This value set includes codes based on the following rules:

This value set excludes codes based on the following rules:

  • Exclude these codes as defined in https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding
    CodeDisplayDefinition
    1Unreported/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.
 <status value="active"/> <experimental value="false"/> <date value="2019-08-26T00:00:00.000-04:00"/> <publisher value="HL7 International"/> <description value="Concepts that describe whether a condition is present when a patient is admitted to a healthcare facility. "/> <jurisdiction> <coding> <system value="urn:iso:std:iso:3166"/> <code value="US"/> </coding> </jurisdiction> <compose> <include> <system value="https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding"/> </include> <exclude> <system value="https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding"/> <concept> <code value="1"/> </concept> </exclude> </compose> </ValueSet>