

The International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) diagnosis and procedure screens used in HCUP data processing are specified below. The screens have been updated for ICD-9-CM coding changes to diagnoses and procedures through fiscal year 2015 (ending date September 30, 2015). On October 1, 2015, the ICD-9-CM code sets used to report medical diagnoses and inpatient procedures were replaced by International Classification of Diseases, 10th Edition, Clinical Modification/Procedure Coding System (ICD-10-CM/PCS) code sets. Changes to the screens across years are underlined.

Maternal:

677

7965

7537

754

V6511

7923

V282

V286

V616 to V617

V7242

67914

V2889

V8901 to V8909

V9100 to V9199

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Neonate

Diagnoses 7600 to 7799; and V3000 to V392.

75983

Diagnoses 7600 to 7799; and V3000 to V392.

27701

V290 to V299

7966

74783

76077 to 76078

7796

77981 to 7799

V392

76064

V2031 to V2032

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Male diagnoses:

Diagnoses 01640 to 01656, 05413, 0720, 09812 to 09814, 09832 to 09834, 13103, 1750 to 1759, 185 to 1879, 2144, 2220 to 2229, 2334 to 2336, 2364 to 2366, 2570 to 2579, 30274 to 30275, 4564, 600 to 6089, 7525 to 7526, 7587, 78832, 7922, 8780 to 8783, 9393, V1045 to V1049, V502.

79093

75251 to 75269

V1642 to V1643

V1361

V2652

V7644 to V7645

95913

V8403

V2634 to V2639

60000

75269

75281

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Male procedures:

Procedures 600 to 6499, 8791 to 8799, 9824, 9994 to 9996.

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Female diagnoses:

to 677

to V2501

V4551 to V4552

V5042

7965

V1641

V2651

V4981

V6701

V7646 to V7647

79500 to 79509

to V1329

75281

V6511

to V7241

V8402, and V8404

23339

V2631 to V2632

V5970 to V5974

V7231 to V7242

34640 to 34643

5164

67914

79519

V1221

V1521

V2511 to V2513

V8801 to V8803

V8901 to V8909

V9100-V9199

5164

V1221

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Female procedures:

Procedures 650 to 7599, 8781 to 8789, 8846, 8878, 8926, 9141 to 9149, 9217, 9614 to 9618, 9644, 9724 to 9726, 9771 to 9775, 9816 to 9817, 9823, 9998.

6501 to

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Injury diagnoses:

Diagnoses 800 to 9092, 9094, 9099, 910 to 9949, 9955 to 99559, 99580 to 99585.

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Medical misadventure/adverse reaction diagnoses:

Diagnoses 996 to 9999, 9093, 9095.

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Injury external cause of injury code:

not one

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Medical misadventure/adverse reaction external cause of injury code:

E Codes E870 to E879, E930 to E949.

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Perinate:

Diagnoses 7400 to 7799.

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Long-term-care indication::

Diagnoses 2900 to 30503; 30520 to 3124; 3219 to 319; 3440; 430 to 438; and 797 to 7999.

34481

44024

4416

78003

34400 to 34409

to 4352

4358

to 319

to 438

78001 to 78009

4389

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HCPCS/CPT PROCEDURE SCREENS

The Healthcare Common Procedure Coding System (HCPCS) Current Procedural Terminology (HCPCS/CPT) procedure screens used in HCUP data processing are specified below. The screens have been updated for HCPCS/CPT coding changes through calendar year 2021 (ending date December 31, 2021). Changes to the screens across years are underlined. The edits for HCPCS/CPTs are based on a combination of IBM and TRICARE edits including codes in gender edits from either source. The TRICARE edits are available online at http://www.health.mil/Military-Health-Topics/Business-Support/Rates-and-Reimbursement/Age-and-Gender-Restrictions.

Male procedures:

Procedures 00908, 00914, 00920 to 00938, 19140, 37788, 52010, 52275, 52450, 52510 to 52601, 52612 to 52614, 52647 to 52700, 53215, 53235, 53410 to 53425, 53440, 53505 to 53621, 54000 to 54230, 54235 to 55899, 74440 to 74445, 76870, 76873, 78760 to 78761, 84153 to 84154, 89264, 89310 to 89329.

