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Definitions of Medicare Code Edits, version 41.1

Usage

search_edits(icd = NULL, group = NULL)

Arguments

icd

<chr> vector of ICD-10-CM codes

group

<chr> Conflict Group: Age, Sex, Other

Value

a tibble

Details

FY 2024 – Version 41.1 (Effective April 1, 2024 through September 30, 2024)

The ICD-10 Definitions of Medicare Code Edits file contains the following: A description of each coding edit with the corresponding code lists as well as all the edits and the code lists effective for FY 2024.

Examples

search_edits(icd = c("Q96.8", "N47.0", "R45.4", "A33"))
#> # A tibble: 4 × 4
#>   icd_code icd_description                  icd_conflict_group icd_conflict_rule
#>   <chr>    <chr>                            <chr>              <chr>            
#> 1 A33      Tetanus neonatorum               Age                Perinatal/Newbor…
#> 2 N47.0    Adherent prepuce, newborn        Age                Perinatal/Newbor…
#> 3 Q96.8    Other variants of Turner's synd… Sex                Female Only      
#> 4 N47.0    Adherent prepuce, newborn        Sex                Male Only        

search_edits(group = "Other")
#> # A tibble: 422 × 4
#>    icd_code icd_description                 icd_conflict_group icd_conflict_rule
#>    <chr>    <chr>                           <chr>              <chr>            
#>  1 D63.0    Anemia in neoplastic disease    Other              Manifestation (N…
#>  2 D63.1    Anemia in chronic kidney disea… Other              Manifestation (N…
#>  3 D63.8    Anemia in other chronic diseas… Other              Manifestation (N…
#>  4 D64.1    Secondary sideroblastic anemia… Other              Manifestation (N…
#>  5 D72.18   Eosinophilia in diseases class… Other              Manifestation (N…
#>  6 D75.81   Myelofibrosis                   Other              Manifestation (N…
#>  7 D77      Oth disord of bld/bld-frm orga… Other              Manifestation (N…
#>  8 D84.81   Immunodeficiency due to condit… Other              Manifestation (N…
#>  9 E08.00   Diab d/t undrl cond w hyprosm … Other              Manifestation (N…
#> 10 E08.01   Diabetes due to underlying con… Other              Manifestation (N…
#> # ℹ 412 more rows