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Data Element Name:  Procedure Coding Method
SPARCS Data Element Number:  59
Record Positions:  1688 - 1688 Format-Length:  A/N - 1
Effective Date:  1/1/1994 - 1/1/2003 Revision Date:  January 2003

Definition:

A code, which identifies the coding structure used for reporting procedures performed during the outpatient visit on Record Type 61.

All procedure and diagnosis codes reported in Record Types 70 and 79 are ICD-9-CM.

Codes and Values:
  1. External Place-of-Injury Codes in the range of E849.0 E849.9 were the only valid entries.

  2. "3" = CPT-3 (For Worker's Compensation and No-Fault Claims)

    "4" = CPT-4)

    "5" = HCPCS

    "9" = ICD-9-CM
Edit Applications:
  1. Must have been a valid entry.
Conversion Notes:
  1. For data years prior to 1994, if there was data in the CPT-4 Procedure Code - CPT4/HCPCS (Data Element 42) a "4" was entered in this field; otherwise a "9" was entered.