G0256

G0261

0084T

52402

0137T

G9077 to G9080; G9083

19300

G9132 to G9133

Procedures: 0084T, 00908, 00914, 00920 to 00928; 00930 to 00938; 0137T, 19300, 37788, 52010, 52275, 52402 to 52450; 52601, 52612 to 52614; 52647 to 52700; 53215, 53235, 53410 to 53425; 53440, 53505 to 53621; 54000 to 54161; 54200 to 54230; 54235 to 54405; 54420 to 55899; 74440 to 74445; 76870, 76873, 78761, 84153 to 84154; 89264, 89310 to 89320; 89322 to 89329; 89331.

00865

53442

53850 to 53855

to 55899; 55970

84152

89310 to 89331; A4267, A4326, E0325, G0027, G0102 to G0103; G0416 to G0419; J3315, S4026, S4028 to S4031

3268F to 3274F

37790; 4163F to 4164F

52601 to 52700

84066

93980 to 93981

A4349, C1813

G0160

G9077 to G9083; G9132 to G9133; J0128, J0275, J3315, L3219 to L3222; L3225, L7900, L8330

Procedures: 00865, 00908, 00914, 00920 to 00928; 00930 to 00938; 19300, 3268F to 3274F; 37788 to 37790; 4163F to 4164F; 52010, 52275, 52402 to 52450; 52601 to 52700; 53215, 53235, 53410 to 53425; 53440 to 53442; 53505, 53515 to 53621; 53850 to 53855; 54000 to 55899; 55970, 74440 to 74445; 76870, 78761, 81224, 84066, 84152 to 84154; 89264, 93980 to 93981; A4267, A4326, A4349, C1813, E0325, G0027, G0102 to G0103; G0160, G0416 to G0419; G8822, G8828 to G8830; G9077 to G9083; G9132 to G9133; J0128, J0275, J3315, L3219 to L3222; L3225, L7900, L8330, S4026, S4028 to S4031.

53250

76873

82757

S0138

0438T

A4349, C1813, C9739 to C9740

G0027

G0458, G9077 to G9083; G9132 to G9133; J0275

0443T

53505 to 53621

89322, 89331

C9746 to C9747

54000 to 55899

53850 to 53855

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Female procedures:

Procedures 00842, 00846, 00850 to 00857, 00906, 00940 to 00955, 11975 to 11977, 46715 to 46716, 50722, 51845, 51900 to 51925, 52270, 52285, 53210, 53230, 53430, 53502, 53660 to 53665, 56420 to 56515, 56620 to 56632, 56640 to 56805, 57000 to 57410, 57452 to 58322, 58340 to 58540, 58560 to 59899, 64435, 74710 to 74775, 76092, 76805 to 76831, 76941, 76945 to 76948, 80055, 81025, 82143, 82731, 84135 to 84138, 84830, 88143 to 88150, 88153 to 88155, 88164 to 88167, 88267 to 88269.

56820 to 56821

57420 to 57421

58552 to 58554

76801 to 76802

57425

0071T, 0072T, 0500F, 0501F, 0502F, 0503F

57425

84163

Procedures 0003T, 0021T, 0031T, 0032T, 00842, 00846, 00851, 00906, 00940 to 00948; 00950 to 00952; 01958 to 01969; 0500F to 0503F; 11976 to 11977; 36460, 46744 to 46748; 50722, 51845, 51900 to 51925; 51992, 52270, 52285, 53210, 53230, 53270 to 53275; 53430, 53502, 53660 to 53665; 56405 to 59899; 64435, 74710 to 74775; 76092, 76801 to 76831; 76941, 76945 to 76948; 80055, 81025, 82106, 82120, 82143, 82731, 83030 to 83033; 83632, 83661 to 83664; 84163, 84830, 85460 to 85461; 88141 to 88155; 88164 to 88167; 88174 to 88175; 88267 to 88269; 99500 to 99501; A4261, A4266, A4268 to A4269; A4281 to A4286; A4327 to A4328; A4561 to A4562; E0326, E0602 to E0604; G0101, G0123 to G0124; G0141 to G0148; G0202, G8051 to G8053; G8106 to G8107; G8111 to G8114; G9071 to G9075; G9113 to G9117; H1000 to H1005; J1051 to J1056; J7300 to J7303; J7306, L3215 to L3217; L3224, L8000 to L8035; P3000 to P3001; Q0091, Q0111, Q0114 to Q0115; S0122 to S0132; S0199, S0610 to S0613; S2260, S2265 to S2267; S2400 to S2411; S3625 to S3626; S3650 to S3655; S3820 to S3823; S4005 to S4025; S4027, S4035, S4037 to S4989; S4993, S8055, S8415, S9001, S9208 to S9214; S9349, S9436 to S9439; S9442 to S9443; T2101.

