NAME:       	Claim Diagnosis Code X 
		Diagnosis Present on Admission 
		(POA) Indicator Code

 
 DESCRIPTION:	The present on admission(POA) indicator 
		code associated with the diagnosis codes 
		(principal and secondary).  

		In response to the Deficit Reduction Act of 2005, 
		CMS began to distinguish between hospitalization 
		diagnoses that occurred prior to versus during 
		the admission.  The objective was to eventually 
		not pay hospitals more if the patient acquired a 
		condition (e.g., infection) during the admission.  
		This present on admission (POA) field is used to 
		indicate whether the diagnosis was present on 
		admission.  

		Medicare claims did not indicate whether a 
		diagnosis was POA until 2011.

 
 SHORT NAME: 	CLM_POA_IND_SW10

 LONG NAME: 	CLM_POA_IND_SW10

 TYPE:		CHAR
 
 LENGTH: 	1
 
 SOURCE:	-

 
 CODE VALUES: 	Y =  	Diagnosis was present at the time of 
			  admission (POA)

		N =	Diagnosis was not present at the time 
			  of admission

		U = 	Documentation is insufficient to determine 
			  if condition was present on admission

		W = 	Provider is unable to clinically determine
			  whether condition was present on admission

		1 = 	Unreported/not used - exempt from POA 
			  reporting - this code is the equivalent 
			  code of a blank, however, it was determined 
			  that blanks were undesirable when submitting 
			  the data

		Z = 	Denotes the end of the POA indicators

		X = 	Denotes the end of the POA indicators in 
			  special data processing situations that may 
			  be identified by CMS in the future.


 COMMENT:	Prior to Version 'J', the POA indicators were stored 
		in a 10-byte field in the fixed portion of the claim.  
		The field was named: CLM_POA_IND_CD. Medicare claims 
		did not indicate whether a diagnosis was POA until 
		2011.

		The present on admission indicators for the diagnosis 
		E codes are stored in the present on admission 
		diagnosis E trailer.