NAME:       	Claim Diagnosis Related Group 
		Outlier Stay Code
 
 
 DESCRIPTION: 	On an institutional claim, the code that
 		indicates the beneficiary stay under the
 		prospective payment system (PPS) which, although
 		classified into a specific diagnosis related
 		group, has an unusually long length (day
 		outlier) or exceptionally high cost
 		(cost outlier).

 
 SHORT NAME: 	OUTLR_CD

 LONG NAME: 	CLM_DRG_OUTLIER_STAY_CD

 TYPE:		CHAR

 LENGTH: 	1
 
 SOURCE: 	CWF

 
 CODE VALUES:	0 = 	No outlier

		1 = 	Day outlier (condition code 60)

		2 = 	Cost outlier (condition code 61)

	
		*** Non-PPS Only ***

		6 = 	Valid diagnosis related groups (DRG)
			received from the intermediary

		7 = 	CMS developed DRG

		8 = 	CMS developed DRG using patient status code

		9 = 	Not groupable


 COMMENT:	-