37210

77057

G9131

Procedures: 0071T to 0072T; 00842, 00846, 00906, 00940 to 00952; 01965 to 01966; 0500F to 0503F; 11975 to 11977; 37210, 46715 to 46716; 50722, 51845, 51900 to 51925; 52270, 52285, 53210, 53230, 53430, 53502, 53660 to 53665; 56420 to 56515; 56620 to 56632; 56640 to 56805; 56820 to 57150; 57160 to 57285; 57288 to 57410; 57420 to 58322; 58340 to 58345; 58350, 58356 to 58544; 58548, 58552 to 58554; 58560 to 58952; 58956 to 59000; 59012 to 59899; 64435, 74710 to 74775; 76801 to 76818; 76825 to 76831; 76941, 76945 to 76948; 77057, 80055, 81025, 82143, 82731, 84135 to 84138; 84163, 84830, 88143 to 88150; 88153 to 88155; 88164 to 88167; 88267 to 88269.

0193T

00851

01960 to 01969

36460

46744 to 46748

55980 to 59899

76819

82120

85460 to 85461; 88141 to 88150

89300, 99500 to 99501; A4261

A4266, A4268 to A4269; A4281 to A4286; A4327 to A4328; E0326, E0602 to E0604; G0101, G0123 to G0124; G0141 to G0148; G0202, P3000 to P3001; Q0091, S0610 to S0612; S4005 to S4025; S4027, S4035 to S4040; S4989, S4993, S9001, S9436 to S9439.

01958

3340F, 3341F, 3342F, 3343F to 3345F; 3350F

4178F

51992

53270 to 53275

76801 to 76831

82106

83033; 83632, 83661 to 83664

88141 to 88155

A4561 to A4562

G8051 to G8053; G8106 to G8107

G8111 to G8114; G9071 to G9075; G9113 to G9117, H1000 to H1005; J1051 to J1056; J7300 to J7303; J7306, L3215 to L3217; L3224, L8000 to L8035

Q0111, Q0114 to Q0115; S0122 to S0132; S0199

S0613; S2260 to S2270; S2400 to S2411; S3625 to S3628; S3650 to S3655; S3820 to S3823

S4035 to S4989

S8055, S8415, S9001, S9208 to S9214; S9349

S9442 to S9443; T2101

81500 to 81503; 81508 to 81512

G9361

0071T to 0072T

3015F

53500

55980

87510 to 87512

89250 to 89251; 89254

A4280

J7301

J7307

L8000 to L8030

L8600

S0197

81500 to 81503; 81507 to 81512

G8806 to G8811; G9071 to G9075; G9113 to G9117; G9131

J7297 to J7303; J7306

L8000 to L8039

Q0111, Q0114

S0122 to S0132

S4025

0357T

89337

G0476

57160 to 59899

M1016

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¹ ICD-9-CM: International Classification of Diseases, Ninth Revision, Clinical Modification; ICD-10-CM/PCS: International Classification of Diseases, Tenth Revision, Clinical Modification/Procedure Coding System.
² Dates are used only to derive nonsensitive data elements such as patient age and are not included on the HCUP Core files.
³ Starting in data year 2018, the data element I10_NEOMAT is not included in the HCUP State databases.
⁴ Starting in data year 2018, the data element I10_NEOMAT is not included in the HCUP State databases.
⁵ Dates are used only to derive nonsensitive data elements such as length of stay and are not included on the HCUP Core files.
⁶ Starting in data year 2018, the data element I10_NEOMAT is not included in the HCUP State databases.

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