California Code of Regulations
Title 22 - Social Security
Division 7 - Health Planning and Facility Construction
Chapter 10 - Health Facility Data
Article 8 - Patient Data Reporting Requirements
Section 97227 - Definition of Data Element for Inpatients-External Causes of Morbidity and Present on Admission Indicator

Universal Citation: 22 CA Code of Regs 97227

Current through Register 2024 Notice Reg. No. 38, September 20, 2024

(a) For discharges occurring on and after October 1, 2015: The external causes of morbidity shall be coded using the ICD-10-CM External Causes of Morbidity (V00-Y99). The external cause of morbidity that resulted in the injury or health condition shall be listed first. Additional cause of morbidity codes shall be reported if necessary to describe the mechanisms that contributed to, or the causal events surrounding, the injury or health condition.

(b) Effective with discharges on or after July 1, 2008, whether the patient's External Cause of Morbidity was present on admission shall be reported as one of the following:

(1) Y. Yes. Condition was present at the time of inpatient admission.

(2) N. No. Condition was not present at the time of inpatient admission.

(3) U. Unknown. Documentation is insufficient to determine if the condition was present at the time of inpatient admission.

(4) W. Clinically undetermined. Provider is unable to clinically determine whether the condition was present at the time of inpatient admission.

(5) (blank) Exempt from present on admission reporting.

1. New section filed 10-14-93; operative 11-15-93 (Register 93, No. 42).
2. Amendment of section and NOTE filed 7-23-97 pursuant to section 100, title 1, California Code of Regulations (Register 97, No. 30).
3. Amendment filed 9-21-98; operative 10-21-98 (Register 98, No. 39).
4. Amendment of section heading and section filed 5-5-2005; operative 5-5-2005 pursuant to Government Code section 11343.4 (Register 2005, No. 18).
5. Amendment filed 11-21-2006; operative 11-21-2006 pursuant to Government Code section 11343.4 (Register 2006, No. 47).
6. Amendment of section heading, redesignation of section as subsection (a) and new subsections (b)-(b)(5) filed 11-13-2008; operative 11-13-2008 pursuant to Government Code section 11343.4 (Register 2008, No. 46).
7. Amendment of subsection (a) filed 12-31-2009; operative 12-31-2009 pursuant to Government Code section 11343.4 (Register 2010, No. 1).
8. Change without regulatory effect amending subsections (b)(3)-(4) filed 3-25-2014 pursuant to section 100, title 1, California Code of Regulations (Register 2014, No. 13).
9. Amendment of section heading, redesignation and amendment of subsection (a) as subsection (a)(1) and new subsection (a)(2) filed 4-3-2014; operative 7-1-2014 (Register 2014, No. 14).
10. Amendment of subsections (a)(1)-(2) filed 9-4-2014; operative 10-1-2014 pursuant to Government Code section 11343.4(b)(3) (Register 2014, No. 36).
11. Change without regulatory effect repealing subsection (a)(1) and renumbering subsections filed 7-20-2016 pursuant to section 100, title 1, California Code of Regulations (Register 2016, No. 30).
12. Change without regulatory effect repealing subsection (a)(1) designator and amending subsection (b) filed 10-31-2018 pursuant to section 100, title 1, California Code of Regulations (Register 2018, No. 44).

Note: Authority cited: Section 128810, Health and Safety Code. Reference: Section 128735, Health and Safety Code.

Disclaimer: These regulations may not be the most recent version. California may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.