Knowledge Base Article #192:

Collection / Encoding of Diagnosis Codes (new M0245) - OASIS Data Specs Version 1.40 / SQLGOLD 205

Collection / Encoding of Diagnosis Codes (new M0245)  - OASIS Data Specifications Version 1.40 / SQLGOLD 205

Diagnosis Codes

In order to insure that home health agencies can report ICD-9-CM diagnosis codes to be compliant with HIPAA, certain changes were made in V1.40 regarding the collection and encoding of diagnosis codes. These changes are planned for October 1, 2003. The table below summarizes the data specification changes that have been made.

Data Item

Data Specs Version 1.30

Changes in Data Specs Version 1.40

M0190

No E-codes or V-codes allowed (first character of code must be a space).

No change.

M0210

No E-codes or V-codes allowed (first character of code must be a space).

No change.

M0230

No E-codes or V-codes allowed (first character of code must be a space).

V-codes allowed (E-codes still not allowed).

M0240

No E-codes or V-codes allowed (first character of code must be a space).

V-codes and E-codes allowed.

M0245

Item added to printed copies of data set to illustrate how this new item will be used.  Not added to data specs.

Added to data specs. No E-codes or V-codes allowed (first character of code must be a space).

The two new M0245 fields which were added are as follows:

  • M0245_PMT_ICD1 (bytes 755-761)
  • M0245_PMT_ICD2 (bytes 762-768)

For detailed lists of the updated ICD-9-CM Diagnosis Codes, please visit the CMS web site at: http://www.cms.hhs.gov/medlearn/icd9code.asp

Keywords: Diagnosis Codes, SQLGOLD 205, OASIS Data Specifications, Version 1.40, M0245
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