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Data Element Name:  Exempt Unit Indicator
Format-Length:  A/N - 3 Required For:  IP
Effective Date:  1/1/94 Revision Date:  January 1998

NOTE: This data element is a SPARCS extension, for mapping guidelines refer to the Inpatient Addendum.
New York State Specific Mapping:

Electronic - 837I
X12 Loop
Ref. Des.
Data Element
Code
Description
Version 4050R 2300 NTE01 363 UPI Updated Information
NTE02 352 Exempt Unit Indicator
Paper Form Locator Code Qualifier Description State Reporting Purposes
Institutional - UB-04 N/A N/A SPARCS Specific Data Element SPARCS Requires

Definition:

The code which identifies a discharge from a unit within the facility that is exempt from Diagnosis Related Group (DRG) reimbursement.

Codes and Values:

  1. ALR = Alcohol Rehabilitation

    ALC = Alternate Level of Care

    CEP = Comprehensive Psychiatric Emergency Program Observation

    DGR = Drug Rehabilitation

    EPI = Epilepsy

    EXH = All Services at Hospital are Exempt

    MRH = Medical Rehabilitation

    NDB = Non-DRG Billable Claim

    PSY = Psychiatric

    XYZ = HIV- AIDS

    TBI = Traumatic Brain Injury

    VTD = Ventilator Dependent

  2. If this field is not applicable it must be blank.

Example: NTE*UPI*06100120ALR012072125080~

Edit Applications:

  1. Must be a valid entry.
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