NAME TYPE LENGTH ------------------------------------- ------ Claim Diagnosis Related CHAR 1 Group Outlier Stay Code On an institutional claim, the code that indicates the beneficiary stay under the prospective payment system 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 CODES: Diagnosis Related Group Outlier Patient Stay Table -------------------------------------------------- 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 = HCFA developed DRG 8 = HCFA developed DRG using patient status code 9 = Not groupable SOURCE: CWF