8.26 ED DISPOSITION DIAGNOSIS PRACTITIONER TYPE

PART OF THE ED DISPOSITION DIAGNOSIS GROUP (8.23 - 8.26)

Definition

Profession or occupation and specialty or subspecialty of practitioner who makes

ED disposition diagnosis.

Uses

Identification of the practitioner type is needed for a complete clinical record. This information also is used for continuity of care, quality-of-care monitoring, health care administration, reimbursement, and research.

Discussion

The Insurance Subcommittee of the Accredited Standards Committee X12 is developing a provider taxonomy in conjunction with the Health Care Financing Administration's (HCFA) implementation of the National Provider System (Accredited Standards Committee X12, 1997). The taxonomy classifies practitioners by their occupation or service group and their specialty. The taxonomy permits further specification within specialties, such as subspecialty or age focus (e.g., adolescents). Until the taxonomy is implemented, a local system may be used to encode practitioner type.

Data Type (and Field Length)

CE - coded element (60).

Repetition

Yes; if more than one disposition diagnosis is made, this data element repeats with the ED Disposition Diagnosis Group.

Field Values

Component 1 is the code indicating the practitioner type.
Component 2 is the practitioner type descriptor.
Component 3 is the coding system identifier.
Components 4 - 6 can be used for an alternate code, descriptor, and coding system identifier.

Example:

Component 1 = 203BE0004Y
Component 2 = Emergency physician
Component 3 = X12

When no coding system exists, enter data in the following manner:

Component 1 = “ “
Component 2 = Emergency physician

If the practitioner type is unknown, enter data in the following manner:

Component 1 = Unknown

Data Standards or Guidelines

None.

Other References

Accredited Standards Committee X12 Provider Taxonomy, Version 2.0 (ASC X12, 1997).